Perelman School of Medicine at the University of Pennsylvania

Department of Anesthesiology and Critical Care

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Core Rotations

The goal of the ACCM fellowship is to provide the candidate with a solid foundation in the management of critically ill adult surgical patients. To this end, fellows are required to satisfactorily complete the following core rotations:

General Surgical and Transplant Critical Care (SICU)

Duration: 3 months

Location: Rhoads 5, Hospital of the University of Pennsylvania

Director: Dr. Maurizio Cereda 


Trauma Critical Care (TSICU)

Duration: 1-2 months

Location: PAC4, Penn Presbyterian Medical Center

Director:  Dr. Meghan Lane-Fall


Cardiothoracic Critical Care (HVICU)

Duration: 3-4 months

Location: Heart and Vascular ICU, Founders 5 Hospital of the University of Pennsylvania/ PAC3 Penn Presbyterian Medical Center

Director: Dr. Jack Gutsche (HUP) / Dr. Emily Gordon (PPMC)


Neurocritical Care 

Duration: 0.5 months

Location: Neuro ICU, Rhoads Hospital of the University of Pennsylvania

Director: Dr. Andrew Kofke


Transthoracic Echocardiography

Duration: 0.5 months


The fellows in the SICU and TSICU manage trauma, general surgery, thoracic surgery, transplant surgery, urology, and ENT patients in a true multidisciplinary environment. The rotation in the HVICU provides clinical experience managing patients following complex cardiac procedures, heart and lung transplant, and complex mechanical circulatory support such as ECMO and VADs. Advanced didactics on the management of the neurologically impaired patient is obtained in the Neurocritical Care Unit, under the supervision of a mixed anesthesiologist / neurologist faculty. 


Cardiac Critical Care Focus Pathway

In addition to the core curriculum, Penn's ACCM fellowship has designed an AGCME track dedicated to prepare clinicians for a career in Cardiac and Vascular Critical Care Medicine. With the ever increasing number, acuity, and comorbidities of patients undergoing high-risk cardiovascular surgery, there is a need to accommodate the demand for highly trained intensivists in this field of Critical Care. The additional fellowship track with a special focus on Cardiothoracic Critical Care Medicine is accessible to physicians with primary specialties of Anesthesia, Surgery, and Cardiothoracic Surgery. Clinical time in the ICU includes a minimum of 6 months in the HVICU and additional rotations through the Trauma, General Surgery ICU and electives.