Department of Anesthesiology
Division of Critical Care
Fellow Education
Fellow Expectations during Critical Care Rotations
CV ICU Fellow Responsibilites:
1. ICU fellows will rotate in the CV ICU for a month at a time. During this time, they will be primarily attached to the “TEAM 1” that manages patients admitted to Beds 1-12.
2. The fellow will have the following rotation during the month.
a.
First Week; 7am to 7pm Monday through Saturday of the first week, and 7am to 12pm on Sunday.
b. Second Week; 24/7 home call, Monday through Friday (off Sat & Sun)
If the fellow is in the ICU after 3am, they will stay for that mornings rounds and then go home by 11am, they will then be available for home call starting at 8pm that night by checking in the on call attending and residents.
c. Third and Fourth Weeks mimic Weeks 1 & 2.
Surgical CC Fellow Responsibilities:
1. The SICU Fellow is responsible for direct oversight of resident staff in the care of patients and in the performance of all procedures. SCC Fellow office is Room 5714.
2. The SICU Fellow is to perform an independent assessment of each patient which is admitted to the SICU, and develop a plan of care for each individual patient.
3. The SICU Fellow communicates each morning with the Transplant and Vascular Surgery fellows to provide coordinated care of these complex patients.
4. The SICU Fellow also assists in communication with the primary teams in three specific circumstances:
a. When patient condition deteriorates and new treatments are instituted.
b. When condition changes and diagnostic studies are necessary to determine etiology.
c. When the resident has been unable to adequately clarify issues which are of concern.
5. SICU Fellow night call responsibility alternates between the two SICU Fellows:
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
F-1 |
F-1 |
F-2 |
F-2 |
F-1 |
F-1 |
F-1 |
F-2 |
F-2 |
F-1 |
F-1 |
F-2 |
F-2 |
F-2 |
The SICU Fellow is responsible for evaluation and initiation of critical care to patients in the PACU during off hours (nights and weekends) if they become unstable. The SICU Fellow is to contact the SICU Attending to inform them of this change in patient condition.
Neuro-ICU, CCMU, CCU and other medical patients may “overflow” to the SICU; these patients are cared for by their primary critical care service.