Nurse Practitioner/Physician Assistant
CVC Critical Care Fellowship

The fellowship program is
designed to introduce the APP to
the role of a critical care provider.
Its purpose is to extend the
APP fellow's skills in the clinical, administrative, and academic
roles available in critical care.
It is intended for all APPs interested
in a career in critical care.

The Frankel Cardiovascular Center (FCVC) Advance Practice Provider Postgraduate Critical Care Fellowship is designed to provide advanced training in critical care for APPs. The FCVC is at the forefront of innovative, advanced surgical procedures and cutting-edge research. The CVICU admits patients from multiple surgical service lines and has an estimated case volume of over 1800 complex cardiac surgical cases per year. Efforts to combat the magnitude of cardiovascular disease through our tri-partite mission: clinical care, research, and education are ongoing. We're doing it with expert multi-disciplinary medical teams, researchers, and educators as we strive to continually advance our efforts to become the "best academic heart and vascular center in the world".

This fellowship was established through the generosity of the FCVC directors and the donors who support the care provided to patient and families at Michigan Medicine.

For more information: 


The MM Postgraduate Critical Care APP Fellowship Program will expand upon the basic training of the APP to encompass the diagnosis and management of diseases and conditions common to the critically ill patient in all phases of care. The fellowship will continue the tradition of Michigan Medicine's core values: caring, innovation, inclusion, integrity, and teamwork.

Michigan Medical Center in Ann Arbor Michigan is a premiere center for surgery. The combined ICUs admits thousands of patients each year. The vast range of surgeries include every high risk, complex and redo procedures that other centers are not able to address. Our patients and trainees can learn from our diverse patient population with cutting edge research and opportunities only available at a premiere medical center like MM. The high acuity and fast pace provide postgraduate APP fellows with a rich learning environment.

The program will provide training in patient management, procedural skills, CALS/resternotomy training, and service leadership. The fellowship will also develop administrative skills as they will attend service delivery committee and educational meetings. The program utilizes all forms of learning, ranging from textbooks, self-driven internet based didactic modules, webinars, monthly journal club, M&M conferences, fellowship quality improvement project, and SIMS training for procedural and code skills.

Admission Requirements

Interested Physician Assistant applicants must fulfill the following prerequisites:

  • Graduation from an ARC-PA accredited Physician Assistant education program.
  • Successful completion of the NCCPA Physician Assistant National Certifying
  • Examination and current NCCPA certification
  • Possess a valid Michigan License to practice as a Physician Assistant
  • Current BLS/ACLS certification
  • Current DEA registration

Interested Nurse Practitioner applicants must fulfill the following prerequisites:

  • Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State of Michigan.
  • Current specialty certification to practice as Adult-Gerontology Acute Care Nurse Practitioner (AGACNP)
  • Graduate of an accredited Nurse Practitioner program.
  • Certification as a Nurse Practitioner recognized by the National Council of State Boards of Nursing (NCSBN).
  • Current BLS/ACLS certification
  • Current DEA registration
  • Possess a valid Michigan License to practice as a Nurse Practitioner

Submission of a completed application including 3 letters of recommendation (from preceptors, supervising Physician Assistants/Nurse Practitioner or Attending Physicians. One letter must be from the applicant's school Program Director if the applicant is a new graduate)

Program Length

12 months with start date adjustable for candidates’ availability.

  • Weekly conference with core lectures in critical care topics
  • Grand Rounds
  • Journal Clubs
  • Didactic lectures by medical faculty and staff
  • Ultrasound Course via conference
  • FCCS/BLS/ALS/CSU-ALS courses
  • There will be one day a week for "Didactic Day." Fellows will be responsible for going through assigned text and reading materials.
  • Fellows will be evaluated using multiple tools.
  • Fellows will have quarterly reviews completed by multi-disciplinary colleagues and attending physicians.
  • Evaluation and feedback will occur regularly to ensure both good habits and competency during all stages of learning.
Stipend and Benefits
  • Stipend is based on market value for an APP postgraduate fellow, the fellow will follow the rules of house officers regarding work week regulations (80 hours/week max).
  • Fellows are employees of Michigan Medicine and will have benefits provided per employment status.
  • Fellows will be expected to attend one major critical care conference during the residency.
Diversity and Inclusion
  • Ongoing Diversity, Equity, and Inclusion Opportunities
  • Serving Under-Resourced Communities
  • Global and Domestic research related opportunities
  • Departmental organized conferences and events, department specific DEI education
  • Lab coats, laundry service, some textbooks and access to medical library services included during fellowship
  • Interview-related expenses are the responsibility of each candidate
  • Relocation and housing costs are the responsibility of each APP fellow
Program Calendar

Application Timeline

March 1st application deadline
March 15th phone interviews
March 20th Interview notification
Early April on site interviews for selected candidates
Mid-April: Offer Extended
May 1st: Commitment to Fellowship
Late July to Early September: Start of Critical Care Fellowship
Graduation 12 months after starting

Credential Awarded

Upon completion of the fellowship program, the APP fellow is awarded a certificate of training signed by department and program director.

The MM APP Critical Care Fellowship provides 50 Category I CME Credit approved by the ACCME.



Program Sponsors

Medical Director
Murtaza Diwan, MD
Assistant Professor of Anesthesiology and MPLAN Medical Director for Surgical Anesthesia, Medical School

Program Director
Lynda Vivian, PA-C
Physician Assistant, Advanced Practice Provider Manager for Cardiac Surgery

Chief of Advanced Nursing Practice
Emily Marlow, DNP, RN, NP-C

Chief Physician Assistant
Marc Moote, PA-C





Target Audience: Nurse Practitioner Graduates | Author: A. Herter | Last reviewed: 11/7/23