Critical Care Fellowship

Program Overview


The UMKC School of Medicine Critical Care Medicine Fellowship is a two-year program; alternatively, internists with ABIM certification in a qualified Internal Medicine subspecialty (e.g., Pulmonary, Nephrology, Cardiology, Hematology, Infectious Disease) are eligible for 1 year of Critical Care Medicine training. Our program offers both 1- and 2-year positions based on availability.

Our Critical Care Medicine Fellowship program is designed to train clinically competent and scholarly Intensivists. The Fellows’ time is spent at Saint Luke’s Hospital and Truman Medical Center, both primary teaching hospitals for the UMKC School of Medicine. While the program emphasizes clinical experience, clinical and/or basic science research activity is required. Fellows are expected to vigorously pursue teaching medical students and residents with the aim of becoming excellent clinician educators. Regularly scheduled conference presentations by the Fellows are included in this teaching responsibility.

2-Year Fellowship Curriculum

Year 1
4 Months MSTICU – Saint Luke’s Hospital
1 Month CVICU – Saint Luke’s Hospital
1 Month NSICU – Saint Luke’s Hospital
1 Month Anesthesia – Saint Luke’s Hospital
2 Months ICU – Truman Medical Center
1 Month Metabolic Support – Truman Medical Center
2 Months Research – Site varies

Year 2
4 Months MSTICU – Saint Luke’s Hospital
1 Month CVICU – Saint Luke’s Hospital
1 Month NSICU – Saint- Luke’s Hospital
2 Months Elective (ID, Nephrology, Research or potentially others) – Saint Luke’s Hospital
2 Months ICU – Truman Medical Center
2 Months Research – Site varies

1-Year Fellowship Curriculum

4 Months Critical Care Consult Service – Saint Luke’s Hospital
1 Month CICU – Saint Luke’s Hospital
2 Month CVICU – Saint Luke’s Hospital
1 Month NSICU – Saint Luke’s Hospital
1 Month Nephrology Inpatient Consult Service OR Infectious Diseases Inpatient Consult Service – Saint Luke’s Hospital
1 Month Metabolic Support – Bronchoscopy Lab – Truman Medical Center
2 Months Research – Site Varies

 

Critical Care Medicine Inpatient Service – Saint Luke’s Hospital and Truman Medical Center

The first- or second-year fellow works under the direct supervision of a critical care medicine faculty member at either Saint Luke’s Hospital or Truman Medical Center. The fellow supervises 2-4 residents from Internal Medicine, Emergency Medicine, Anesthesiology or Family Medicine. The fellow takes an active role in patient management on these very busy services. The fellow will provide initial and ongoing consultative service and work closely with the residents and faculty members. The fellow manages approximately 15 new consults or admissions per week and follows up to 25 inpatients at any given time. The fellow takes pager call from home and is responsible for inpatient care no more than two weekends a month.

 

Surgical Intensive Care Unit/Saint Luke’s Hospital

The first- or second-year fellow works under the direct supervision of the surgical intensivists at Saint Luke’s Hospital. The fellow works with residents from Surgery and Anesthesiology. The fellow takes an active role in patient management in this very busy SICU and provides initial and ongoing care of critically ill surgical patients including those with trauma and neurosurgical disease. The fellow manages approximately 8 new admissions per week and follows up to 10 inpatients at any one time. The fellow takes pager calls from home and is responsible for inpatients care no more than two weekends per month.

 

CVICU/Saint Luke’s Hospital

The first year fellow will work under the direct supervision of a full-time faculty member who is board certified in Anesthesia Critical Care. The fellow will work with a multidisciplinary team that also includes cardiothoracic surgeons. The fellow takes an active role in patient management and provides ongoing care of critically ill patients most of whom have had cardiac or other thoracic surgeries.

 

Continuing Medical Education

The fellow is allowed one week for approved continuing medical education meetings each year. The leave must be taken during the respective year of training and is not accruable. If the fellow is scheduled for a clinical rotation, it is his or her responsibility to find any needed coverage.

 

Conferences

Twice Monthly Conferences:
Pulmonary/CC with Thoracic Surgery
Pulmonary CC/Oncology/Thoracic Surgery/Radiology

Monthly Conferences:
Basic Science
Research
Core Curriculum
Journal Club
Case Conference (M&M)

 

Research

The fellow works with a faculty member of his or her choice. It is the fellows’ responsibility to identify a faculty member to collaborate with. The research project(s) must be approved by the program director. Minimum expectation for the fellow is to complete one clinical research project at the end of the two years of training.

 

Evaluation

A. Formative evaluation
The fellow is evaluated each month of the 24-month fellowship. Evaluations will be in line with currently accepted ACGME Milestones. The following areas are evaluated:

    • Clinical judgment
    • Clinical skills
    • Medical knowledge
    • Humanistic qualities
    • Commitment to scholarship
    • Medical care
    • Professional attitudes
    • Behavior
    • Clinical competence

The fellow is evaluated in these areas each month and the performance is reviewed and discussed by the attending that month. Semi-annually the fellow receives structured feedback from the program director. The performance is reviewed with appropriate counseling and any necessary remedial actions

B. Summative evaluation
Semi-annually the program director completes a written evaluation of each fellow based upon review of monthly evaluations. These evaluations stipulate the degree to which the fellow has mastered each component of clinical competence and has acquired proficiency in each of the required procedural skills. Fellows may appeal judgments of academic deficiencies or misconduct. See Disciplinary Action Policy located on the UMKC website at http://www.med.umkc.edu/residency/graduate/links.html.

C. Evaluation of Faculty and Program
The fellow evaluates each rotation monthly and provides confidential feedback to the program director on the performance of the faculty and merits and deficiencies in the training program. The teaching staff meets with the fellow semi-annually to evaluate the utilization of the resources available to the program, the contribution of SLH and TMC to the program, financial and administrative support., volume and variety of patients available to the program for educational purposes, the performance of members of the teaching staff, the quality of supervision of fellows, and the effectiveness of the program in achieving the stated goals and objectives.

 

Faculty Activity

The fellow will work under the direct supervision of a wide array of full-time faculty members at Saint Luke’s Hospital and Truman Medical Center Hospital Hill including board certified Anesthesia Critical Care faculty, critical care faculty, surgical intensivists as well as critical care faculty at the Clinical Operations Room located at Saint Luke’s Tech Site in Lee’s Summit, Mo. The fellow will also work with a multidisciplinary critical care team that includes cardiothoracic surgeons.

 

 Application Information

The Critical Care Fellowship program selects the best qualified candidates regardless of race, sex, creed, color, national origin, handicap or age. The program does not participate in the NRMP Match. Candidate requirements include:

    • A completed application form through the Electronic Residency Application Service (ERAS).
    • Letter of recommendation from applicant’s current program director.
    • Recommendation letters from two faculty members.
    • Personal Statement.
    • ECFMG certification, if applicable.
    • Copy of USMLE score.
    • Most current Curriculum Vitae.

Based upon the above criteria, a personal interview may be scheduled. Final selection or ranking of candidates are made by the Critical Care Selection Committee. Criteria utilized by the committee for selection are academic achievement, clinical competence, moral and ethical qualities, compassion, social responsibility, collegiality, and enthusiasm.

Marcie Hudson
Program Coordinator
Saint Luke’s Hospital
Medical Education
4401 Wornall Road
Kansas City, Mo. 64111