BACKGROUND
The Critical Care Medicine fellowship at Henry Ford Hospital is a two-year program designed to be in accordance with the guidelines set forth by the ACGME and ABIM to guarantee individuals completing the program will be eligible for board certification in critical care medicine and competent to independently practice within the specialty of critical care medicine.
GOALS
The overall goal of the fellowship in Critical Care Medicine (CCM) is to provide trainees with the intellectual environment for developing the knowledge, skills, clinical judgment, and attitudes that lead to proficiency in all the domains of clinical competency essential to the practice of critical care medicine. �The faculty and the sponsoring institution are fully committed to provide the educational program, resources, and facilities to meet this goal. Our fellowship will provide the education to allow a graduating fellow to possess the knowledge, procedural skills, communication skills, and professional attitude in critical care medicine with sufficient expertise to act as a primary intensivist or independent consultant.
The successful CCM clinician must posses a broad variety of skills that will be provided by the fellowship training program, by providing extensive clinical training, research experience and teaching responsibilities. Fellows will develop experience in the diagnosis and management of a diverse spectrum of patients with myriad diseases.� As fellows gain experience and demonstrate growth in their ability to care for patients they will assume roles to exercise those skills with increasing independence.�� Their experience as primary and consultant physicians will be supervised by attending faculty in inpatient settings.� The clinical and research experiences will be supplemented by weekly conferences.
Fellows will devote at least six months to the care of critically ill medical patients in our closed-unit MICU.� At least three months will be dedicated to the care of critically ill non-medical patients in the SICU and Neuro ICU.� Elective experiences in a trauma/burn unit, emergency intervention/resuscitation team, anesthesiology are also available.
COMPETENCY BASED EDUCATIONAL GOALS
During training, fellows are expected to:
Patient Care
1. Manage adult patients with myriad serious illnesses and injuries requiring treatment in a critical care setting
2. Demonstrate patient care within the institutional culture of continuous quality improvement focused on patient safety
3. Establish competence in the diagnosis, care and treatment of patients during all stages of critical illness
Medical Knowledge
1. Proficiently perform the procedural and technical skills and interpret data from bedside monitoring devices required for the practice of critical care medicine
2. Demonstrate knowledge of the scientific method and apply review of the literature for evidence- based decisionmaking
3. Apply the knowledge of indications, contraindications, limitations, complications, techniques and interpretation of results of diagnostic and therapeutic procedures integral to critical care medicine
Practice-based Learning and Improvement
1. Investigate and evaluate the care of patients for continual improvement
2. Develop the skills to improve patient care based on self evaluation and lifelong learning
3. Incorporate formative evaluation into daily practice
4. Use information technology to enhance learning
Interpersonal and Communication Skills
1. Illustrate effective communication with patients and families across a broad range of socioeconomic, educational, and cultural backgrounds
2. Demonstrate effective communication with physicians, ancillary staff, and other health professionals as a the primary intensivist or consultant
3. Work as an effective team leader
Professionalism
1. Adhere to ethical principles by demonstrating integrity, respect for others, and delivering compassionate care
2. Respect patient autonomy and privacy
3. Respond to patient needs that supersede self-interest
Systems Based Practice
1. Work effectively and use System resources to deliver care in a variety of ICU settings
2. Advocate for quality patient care
3. Practice in multidisciplinary teams to enhance patient safety and improve care quality
4. Participate in identifying system errors and implementing solutions
5. Acquire the skills required to organize, administer and direct a critical care unit