Welcome to the Anesthesia Critical Care Fellowship Web site and thank you for considering Jackson Memorial Hospital for your specialized training in anesthesia critical care.  After completion of the fellowship, our fellows have gone on to have very successful careers in all areas of anesthesiology and critical care.  Below is a brief description of our program and its structure.  The first step however, is to complete the application and send all the necessary documents for review and we will contact you for an interview. If you have any questions please feel free to contact the fellowship coordinator Mrs. Maria-Cristina Wells-Albornoz at 305-585-1191, 2-1 or bye-mail at mcwells@med.miami.edu.

Description 2007
Anesthesiology Critical Care Fellowship

The clinical experience of the critical care fellows at Jackson Memorial Hospital is very comprehensive, including rotations in four different Intensive Care Units, which are the Veterans Administration Hospital Intensive Care Unit (VAICU), Cardiac Surgical Intensive Care Unit (CSICU), Trauma Intensive Care Unit (TICU), and the Surgical Intensive Care Unit (SICU). JMH is a large referral center and it is common at any given time to have patients on ECMO, Ventricular Assist Devices as well as advanced modes of ventilation.

Fellows take in house call less than 20% of their year, and the passing rate of the subspecialty board after completing our fellowship is 100%. For the last 3 years, the fellows have been very successful at submitting and presenting abstracts at national meetings. Our fellowship is fully accredited by the ACGME.

The fellows are expected to direct patient care in each of their clinical rotations. In addition, every week there are daily conferences ranging from journal clubs, didactic sessions, visiting professors, as well as opportunity to conduct and participate in research activities.

A typical day starts at 7:00 am with the fellow reviewing the occurrences of the night in the unit they are assigned to. Rounds start at 8:00 am with a comprehensive assessment of the patients problems. During rounds, the faculty encourages active fellow participation in the development of the plan for the day. During the afternoon and early evening, the fellow is responsible to see that it gets done. The fellow is also responsible for screening and admitting patients to the intensive care unit.

The Critical Care fellowship program at JMH provides the fellows with an extensive array of resources, both in the form of experienced clinicians and multiple consultation services for specific problems as well as state of the art equipment and pharmacotherapy. The fellows are encouraged and constantly challenged to solve diagnostic and therapeutic dilemmas and are evaluated on their ability to use all the appropriate resources at their reach as well as cost effective measures.

In addition to the clinical rotations, electives can be arranged during the fellowship year. Popular electives in the past have been in the Trauma Anesthesia Division as well as TEE or liver transplant experience.

Sincerely,

Ricardo Martinez-Ruiz, M.D.
Program Director, Critical Care Fellowship
305-585-1191, 2-1
martinez_ruiz@yahoo.com