Critical Care Medicine
Memorial Sloan Kettering was one of the first hospitals to have an Intensive Care Unit (ICU) dedicated to the care of cancer patients with severe illnesses. For more than 40 years, the Critical Care Medicine (CCM) Service has provided state-of-the-art care to critically ill and postoperative patients both in the ICU and on inpatient floors via our consultation and Rapid Response Team (RRT) services. We are committed to the education of fellows and residents as one of our core principles. Over the years, we have developed an innovative advanced practitioner (nurse practitioner [NP] and physician assistant [PA]) ICU team, which has grown from providing care in our ICU to pioneering our highly effective rapid response team that attends to those in the hospital needing urgent care.
Our 20-bed adult medical-surgical ICU was built to take advantage of innovative principles of ICU design. With its ergonomic floor construction, e-glass windows that provide patient privacy, smart alarms, equipment booms, and video imagery displays, the ICU promotes a healing environment, efficient workflow, and ease of patient care.
The ICU is furnished with all the tools necessary to provide the excellent care that is the standard at MSK. Our state-of-the-art equipment includes adult and pediatric bronchoscopes, point-of-care laboratory testing and ultrasound machines, minimally invasive hemodynamic monitors, transvenous and transcutaneous pacers, abdominal pressure monitors, bladder scanners, therapeutic hypothermia systems, and fluid warmers.
Our faculty, fellows, NPs, PAs, and residents provide care daily to patients in the ICU and throughout the center. Two teams of clinicians, a traditional house-staff team and an advanced-practitioner team, care for patients admitted to the ICU; a third team (consultation/RRT) provides consults and rapid response visits for acutely ill patients throughout MSK. These services are very active. In 2014, CCM handled approximately 1,000 ICU admissions, 1,400 ICU consults, and 1,000 rapid response calls.
Multidisciplinary care is a cornerstone of our mission. Our daily rounds include the bedside nursing staff, a critical care pharmacist, a nutritionist, a social worker, and a respiratory therapist. Physical and occupational therapists assist in our early mobility program. Social work services are available throughout the evening hours in order to accommodate evening family visitation. Once a week, multidisciplinary rounds take place that focus on ensuring good communication between clinicians, nurses, infection control specialists, social workers, patient representatives, and chaplains.
Currently our CCM faculty consists of ten intensivists with training in internal medicine, pulmonary, interventional pulmonary, anesthesiology, and palliative medicine. The CCM fellowship has ten fellows with primary and secondary specialties in internal medicine and emergency medicine and secondary internal medicine subspecialties in pulmonary, renal, and infectious disease. Anesthesiology residents and medical students rotate through the ICU. Our advanced practitioner team includes 25 NPs and PAs, and our respiratory therapy team includes 55 therapists. Additionally, the CCM Service has a dedicated research nurse and a computer programmer.
The education of our fellows, nurse practitioners, physician assistants, residents, and medical students is a vital aspect of our service. It is crucial for the growth of our specialty that we train the finest intensivists in our field.
Our fellowship training program follows a detailed educational curriculum that incorporates a core lecture series, visiting professor conferences, fellows’ grand rounds, ventilator and bedside ultrasound workshops, journal clubs, simulation training, weekly board review, and case review and morbidity and mortality conferences. Fellows are encouraged to participate in research, present at local and national conferences, and contribute to patient-safety and quality-improvement projects.
The CCM Service conducts industry-funded clinical trials in severe sepsis/septic shock, pneumonia, and acute respiratory distress syndrome; collaborative studies with national and international critical care study networks; and “homegrown” projects exploring novel biomarkers in the critically ill as well as outcome studies of chemotherapy and ethics consultations in an oncologic ICU and patterns of intra-hospital and inter-hospital transports and ICU readmissions. Our group includes specialists in the use and cost of CCM in the United States, ICU design, and point-of-care laboratory testing.
The fellowship program has consistently delivered a 100 percent pass rate over the last five years for fellows taking the ABIM Critical Care Medicine Certification examination. Our two-year internal medicine-CCM and internal medicine subspecialty-trained fellows have secured critical care positions in teaching and community hospitals throughout the country. Several pulmonary-CCM graduates have proceeded to pursue additional fellowships in sleep medicine, interventional pulmonology, and pulmonary hypertension at prestigious medical centers including the Cleveland Clinic, Johns Hopkins, and Beth Israel Deaconess Medical Center. Additionally, our graduates have become ICU directors, associate program directors of the residency or fellowship programs, and departmental chairs as well as intensivists in large hospital or private groups.
The CCM Service welcomes applicants trained in internal medicine, medical subspecialties (i.e., pulmonary, renal, and infectious disease) and emergency medicine or emergency medicine/internal medicine. Our faculty is dedicated to teaching and providing advanced subspecialty training, and our trainees are highly qualified candidates who come from across the United States for this unique learning experience.We appreciate your interest in our program and encourage you to apply to become part of our team.
1 or 2 years
Apply at least one to one and a half years prior to the expected start of the fellowship. An application form can be downloaded here.
Fax Number: 212-794-4333