Department of Anesthesiology & Perioperative Care: School of Medicine: University of California, Irvine

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Anesthesiology Critical Care Medicine Fellowship

ACCM Fellow - Anesthesiology

The Anesthesiology Critical Care Medicine (ACCM) Fellowship is an ACGME-approved training program that is designed to fulfill the American Board of Anesthesiology (ABA) requirements for the critical care board eligibility, while providing flexibility to tailor towards the needs of the individual fellows. We offer two ACGME-accredited positions for one-year.

The ACCM fellowship will provide the fellows with an overall training experience in all aspects of critical care medicine. The goal is to develop leaders in the multidisciplinary critical care team, experts in bedside ultrasonography and strong clinicians grounded in evidence-based medicine.

Program Overview and Curriculum

The core program is centered in the Surgical Intensive Care Unit (SICU) and Cardiovascular Intensive Care Unit (CVICU) at UCI Medical Center, the only Level I trauma center in Orange County. UCI Health treats approximately 4,329 trauma patients annually, which is more than half of Orange County’s traumas.

ACCM fellows will be spending:

  • Three to four months in the SICU (24-beds)
  • Three to four months in the CVICU (12-beds)
  • Two to three months in several intensive care units (Burn ICU, Medical ICU, Neuro ICU)
  • Two months in clinical electives (available in echocardiography (TTE and TEE), infectious disease, nephrology, cardiology, pulmonology, palliative care, radiology)

The Burn ICU serves the only comprehensive Regional Burn Center in Orange County. The Neuro ICU manages a variety of patients, including those who suffer head trauma or strokes requiring both endovascular or open surgical procedures and patients with intracranial tumors.

Elective rotations may consist of research blocks where the ACCM fellow will have the opportunity to participate in cutting-edge research. Electives can be tailored towards the individual needs that will best prepare for the fellow’s career path into entering the academic or private practice.

Clinical Experience

The SICU provides services to a diverse patient population including trauma and complex post-surgical patients. The ACCM fellow along with trauma and critical care fellows from the UCI Department of Surgery are responsible for running the clinical service in the SICU. Fellows will conduct clinical rounds, coordinate and supervise all aspects of patient care, coordinate care with the members of the primary surgical services and ensure that the ICU team functions as an efficient unit. While on service, the ACCM fellow will evaluate all admissions and provide care for unstable patients and provide appropriate supervision (direct or indirect) for all procedures performed by residents or medical students. The ACCM fellow will also lead the weekly SICU interdisciplinary rounds, which includes nursing staff, a pharmacist, respiratory therapists, physical and occupational therapists, dietitian, case manager, social worker and palliative care service to manage bed flow and to provide clinical instructions with regard to the critically ill patients.

The CVICU will give the ACCM fellow the opportunity to manage post-cardiac surgical patients undergoing a variety of procedures, including bypass and valve procedures, aortic dissection repairs. Fellows will also manage patients on veno-venous and veno-arterial extracorporeal membrane oxygenators (ECMO). In the CVICU, the ACCM fellow will be responsible for all aspects of patient care and management while working closely with the faculty intensivist who provides 24-hour in-house coverage to the high-acuity cardiac patients.

Formal Education

ACCM fellows will participate in weekly didactics that consists of:

  • High-yield ICU lectures
  • Ultrasound sessions
  • Problem-Based Learning Discussions (PBLDs)
  • Morbidity and Mortality (M&M) reviews
  • Journal Club
  • Grand rounds
  • Interesting case discussions

Formal educational sessions are constructed to provide an overview of core critical care topics throughout the year with lectures that are prepared by clinicians from a variety of specialties. Ultrasound sessions will cover a full body evaluation of the critical care patient. ACCM fellows will prepare and present monthly presentations according to the curriculum and present at a grand rounds session.

Application Process

The ACCM Fellowship utilizes the SF Match process. Visit www.sfmatch.org for more information and apply using the Central Application Service (CAS).

Fellowship Graduates

2019-2020
Karen Katrivesis, MD
Oscar Roldan, MD

2018-2019
Suneeta Acharya, MD
Sonali Rao, MD

2017-2018
Marcus Kuikka, MD

2016-2017
Chen Chau, MD
Yichun Li, MD

2015-2016
Andrew Dixon, MD
Patrick Wu, MD

2014-2015
Gregory Yoshikawa, MD

Contact Information

Direct all inquiries to:

Fellowship Coordinator
Rogelio (Roger) Hernandez
Email: anesthfellowship@hs.uci.edu
Phone: 714-456-5835

Program Director
Trung Vu, MD

Associate Program Director
Jennifer Elia, MD