Critical Care Medicine

Creating Leaders in Critical Care Medicine

The division of Critical Care Medicine within the Department of Anesthesiology provides our fellows with the broadest training in the specialty of critical care medicine. Our ACGME-accredited program is open to graduates of the correspondingly accredited programs of anesthesiology, surgery, and emergency medicine. We believe that critical care medicine is best understood as a multi-disciplinary endeavor and our trainees benefit from our broadly trained and expert faculty. Our fellows rotate through a variety of critical care environments including medical, surgical, cardiothoracic and neuroscience units and are exposed to the very latest treatment modalities and cutting edge research, while learning to care for the most critically ill patients. Our graduates are comfortable in a variety of clinical settings and benefit greatly from our multidisciplinary fellow complement.

Mark Caridi-Scheible, MD
Fellowship Program Director, Critical Care Medicine
mark.caridi-scheible@emory.edu

Welcome to New Leadership

We are pleased to welcome Dr. Drew Patterson as our new chairperson for the Department of Anesthesiology.  Dr. Patterson will be starting his tenure January 1, 2019, and he has already expressed strong support for our fellowship programs and the Division of Critical Care Medicine.

Dr. Patterson currently serves as the Larson professor and executive vice chair of anesthesiology at the University of Nebraska Medical Center (UNMC). After graduating with a bachelor of science from the University of Michigan, Dr. Patterson earned his medical degree and completed an internal medicine internship at Emory. He went on to complete a residency and chief residency in anesthesiology as well as a critical care medicine fellowship at Massachusetts General Hospital. After fellowship, Dr. Patterson earned a PhD in neurosciences from Stanford University. His research mentor and dissertation advisor was Nobel laureate Brian Kobilka, MD. Dr. Patterson spent nearly two decades on the faculty at Stanford University before moving to the University of Nebraska in 2015.

Dr. Patterson’s clinical focus areas include critical care medicine as well as intraoperative anesthesia care for thoracic and vascular surgery. His research interests are in adrenergic receptor biology, vascular biology, hemodynamic physiology and pharmacology, as well as the cardiovascular impact of sepsis. Dr. Patterson has worked in South and Central America and in Africa on global health projects since 1998.  For more than a decade, he has led clinical, research, education, and infrastructure improvement initiatives in the rural village of Gitwe, Rwanda. 

Dr. Patterson was co-director of the medical school cardiovascular physiology course at Stanford University School of Medicine for many years, and he has received numerous teaching awards. He has served on the Board of Directors of the American Board of Anesthesiology since 2011 and the Accreditation Council for Graduate Medical Education (ACGME) Review Committee for Anesthesiology since 2013.  He has chaired and participated in several national committees for the American Society of Anesthesiologists, the Society of Critical Care Medicine, and the American Medical Association, including the Physician Consortium for Performance Improvement in Anesthesiology and Critical Care.

Dr. Patterson’s arrival will continue a tradition of outstanding leadership in the Department of Anesthesiology, and we look forward to his contributions to the team and its achievements.

Program Highlights

The following represents a summary of key features of our program. Please explore the other tabs on this page for more details.

  • ACGME-accredited
  • Diverse sites of practice
  • Unique faculty with a variety of academic interests and backgrounds
  • Protected didactic time with weekly lectures, case presentations, board review, and journal clubs
  • Additional quarterly evening dinner and journal club
  • Research opportunities
  • Opportunity to provide critical care transport
  • ECMO program
  • Telemedicine experience (eICU)
  • Stipend for books and conferences
  • ICU experience in CT ICU, SICU, CCU, MICU, Neuro ICU
  • Wide variety of electives
  • Social and team-building events

Application

Applications begin being accepted approximately 18 months prior to the start date (e.g.  November 2015 for a July 2017 start date), with interviews taking place from February through mid-May. All positions are offered via the San Francisco Match system. Applicants should register at www.sfmatch.org where they will find the SOCCA Common Application form. Along with the completed application, we require the following documentation:

  • Current CV
  • USMLE and ITE scores
  • Copies of Medical School Dean’ s Letter, Transcript and Diploma
  • 3 Letters of Reference 

Fellows enter the program at the PGY‐5 or PGY-6 level. Minimum entry requirements include:

  • Board eligibility or certification in their respective specialty
  • Successful completion of USMLE steps 1, 2, and 3
  • Hold a temporary or unrestricted GA medical license

** If you are interested in combined CCM/CTA fellowship, please contact the program director directly at mark.caridi-scheible@emory.edu to indicate your interest.

For further application questions, please contact the program coordinator:

Ms. Dianne Lee
Emory University Hospital, Department of Anesthesiology
1364 Clifton Rd NE
Atlanta, GA 30322
Office: 404-778‐5793
dianne.lee@emory.edu

Multidisciplinary, Multicenter, High Acuity

We are an ACGME-accredited fellowship that prepares Anesthesiology and Emergency Medicine graduates for board certification in critical care medicine through the American Board of Anesthesiology. We also accept Surgery residents and fellows for preparation to sit for their respective board certifications in surgical critical care. Our intensivists come from a wide variety of backgrounds including anesthesiology, emergency, nephrology, surgery and more.

As an Emory fellow, you will have the opportunity to rotate through a variety of units within 3 academic hospitals:

Each setting provides a different perspective, medical culture and patient population. Fellows that elect for a telemedicine rotation will additionally observe care at several remote, non-academic hospitals both within the Emory Healthcare system and without.  

The Emory Healthcare and Grady Health systems care for some of the highest acuity patients in the country. Fellows will be exposed to some of the most advanced treatments available including a large volume of transplants (heart, lung, liver, pancreas, and kidney) and extracorporeal assistance (ECMO, VAD, MARS).

ECMO Transport

ECMO Transport

Comprehensive Curriculum

Comprehensive Curriculum

In addition to providing a strong foundation in the fundamentals of modern critical care medicine, at Emory University Hospital we aim to inspire the critical thinking, leadership skills, passion for patient care and academic curiosity that are required to become a leader in academic medicine and beyond.

Robust Didactics

Protected didactic time is the core of our program through every Tuesday afternoon conferences. The first block of each conference is a weekly Multi-disciplinary Lecture Series on topics recommended by the ACGME plus topics that prepare you for the critical care boards. Lectures are presented both by our own faculty plus selected faculty from specialties such as Infectious Disease, Endocrinology and Transfusion Medicine. These lectures are created specifically for our fellows, but are open to physicians, trainees and affiliate providers from our department and from other disciplines.

The second block of each Tuesday afternoon conference is a regularly rotating mix of journal clubs, radiology and echocardiography rounds, case reviews, M&M and board review.  Review sessions and M&M are fellow driven with attending moderation.

Additionally, every quarter features an evening journal club at an attending’s house that provides an opportunity not only for high-level discussion of the literature but also to socialize with attendings and co-fellows. Optional didactic activities available include weekly Anesthesiology Grand Rounds, quarterly QI conferences and monthly Surgical M&M conferences.

Clinical Rotations and Electives

Critical care rotations within the SICU, CTICU, MICU, CCU and Neuro ICU fulfill the core ACGME fellowship requirements for the fellows’ respective specialties (Anesthesiology, Emergency Medicine, Surgery). Select months may also be substituted for optional rotations through the Grady Memorial Hospital Trauma ICU or Burn ICU. Our new rotation in the VA SICU also features integrated time in the VA cardiac OR performing Transesophageal Echocardiography (TEE). While the numbers will be sufficient for certification in TEE, these exams can be used in support of eventual certification.

Core elective time includes 2-4 weeks each of Infectious Disease and Nephrology. The fellows choose the balance of elective time from a variety of options including:

  • Pulmonology/Acute Lung Disease
  • Heart Failure
  • Palliative Care
  • Transthoracic Echocardiography
  • Ultrasound
  • Transfusion Medicine
  • Telemedicine (eICU)
  • ECMO
  • Research

If there are particular interests in any other discipline that the fellow would like to experience, we are generally able to easily accommodate given the breadth of academic disciplines in the Emory Healthcare system.

Call and daily scheduling

While recognizing that a solid clinical education requires substantial clinical time, we also believe that fellow education requires adequate time for reading, presentations, research, personal life and personal care. We strive to maintain an adequate and reasonable balance with the educational needs of the fellow taking priority over the service needs of any particular unit.

Call schedules vary depending on the rotation, but are generally at-home call and generally limited to 4 nights per week. The exception to this is ECMO cannulation and transport call which is factored separately but on average represents a low burden (please contact us for details). All ICU rotations require 1 weekend day of rounding. Most electives do require some weekend rounding, but few require night call. 

Standard call, ECMO call and weekend schedules respect ACGME duty-hour requirements and all fellows are required to track duty-hours for compliance.

National Meetings

Attendance at national meetings is encouraged and an educational stipend is provided for each fellow. Additional funds are made available for those presenting at select national meetings.

Current Fellows

2018_CCM.jpg

From left to right:

Michael Bes
Matt Wiepking
Salia Hashm
Layne Madden
Max Hockstein

Faculty

Listed here are the members of critical care faculty from within the Department of Anesthesiology.  All are ABA boarded in Critical Care Medicine, and we are fortunate to boast such a diverse faculty with such a wide range of academic interests. Furthermore, they represent only a fraction of the talented and nationally recognized critical care faculty within the Emory Healthcare and Grady Health systems that fellows rotate with.

Mark Caridi-Scheible, MD
Assistant Professor
Fellowship Program Director

James Blum, MD
Assistant Professor
Chief of Service Anesthesiology Critical Care
Director ECMO Program

Gaurav Budhrani, MD
Assistant Professor

Robert Groff, MD
Assistant Professor

Lyndsay Head, MD
Assistant Professor

Craig Jabaley, MD
Assistant Professor

Vanessa Moll, MD, PhD
Assistant Professor
Medical Director, EUHM CTICU

Deepa Patel, MD
Assistant Professor

Jayashree Raikhelkar, MD
Assistant Professor

Milad Sharifpour, MD
Assistant Professor

Joel Zivot, MD
Associate Professor

The following faculty members are closely associated with the Department of Anesthesiology and play a significant role in our associated ICUs, the ECMO program, and the education of our fellows and residents: 

Michael Conner, MD
Nephrology Critical Care Medicine
Assistant Professor 

Christopher Paciullo, PharmD
Pharmacy Critical Care Medicine
Adjunct Assistant Professor

Cynthia Powell, MD
Pulmonary Critical Care Medicine
Assistant Professor

Research

Research opportunities exist in multiple domains for fellows. Laboratory research opportunities exist on campus at the Woodruff Memorial Building with faculty in Medicine, Surgery, and Anesthesiology. Clinical research opportunities abound at Emory in multiple domains including sepsis, ARDS, coagulation, and heart failure. In addition to these domains, unique opportunities exist to examine outcomes in patients using a collection of local and national datasets.

Life in Atlanta

Life in Atlanta

Atlanta is a fast-growing metropolis with active scenes in art, music, sports and more. Urban neighborhoods are interspersed with abundant green spaces and parks. A short drive will bring you to almost any outdoor activity you enjoy including hiking, cycling, rock climbing and rafting. Compared with other major cities, Atlanta remains affordable to live and play in. And when you want to get away from it all, Atlanta-Hartsfield Airport is easily accessible and has direct flights to almost anywhere.