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Fellowship

Fellowship Program

Program Director Welcome

Faris

Welcome to the University of Massachusetts Anesthesiology Critical Care Medicine (ACCM) fellowship website.  Accredited since 1989, our program has graduates practicing nationwide in private practice, community and academic settings.  UMass Memorial Healthcare has a very active, multidisciplinary, critical care community and as a result, our fellows have the opportunity to interact with critical care providers trained in anesthesiology, surgical, neurology, cardiology and pulmonary critical care to provide a well-rounded training experience. In addition to exposure to multiple critical care disciplines, we are a program that prides itself in its flexibility for the modern learner.  We have six weeks of elective rotations to allow fellows to pursue nearly any area of interest.  

The Critical Care Operations Committee (CCOC) oversees patient care across the full continuum of critically ill patients at all main and affiliated hospitals.  UMMC has one of the most advanced telemedicine networks (eICU) in the country, linking over a dozen hospitals to a centralized command control center.  Our fellows have the unique opportunity to interact with the eICU on a daily basis.  They also have the opportunity to with work our critical care attending staff in the eICU control center.

This website contains information about the UMass ACCM fellowship, its history, the program faculty, curriculum, and other information important to future applicants.  Please take time to explore the website and learn about our program and what we have to offer.  Please don’t hesitate to reach out to me, or our program coordinator, should you have any questions. 

-Dr. J. Aaron Scott, Anesthesiology Critical Care Medicine Fellowship Program Director

Email: jamesaaron.scott@umassmemorial.org
Anesthesiology Critical Care Medicine Fellowship
Department of Anesthesiology & Perioperative Medicine
UMass Memorial Medical Center
55 Lake Avenue North
Worcester, MA 01655
Phone:  508-856-3821
Fax:  508-856-5911

Angelique Ranno
Email: Angelique.ranno@umassmed.edu
Fellowship Coordinator

About

About the Critical Care Anesthesiology Fellowship

The Department of Anesthesiology’s Fellowship in Critical Care Medicine is fully accredited by the ACGME. Following successful completion of the fellowship, the fellow is eligible to take the subspecialty examination in critical care medicine offered by the American Board of Anesthesiology. The duration of the program is one year. Each candidate must have successfully completed an anesthesiology residency in the United States in order to be eligible for this fellowship.

The Department of Anesthesiology is a medium-sized department with a passionate commitment to the education of our fellows. We accept one or two critical care fellows each year. In our various ICUs, our fellows will interact with trainees from the Anesthesiology, General Surgery, Plastic Surgery, Orthopedic Surgery, Neurology and Internal Medicine departments.  They will also work with our NP and PA critical care providers.  This team approach prepares our fellows for real-world practice. Each fellow is assured personalized and in-depth clinical training.

The University campus is the home base for the department. The range of surgical cases on the University campus includes cardiac and vascular surgery; thoracic surgery; neurosurgery; pediatric surgery; orthopedic surgery; surgical oncology; laparoscopic surgery; liver, kidney, and pancreas transplantation; and major trauma. The University campus has several critical care units devoted to the care of adults and children.

UMass Memorial Medical Center has a very active critical care community and all ICU units whether surgical, medical, or pediatrics are under one umbrella committee, the Critical Care Operation Committee (CCOC). The president of the CCOC is Richard Irwin, MD, a nationally and internationally renowned intensivist and pulmonologist. In addition to the traditional units, the UMass Memorial critical care community is fortunate to have an extensive telemedicine network (eICU) linking all the medical center critical care beds and several other community hospital critical care beds to a control center staffed 24/7 by a critical care team lead by an intensivist . Our fellows will have a unique opportunity to interact with the eICU on a daily basis and will also be rotating in the eICU control center for one week or more.

Our faculty are extremely proud of our fellowship program and of our track record of providing superbly trained intensivists. We encourage you to inquire about joining us.

Faculty

Critical Care Fellowship Faculty

A. Department of Anesthesiology

Gustavo Angaramo, MD 
Associate Professor of Anesthesiology & Perioperative Medicine and Surgery; Director of Acute Pain/Regional Service; Medical Director of Post-Anesthesia Care Unit

Antonio Aponte-Feliciano, MD 
Assistant Professor of Anesthesiology & Perioperative Medicine and Surgery

Rebecca Bauer, MD MPH
Associate Professor of Anesthesiology & Perioperative Medicine and Surgery​; Associate Medical Director of 3 Lakeside Cardiovascular ICU

Khaldoun Faris, MD 
Associate Professor of Anesthesiology & Perioperative Medicine and Surgery; Medical Director of Memorial Surgical ICU; Director of Critical Care Anesthesia; Associate Director of Surgical Critical Care Services

Juliet Fernandez, MD
Assistant Professor of Anesthesiology & Perioperative Medicine and Surgery​

Masilo Grant, MD 
Assistant Professor of Anesthesiology & Perioperative Medicine and Surgery; Director of Trauma and Orthopedic Anesthesia

Stephen O. Heard, MD, FCCM, FCCP
Professor Emeritus of Anesthesiology & Perioperative Medicine and Surgery​; Chair Emeritus

William Hoffman, MD 
Professor of Anesthesiology & Perioperative Medicine and Surgery​; Medical Director of 3 Lakeside Cardiovascular ICU

Theofilos Matheos, MD 
Assistant Professor of Anesthesiology & Perioperative Medicine and Surgery​; Medical Director of Pre-Surgical Evaluation Clinic

J. Aaron Scott, DO 
Assistant Professor of Anesthesiology & Perioperative Medicine and Surgery​; Program Director of Anesthesia Critical Care Fellowship; Medical Director Affiliate Practitioner Critical Care Residency Program

Matthias Walz, MD, FCCP 
Professor of Anesthesiology & Perioperative Medicine and Surgery​; Chair of Department of Anesthesiology & Perioperative Medicine

Maksim Zayaruzny, MD 
Assistant Professor of Anesthesiology & Perioperative Medicine and Surgery​; Director of Medical Simulation 
 

B. Department of Surgery

Michael Debusk, MD 
Assistant Professor of Surgery

Jon Dorfman, MD 
Assistant Professor of Surgery

Timothy A. Emhoff, MD 
Associate Professor of Surgery, Chief, Trauma Surgery and Surgical Critical Care

Nam H. Kim, MD 
Assistant Professor of Surgery

Bruce J. Simon, MD 
Associate Professor of Surgery

Ulises Torres, MD 
Assistant Professor of Surgery
 

C. Department of Neurology

Raphael Carandang, MD  
Assistant Professor of Neurology
Program Director, Neurology Residency and Neurocritical Care Medicine Fellowship

Wiley Hall, MD  
Assistant Professor of Neurology

Marcey L. Osgood, DO 
Assistant Professor of Neurology

Susanne Muehlschlegel, MD, MPH 
Associate Professor of Neurology

Benefits

Visit the GME website!

Institutional Benefits

Departmental Benefits

  • Paid vacation/sick time in accordance with American Board of Anesthesiology requirements (See section 2.03 "Absence from Training" of the ABA's Booklet of Information, 2015 edition.)
  • 3 interview days
  • Department supported conference/meeting time (5 days)
  • Ultrasound Certification (2 days, Basic/Advanced FATE - http://usabcd.org/)
  • Meeting time and financial support for presentations at national meetings
  • Annual educational allowance ($1500 PGY-4 year); may be used for books, tablets, laptops, USMLE, board review, etc.
  • Massachusetts temporary license fee reimbursement
  • Paid memberships to anesthesia and medical societies (AMA, ASA - with subscription to Anesthesiology, IARS - with subscription to Anesthesia & Analgesia, Massachusetts Medical Society, Massachusetts Society of Anesthesiologists)
  • BLS/ACLS/ATLS/PALS certification classes offered
  • AccessAnesthesiology, in addition to other electronic resources available in departmental library
  • Teleconferenced and video captured Grand Rounds, as well as video capture of all didactic sessions, available for distance viewing on departmental intranet.
  • On call meal allowance
  • Scrubs, labcoats, ID badges, and beepers
  • ASC Fitness Center- state of the art fitness center available 24/7 onsite at the University campus that offers a 50% subsidy to all residents and fellows. For more information, please click here.

Any additional questions may be directed to Angelique Ranno, Fellowship Coordinator at 508-856-3821 or Angelique.Ranno@umassmed.edu.

 

Fellow Responsibilities

The fellow is the leader of the multidisciplinary ICU team with close consultation and supervision by the ICU staff.

  1. The fellow is the leader of the multidisciplinary ICU team with close consultation and supervision by the ICU staff.
  2. The fellow will actively participate in the daily and weekly lectures.
  3. The fellow is on call from home and covers one to two weekends per month.
  4. The fellow should be an active participant in learning and teaching the skills needed to achieve the educational goals and objectives of the fellowship.
  5. The fellow should become actively involved in scholarly and research activities
  6. The fellow is expected to know the details of their patients, whether or not they personally evaluated them.
  7. The fellow is expected to comply with the ACGME and RRC Duty Hours regulations.
  8. The ACCM fellow is not expected to take 24 hour call shifts, in part due to our robust eICU coverage model. The fellows round one weekend per month when they are on service in one of our surgical ICUs.  Fellows living within a close proximity of the hospital may decide to make themselves available for overnight consultation for procedures on critically ill patients when on service.
  9. The fellow is required to keep a written or electronic record of the number and type of cases and procedures. The records must be printed out and turned in to the Fellowship Coordinator on a monthly basis.

Curriculum

Didactic Curriculum

The Didactic curriclum at UMass is designed to encourage the adult learner.  We see to help the fellow increase their knowledge through lectures and independent study and to develop their clinical judgement skills through case studies and discussion.  This is combined with participation in several internationally recognized certification programs.

The didactic curriculum includes:

  1. Multidisciplinary Critical Care Conference (weekly). This includes Journal Club, SICU M&M, and CCM lectures by ICU faculty and guest lecturers. 
  2. Ultrasound Seminar (Monthly). Spearheaded by Pulm/CCM Medicine
  3. ICU Didactic Lecture (twice weekly). These lectures are standard for all ICU residents and repeat each month.  Initially given by the ICU attendings, as the year progresses, the ICU fellow may assume the educator role during these sessions.
  4. Department of Anesthesiology & Perioperative Medicine Grand Rounds (weekly). This includes a monthly Quality Improvement Conference and lectures on Anesthesiology topics by faculty members, guest lecturers and senior anesthesiology residents.
  5. Bedside Trauma Surgery Rounds (weekly). Lead by our Trauma Surgery team, bedside rounds covers common trauma and surgical ICU topics for one hour each week. 

In addition, all fellows receive certification in:

  1. Basic and Advanced FATE (Focused Assessed Transthoracic Echocardiography).  This two day course is provided free-of-charge to all of our fellows - http://usabcd.org/
  2. Emergency Neurological Life Support - http://www.neurocriticalcare.org/enls

Through the UMMS iCELS simulation center, opportunities exist to receive certification in:

  1. Advanced Trauma Life Support
  2. Pediatric Advanced Life Support

Fellow as Teacher:  Our fellows get the unique opportunity to participate in the education of many levels of trainees, including UMMS medical students, interns, multi-specialty resident physicians, and AP learners.  Our fellow annually participates in several teaching opportunities including: 

  1. Introduction to FATE Didactics & Hands on with our 8 Categorical PGY-1 Anesthesiology residents with an ICU faculty member
  2. Transitioning to Clinical Clerkships Simulation - a multi day simulation with the MSIIs prior to their transition to clinical clerkships
  3. Mock Oral board examinations for our CA1, CA2 and CA3 residents - a recent addition, added due to feedback from our fellow, to help prepare for how the oral board examiners think about cases.  This is administered with a faculty member. 
  4. All fellows also have the opportunity to take the SCCM MCCKAP examination each spring. 

Clinical Rotations

Anesthesiology CCM Fellowship Rotations

12 weeks 3ICU - Surgical/Transplant/Trauma ICU
8 weeks Memorial SICU/Periop Surgical Home
4 weeks 2LS - Neuro/Trauma ICU
4 weeks 3LS - Cardiovascular ICU
weeks 6ICU - Medical ICU
weeks 3LS - CCU
weeks Palliative Care
week Telemedicine/eICU
weeks PACU
week Procedure/Skills
week ECHO
week Simulation
weeks Electives

 

Resources

Goals and Objectives

Educational Goals and Objectives for the Surgical Critical Care Anesthesiology Fellow

(For a complete explanation, click here) 

A. Patient Care

  1. Cognitive Skills
  2. Technical Skills

B. Medical Knowledge

Demonstrate mastery of the following:                          

  1. Physiology
  2. Pharmacology
  3. Clinical Knowledge and Management

C. Interpersonal and Communication Skills

  1. Create and sustain a therapeutic and ethically sound relationship with their patients
  2. Use effective communication techniques to provide and elicit information

D. Professionalism

CCM fellows must demonstrate a commitment to completing their professional responsibilities, adhering to ethical principles and being sensitive to a diverse patient population. 

E. Practice-Based Learning

By appraising and assimilating scientific evidence, fellows must be able to investigate, evaluate and improve their patient care practices. 

F. Systems-Based Practice

Fellows must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value. 

Additional Resources
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