The Jackson Health System/Jackson Memorial Hospital Critical Care Fellowship Training Program, in affiliation with the University of Miami Miller School of Medicine is accredited and offers 4 approved positions. The program is accredited by the Association of Clinical Graduate Medical Education and integrated into the Medical Residency Program.
The overall objective of our program is to prepare trainees for a wide spectrum of career opportunities, including academic teaching and patient care in critical care medicine. Typically, trainees spend two years in the Program consisting of rotations in critical care medicine, allied fields (including trauma care, pulmonary medicine, and anesthesia), along with clinical research. Prospective trainees who have completed training in another subspecialty of medicine may enroll in a one year program.
Upon completion of the program trainees are eligible to sit for the certifying exam in Critical Care Medicine offered by the American Board of Internal Medicine.
The program is conducted in several clinical facilities: Jackson Memorial Hospital, the Miami Veterans Affairs Hospital, the University of Miami Hospital, and The Sylvester Cancer Center.
ACGME Accredited: Yes
Fellows per year: 2
Duration: 1-2 years
Postgraduate Training Required: yes
U.S. Citizenship Required: The program sponsors trainees on a J1Visa. We do not sponsor those on a H1B Visa.
- Jackson Memorial Hospital
- Veterans Affairs Medical Center
- Sylvester Cancer Center
- University of Miami Hospital
Three years of internal medicine residency training, or emergency medicine training including six months of internal medicine, are required to qualify for entry into the fellowship program.
Fellows are required to have a current and valid certification for BLS, ACLS, OSHA and other certification required by the Public Health Trust, the Veterans Affairs Medical Center and The University of Miami Hospital or state or federal agencies.
The Critical Care Medicine program does not utilize a match. We accept applications only through the ERAS system, a centralized application processing service-paper applications will not be accepted. The Critical Care program follows the July application cycle as stated in the ERAS Timeline.
For more information about ERAS, ACGME and ECFMG, please refer to the following sites:
Due to the large volume of applications we receive each year, the program will only contact candidates chosen for an interview. Please do not contact our program coordinator regarding the status of your application.
Our overarching goal is to produce the next generation of leaders in Critical Care Medicine.
In addition, the goals of the program are:
- To provide fellows with an educational program that will prepare them for a lifelong practice of quality Critical Care Medicine.
- To graduate professionally skilled, knowledgeable, compassionate, scholarly, and scientifically oriented critical care specialists.
- To provide a framework of training such that the graduating fellows remain “lifelong learners” and retain their interest and professional competency in Critical Care Medicine.
- To reinforce the values of selfless care of patients, ethical conduct of research, respect for the public trust, and service to the scientific community.
- To prepare fellows to successfully obtain certification and become diplomats of Critical Care Medicine.
- The majority of fellowship learning is experiential. Therefore, our program provides clinical rotations in a variety of different settings to establish a broad background from which to gain knowledge and supplement it with focused readings. The fellowship also has a didactic program for more formulized instruction.
Critical Care Services: The critical care rotations are designed to provide fellows with a well rounded education in the management of critically ill patients. While focused on medical patients, trainees completing the program will have sufficient experience to competently provide critical care for surgical and trauma patients as well. A modern intensive care unit does not exist in isolation, but functions as an integral part of the hospital setting, coexisting and coordinating with other services, including medical, ancillary, quality management, and administrative. Fellows will be trained in the necessary skill sufficient to permit competent administration of an intensive care unit.
Clinical training in critical care medicine takes place at all four teaching hospitals, Jackson Memorial Hospital, Veterans Affairs Medical Center, Sylvester Cancer Center, and the University Of Miami Hospital. The program incorporates training in a non-medical intensive care unit, i.e. Surgical Intensive Care Unit, Trauma Intensive Care Unit, Neurosurgical Intensive Care Unit, or Chest Surgical (Transplant) Intensive Care Unit.
Fellows will gain an understanding of the pathophysiology of a broad range of critical illnesses including respiratory failure of various causes, sepsis and septic shock, hemorrhage and hemorrhagic shock, renal failure, hepatic failure, status epileptics, acute stroke, acute cardiac events including myocardial infarction and cardiogenic shock and many other conditions. Fellows will learn and master therapeutic techniques including invasive and noninvasive ventilatory support, resuscitation, invasive monitoring and bedside diagnostic techniques, intubation, pacemaker insertion, tube thoracostomy, use of vasoactive agents conscious sedation and therapeutic sedation, and nutrition support in the critically ill.
These rotations are also designed to instruct the fellows in aspects of intensive care unit administration. Fellows will be intimately involved in evaluating patients for appropriateness of intensive care. They will become familiar with anticipated staff loads based on patient acuity, thus learning how to utilize an intermediate care setting. Fellows will participate in quality management activities of the intensive care unit under the direct supervision of the attending. They will become familiar with the intricacies of explaining critical illness to families of patient, with associated issues such as advance directives. Autopsy and Morbidity/mortality conferences will be attended when relevant
Bone Marrow Transplant Rotation
The BMT rotation provides care for cancer patients with acute pulmonary disease and critical illness. Fellows will encounter patients with opportunistic respiratory infections, ARDS, and other types of respiratory failure, gastrointestinal bleeding, NS emergencies, tumor lysis syndrome, sepsis, etc. Many of these patients will be recovering from bone marrow transplantation and will be critically ill from infection or complications of the therapy. The fellow and supervising attending will act as critical care physicians for these patients. There will also be in-patient and out-patient experiences in non-critical care respiratory medicine including immune-suppressed patients with pulmonary infiltrates, the diagnosis and management of obstructed airways, and the management of malignant effusions.
As part of the academic environment a clinical research component is offered in the two year critical care fellowship program. All fellows are encouraged to participate in one or more of these projects. During their first year of training fellows will have an opportunity to obtain information about ongoing research through formal divisional research conferences, discussion with the program director and with individual faculty.
Educational & Other Experience
Didactic Conferences: Formal educational instruction is provided throughout the year in several formats including the following:
- Summer Lecture Series: Intensive 2 month conference schedule on the most important clinical problems encountered by the novice critical care fellow. This includes a Mini-Ventilator course” to discuss the principles and different modes of mechanical ventilation and an overview of statistics.
- Board Review Series: Biweekly one hour lectures in September and October. These lectures are created and run by the senior fellows who are undergoing board preparation.
- Core Lecture Series: weekly conference from November to June of fellow determined topics. Lecture topics are typically rotated every 18 months.
- Weekly Pulmonary and Critical Care Rounds: Fellows present interesting cases or topics encountered during their clinical rotations. In additional the final week of each month is reserved for a basic science presentation by the faculty.
- Critical Care Journal Club: Twice monthly the Critical Care Faculty at the VA Medical Center has an hourly discussion of the most recent trials in critical care medicine with an emphasis on trial design and statistical analysis.
Depending on the service on-call schedule will vary.