Notes from the Chair-Elect

Mohr

Nicholas M. Mohr, MD, MS, FACEP

Every summer, we start turning our attention to planning for our fall Annual Meeting. This year, though, we are also wrapping up the first year of a new initiative of our section, the EM/CCM Employment Initiative.

Many of you have heard or read about the activities of our task force over the last year. Now we’re able to start showcasing some of the productivity of the working group. The task force defined three (3) objectives for the first year: (1) to collect data on EM/CCM barriers to employment through surveys and qualitative interviews, (2) to develop a resource for potential employers considering hiring EM/CCM graduates, and (3) to develop a blueprint for ongoing work of the task force for future years.

For the first objective, members of the task force interviewed staff physicians, graduating fellows, employers, and recruiters. Based on these interviews, the team identified several perceived barriers to employment. Please see Dr. Samantha Strickler’s column in this issue for more details about the group’s findings.

These themes and others continue to be explored by the interview team as they complete their work. The task force is also working on a survey to be conducted next year to better quantify employment barriers among CCM fellowship graduates. We will also be working to address some of the mentorship issues, especially as they pertain to those seeking community practice.

The data from our first objective led to our second initiative – to develop an FAQ document for potential EM/CCM employers. This document has been written over the last year, has been approved by the section leadership, and is currently being reviewed by the ACEP Board of Directors. This document will be used for both advocacy and job searching activities by prospective job seekers, and it will be released around Scientific Assembly 2017. In future years, we will be developing similar documents for other audiences, as well as refining our distribution plan.

Finally, we have completed a blueprint for future years’ work. Currently, the task force is a collaboration of our section, along with sister sections in the Society of Critical Care Medicine and the American Academic of Emergency Medicine. This task force will exist as long as we are able to make progress toward our goal of improving job prospects for dual-trained EM/CCM physicians. We have laid out a 3-year plan that will be re-evaluated annually to measure progress toward our mission. We will also be discussing this plan at our section meeting during Scientific Assembly 2017.

I am proud of the work and productivity of the task force during the first year of this project, and I look forward to ongoing work into the future. New task force leaders are being selected and will be refining the vision into the future, so if you are interested in participating in next year’s task force, please feel free to let me know. Only through a collaborative and multi-pronged approach to employment issues can we best understand and advocate for our members and our future graduates. Thank you for continuing to support this important section initiative.

Indiana University Critical Care Medicine Fellowship
Raghu Seethala, MD

Specialty certification pathway: Internal Medicine

Length of fellowship: 2 years

Number of fellows: 2

Curriculum:
Total months in ICU: 

The first year is comprised of 11 months of clinical time critical care medicine, with one month reserved for a clinical elective or research. The second year is structured based upon the individual's career goals. Those who wish to pursue a clinical career will have a total of 21 months of clinical time, with 3 months devoted to a clinical quality improvement research project. Those who wish to pursue a research or academic career will have a total of 9 months of research and 15 months of clinical time.

First year:
IU MICU, Core MICU, Cardiopulmonary Procedures, Neurosurgical ICU, Core MICU, Trauma MICU, Core MICU, Elective/Research, Eskenazi MICU (2 months), Transplant, Core MICU

Second year:
Methodist Senior Fellow (2 months), Eskenazi MICU, Elective/Research (9 months)

Electives:

  • Echocardiography
  • Renal replacement
  • Advanced airway management
  • Anesthesia


Didactics: Multiple didactic lectures at each site including research conference, fellows’ conference, journal club, physiology conference, pulmonary hypertension case review conference, and critical care board review. More information can be found at:
http://medicine.iupui.edu/pulmonary/fellowship/critical-care/education

Research opportunities: Fellows are offered a variety of research options during their training. The division houses multiple well-funded and successful basic and clinical science researchers. There is the research track option during fellowship, which has dedicated nine months to research. For more details:
http://medicine.iupui.edu/pulmonary/fellowship/critical-care/research

Clinical sites: The fellowship is clinically centered at Methodist Hospital, an 800 bed Level I Trauma Center and regional referral center for critically-ill patients. Other sites include: Eskenazi Hospital, a public hospital that is a Level I trauma center and burn center, and University Hospital, a quaternary referral center.

Program highlights:
The clinical focus of this fellowship exposes the fellow to surgical, pulmonary, cardio-thoracic, trauma, transplant, vascular, and general adult critical care. It also offers advanced exposure to trauma/surgical, pediatric, oncologic, and critical burn care, as well as advanced training in various specialty areas, which include echocardiography, renal replacement, advanced airway management, and adult anesthesia.  Additionally, there is the unique option to tailor the fellowship to individual career goals to focus either on a clinical or academic/research career. Other highlights:

  • Level I Trauma Center
  • Burn Center
  • ECMO/Transplant


ED shifts: No.

Application process:
Applications are submitted via the ERAS system.  For more details refer to:
http://medicine.iupui.edu/pulmonary/fellowship/critical-care/ccapply/

Program director:
Timothy J. Ellender, MD
Co-Director, Critical Care Fellowship Track, IU Pulmonary and Critical Care Medicine Fellowship
tellende@iu.edu

Program coordinator:
Amy Krauskopf
amykraus@iu.edu

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