Fellowship Program Director: Nitin Seam, MD
The Critical Care Medicine Department offers two to four year ACGME-accredited fellowships in critical care medicine. Programs designed to provide eligibility in dual subspecialties (e.g., critical care with pulmonary disease or infectious diseases) can be arranged. Fellows must have completed a residency in internal medicine, anesthesiology, emergency medicine, or surgery. Physicians with additional advanced training, particularly in infectious diseases or pulmonary disease, are also encouraged to apply. The NIH Clinical Center is a unique environment bridging the gap between basic science and direct patient care. This environment provides an unequalled opportunity for collaboration with some of the most highly regarded physicians and researchers in the world. The program provides comprehensive clinical training in the management of critical illness, develops critical thinking skills applicable to any patient with single or multisystem organ failure, and develops leadership skills in basic or translational research through training and mentoring.
The first year of the fellowship is entirely clinical, with approximately one-half of the time spent in the intensive care unit of the NIH Clinical Center, and one-half spent in the intensive care units of other area hospitals. Critical care physicians in the NIH Clinical Center ICU have primary patient responsibility, while working closely with the referring physicians and the multiple consultative services necessary to give full intensive care to these patients. For those interested in dual board eligibility, the second-year program in the relevant discipline can be arranged at NIH or at a cooperating university program (pulmonary, infectious diseases, other).
The second year of fellowship has active research programs using basic science laboratories, animal models, clinical trials, and genomics/proteomics facilities. Fellows are encouraged to select from among these resources to develop research studies relevant to critical care medicine. Full-time research activities commence at the beginning of the second year for fellows interested in the critical care subspecialty alone. For fellows interested in dual training in critical care plus either pulmonary medicine or infectious diseases, full-time research activities usually commence at the beginning of the third year.
The program participates in ERAS. Applications must include a cv and three letters of recommendation. The deadline for submission of completed applications is September 1st of the year prior to the beginning of the program.