Critical Care Fellowship


 

The UMKC School of Medicine Critical Care Medicine Fellowship is a two-year program designed to train clinically competent and scholarly intensivists. The Fellow's time is primarily spent at Saint Luke's Hospital and Truman Medical Center, both primary teaching hospitals for the UMKC School of Medicine. While the program emphasizes clinical experience, clinical and/or basic science research activity is required. Fellows are expected to vigorously pursue teaching medical students and residents. Regularly scheduled conference presentations by the Fellows are included in this teaching responsibility.

 

Curriculum                      

Faculty/Scholarly Activity

Partner Hospitals

Accreditation                         

UMKC School of Medicine  

More Information                 

Application

 
Curriculum
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Year 1

4 months Critical Care Consult Service/ Saint Luke's Hospital
2 months Critical Care Consult Service/ Truman Medical Center
1 month CCU/Saint Luke's Hospital
1 month Metabolic Support/Truman Medical Center
1 month CVICU/Saint Luke's Hospital
2 month NSICU/Saint Luke's Hospital
1 month Nephrology Inpatient Consult Service/Saint Luke's Hospital

Year 2

4 months Critical Care Consult Service/Saint Luke's Hospital
2 months Critical Care Consult Service/Truman Medical Center
1 month NSICU/Saint Luke's Hospital
1 month CCU/Saint Luke's Hospital
4 months Research/Saint Luke's Hospital


Critical Care Medicine Inpatient Service,
Saint Luke's Hospital and Truman Medical Center

The first- or second-year fellow works under the direct supervision of a critical care medicine faculty member at either Saint Luke's Hospital or Truman Medical Center. The fellow supervises 2-4 residents from Internal Medicine, Emergency Medicine, Anesthesiology or Family Medicine. The fellow takes an active role in patient management on these very busy services. The fellow will provide initial and ongoing consultative service and work closely with the residents and faculty members. The fellow manages approximately 15 new consults or admissions per week and follows up to 25 inpatients at any given time. The fellow takes pager call from home and is responsible for inpatient care no more than two weekends a month.

Surgical Intensive Care Unit/Saint Luke's Hospital

The first- or second-year fellow works under the direct supervision of the surgical intensivists at Saint Luke's Hospital. The fellow works with residents from Surgery and Anesthesiology. The fellow takes an active role in patient management in this very busy SICU and provides initial and ongoing care of critically ill surgical patients including those with trauma and neurosurgical disease. The fellow manages approximately 8 new admissions per week and follows up to 10 inpatients at any one time. The fellow takes pager calls from home and is responsible for inpatients care no more than two weekends per month.

CVICU/Saint Luke's Hospital

The first year fellow will work under the direct supervision of a full-time faculty member who is board certified in Anesthesia Critical Care. The fellow will work with a multidisciplinary team that also includes cardiothoracic surgeons. The fellow takes an active role in patient management and provides ongoing care of critically ill patients most of whom have had cardiac or other thoracic surgeries.

Continuing Medical Education

The fellow is allowed one week for approved continuing medical education meetings each year. The leave must be taken during the respective year of training and is not accruable. If the fellow is scheduled for a clinical rotation, it is his or her responsibility to find any needed coverage.

Conferences

Twice Monthly Conferences

Pulmonary/CC with Thoracic Surgery

Pulmonary CC/Oncology/Thoracic Surgery/Radiology

Monthly conferences

Basic Science

Research

Core Curriculum

Journal Club

Case Conference (M&M)

Research

The fellow works with a faculty member of his or her choice. It is the fellow's responsibility to identify a faculty member to collaborate with. The research project(s) must be approved by the program director. Minimum expectation for the fellow is to complete one clinical research project at the end of the two years of training. No call is required during research months.

Evaluation

A. Formative evaluation

The fellow is evaluated each month of the 24-month fellowship. The following areas are evaluated:

       Clinical judgment

       Clinical skills

       Medical knowledge

       Humanistic qualities

       Commitment to scholarship

       Medical care

       Professional attitudes

       Behavior

       Clinical competence

The fellow is evaluated in these areas each month and the performance is reviewed and discussed by the attending that month. Semi-annually the fellow receives structured feedback from the program director. The performance is reviewed with appropriate counseling and any necessary remedial actions.

B. Summative evaluation

Semi-annually the program director completes a written evaluation of each fellow based upon review of monthly evaluations. These evaluations stipulate the degree to which the fellow has mastered each component of clinical competence and has acquired proficiency in each of the required procedural skills. Fellows may appeal judgments of academic deficiencies or misconduct. See Disciplinary Action Policy located on the UMKC website at http://www.med.umkc.edu/residency/graduate/links.html.

C. Evaluation of Faculty and Program

The fellow evaluates each rotation monthly and provides confidential feedback to the program director on the performance of the faculty and merits and deficiencies in the training program. The teaching staff meets with the fellow semi-annually to evaluate the utilization of the resources available to the program, the contribution of SLH and TMC to the program, financial and administrative support., volume and variety of patients available to the program for educational purposes, the performance of members of the teaching staff, the quality of supervision of fellows, and the effectiveness of the program in achieving the stated goals and objectives.

 

Faculty/Scholarly Activity

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The fellow will work under the direct supervision of a wide array of full-time faculty members at Saint Luke's Hospital and Truman Medical Center Hospital Hill including board certified Anesthesia Critical Care faculty, critical care faculty, surgical intensivists  as well as critical care faculty at the Clinical Operations Room located at Saint Luke's Tech Site in Lee's Summit, Mo. The fellow will also work with a multidisciplinary critical care team that includes cardiothoracic surgeons.
 

Partner Hospitals

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Saint Luke's Hospital of Kansas City is a tertiary care, regional referral center serving a six-state region. It is also a Level I Trauma Center seeing both adult and pediatric patients.

Truman Medical Center Hospital Hill is a Level I Trauma Center that offers a broad range of acute and outpatient care.

 

Accreditation

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The program holds full accreditation from the Accreditation Council on Graduate Medical Education.
 

UMKC School of Medicine

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The UMKC School of Medicine offers 32 ACGME-sponsored residency and subspecialty residency programs. The School also offers an innovative six-year baccalaureate/doctor of medicine degree program that provides progressively increasing clinical experience beginning in year one. Students enter the medical school directly out of high school. The School of Medicine and its programs include more than 600 medical students, 547 full-time and 670 volunteer faculty, and 375 residents and fellows.
 

More Information

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For additional information about the Critical Care Medicine Fellowship program,
please call Meg Vanderliest, program coordinator, at 816-932-8232 or email mvanderliest@saint-lukes.org.
 

Application

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Please download and complete the application and forward to the attention of:

Meg Vanderliest

Program Coordinator

Saint Luke's Hospital/Medical Education

4401 Wornall Road

Kansas City, Mo. 64111