Welcome to the Critical Care Medicine Fellowship Program at Geisinger Medical Center. We believe we have constructed a dynamic fellowship experience for physicians who want to become skilled critical care clinicians. In addition to an excellent, diversified experience in clinical critical care, we provide the opportunity for learning about the business of critical care as well telemedicine applications in critical care. We have a defined curriculum in ethics, communication, QI/QA and leadership. Finally, we have a defined, three-month curriculum in echocardiography in the ICU and an ECMO program.
The Geisinger Critical Care Medicine Fellowship is designed to train future leaders in intensive care medicine. Multidisciplinary critical care, management of complex clinical situations and leadership roles in the intensive care unit are features of our curriculum. Additionally research prospects in both clinical and basic science aspects of critical care medicine are available at our program.
Our intensivist faculty/staff has a multidisciplinary critical care background and includes physicians who are dual- or triple-board certified in cardiology, critical care, neurocritical care, surgery, trauma surgery, anesthesia, infectious disease, internal medicine, pulmonary medicine, cardiovascular medicine and echocardiography. Several faculty members hold advanced degrees in business administration or philosophy/ethics. We have an excellent group of critical care midlevel providers, and an equally exemplary group of critical care nurses. We strive for a collaborative, multidisciplinary critical care team based approach to the delivery of critical care medicine for the patients we serve.
Our patient population is as diverse as our faculty, both in terms of disease and cultural heritage. We are the referral center of choice for the northeast and central portions of Pennsylvania. We are a Level I Regional Trauma Center, a Stroke Center, an advanced Cardiac Care Center, and a Liver Transplantation Center. There are four adult ICU environments on our campus, staffed by the Red, Blue, Green and Orange CCM teams. Our electronic ICU (eICU) platform allows us to provide critical care services to all hospitals within Geisinger Health System as well as several other hospitals in central Pennsylvania. We provide QI/QA as well as leadership training, with the opportunity to explore the business aspects of critical care medicine. We have a robust ethics and communication skills component in our curriculum, with a bioethics institute on campus. Our program includes three months of training dedicated to echocardiography in the two-year track.
At Geisinger, we take pride in being at the cutting edge of technological innovation to transform healthcare quality. Geisinger has recently established the Education and Simulation Center. The CCM Fellowship Program works closely with the GEMS center staff to establish a robust simulation program within the fellowship. A state-of-the-art bronchoscopy simulator arrived on campus in Spring 2014. Central line insertions, emergent surgical airways and chest tube insertions are also taught in the GEMS center.
Development of electronic ICU rounding navigator, real-time multi-faceted data dashboard and the role of electronic ICU (tele-ICU) are some of the exciting innovative developments in our department. Our intensivist faculty staff has a multidisciplinary critical care background in internal medicine, general surgery, pulmonology, anesthesia, neuro-critical care and infectious diseases. We have critical care trained physician assistants and accept two fellows for each level of this two-year fellowship program.
The adult intensive care/shock trauma unit (AICU) is a 42-bed closed model unit. Around-the-clock intensivist coverage is provided for critically ill surgical, medical, trauma and neurological/ neurosurgical patients. In addition, critical care services are also provided to cardiothoracic, cardiology, vascular surgery and solid organ transplantation surgery patients in the Hospital for Advanced Medicine.
Research opportunities are clinically based, including outcomes research, quality improvement research, and the leveraging of the electronic medical record to improve critical care service provision as well as improve patient care and outcomes. Projects currently underway or in development include clinical work in sepsis, venous and pulmonary thromboembolism, ICU rehabilitation, delirium, sleep hygiene, ICU palliative care initiatives, eICU applications to improve ICU population health and outcomes, and development of an ICU dashboard to facilitate improved patient care in the ICU.