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SUNY Downstate Medical Center

Department of Anesthesiology

Critical Care Anesthesiology Fellowship

The Department of Anesthesia at SUNY Health Science Center at Brooklyn provides a fully ACGME accredited one-year Critical Care Medicine fellowship program, designed specifically for physicians who are board eligible/certified (BC/BE) in anesthesiology. The fellowship is designed to meet the individual needs of each fellow in preparation for board certification and evidence based critical care practice. We work closely with the Department of Pulmonary/Critical Care Medicine to provide critical care medicine training for pulmonary/critical care medicine fellows.

University Hospital of Brooklyn (UHB) is the tertiary referral and transplant center for Brooklyn. Currently, the critical care units at UHB include a combined Medical/Surgical ICU, a Cardiothoracic ICU (CT ICU), and a Coronary Care Unit (CCU). The UHB ICU is co-managed by Anesthesia Critical Care Faculty and Pulmonary/Critical Care Medicine Faculty. Kings County Hospital Center (KCHC) is also a tertiary referral center and Level I Trauma Center, with separate Medical ICU and Trauma/Surgical ICU. The KCHC SICU is staffed by both anesthesia and surgical critical care attendings.

Educational Goals

The Critical Care Fellowship is designed to foster both the clinical and the leadership skills necessary to develop and promote a multi-disciplinary approach to Critical Care Medicine. The specific goals of the program are to:

  • Understand the physiology and pathophysiology of critical illness
  • Evaluate and manage the critically ill patient
  • Develop the procedural skills necessary for the care of the critically ill
  • Understand the administrative aspects of Intensive Care Unit management
  • Understand ethical and legal aspects of Critical Care
  • Understand research design and data interpretation

Core Rotations

Core rotations are in the UHB ICU, CT ICU, Kings County Hospital Center SICU, UHB CCU, and an ECHO/Ultrasound rotation with additional elective months. The fellowship program currently offers electives in Bronchoscopy, PICU and transesophageal echocardiography, and a willingness to develop other elective rotations based on the fellows clinical/research interests. Fellows are encouraged to use elective time to develop and pursue clinical or basic science investigations and have successfully collaborated on research projects with close mentoring from our faculty, resulting in presentations at national conferences.

Critical Care fellows also organize teaching/work rounds, formulate care plans, and facilitate communication between the ICU team and surgical services, consultative services, and family members. Fellows organize a bi-weekly Critical Care journal club for the residency program. Additionally, there is the opportunity to become ATLS instructors.

We have been fully accredited since 1994, and have been very successful in recruiting and graduating highly qualified fellows. Concurrent with increased clinical activity, the fellowship educational program has developed over the years, and we look to further strengthen our educational, clinical, and research over the next several years.

For additional information, please contact the fellowship program director, Dr. Samrat Worah via the Critical Care Anesthesia fellowship coordinator, Jacqueline Dowling by phone at (718) 270-1926 or by email at Jacqueline.dowling@downstate.edu.