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Critical Care Medicine Department

Fellowship and Training Opportunities


lead morning rounds to develop their management and leadership skills.

Applications are due by September 1 of the year prior to the academic year for which you are applying.

Applications consist of a curriculum vitae and three letters of recommendation.

Applications should be sent to:
Nitin Seam, MD
Fellowship Program Director
Critical Care Medicine Department
National Institutes of Health
10 Center Drive, Room 2C145
Bethesda, MD 20892-1662

Curriculum vitaes may also be submitted online. For details, please visit the NIH Research and Training Opportunities Web Site.

For more information, please contact: (301) 496-9320.

Clinical Training

The Critical Care Medicine Department at the NIH Clinical Center offers 2-4 year fellowships in critical care medicine. The program is designed to provide clinical training in the care of patients with multisystem organ dysfunction and to produce independent clinical, translational, or basic investigators through advanced research training. Programs designed to provide eligibility in dual subspecialties (e.g., critical care with pulmonary disease or infectious disease) can be arranged.

Sample Rotation might include:

  • NIH Clinical Center M/SICU (6 months)
  • Washington Hospital Center SICU (2 months)
  • Washington Hospital Center MICU (1.5 months)
  • Children's National Medical Center PICU (1 month)
  • National Naval Medical Center ICU (1 month)
  • Washington Hospital Center CVICU (0.5 months)

Didactic Components of Core Critical Care Lecture Material

Mentoring is a high priority for the CCMD training program.
  • In-depth Orientation Lectures in July
  • CCMD Conferences
    • Monthly Journal Club
    • Monthly Morbidity and Mortality Conferences
    • Weekly Core Topic Conferences
    • Weekly Bedside Teaching
    • Weekly Interprofessional Simulation
    • Weekly Clinical and Research Lectures
    • Monthly Case Presentation Conference with Navy and Walter Reed
    • Other NIH Conferences
  • 0.5 months winter/tri-annual training
  • Weekly acute code team simulation sessions
  • Annual Critical Care Review Course
  • Annual MCCKAP exam sponsored by SCCM
  • NIH-Duke Master's Program
  • Introduction to Principles and Practice of Clinical Research (senior fellows)
    • Epidemiologic methods
    • Ethical issues and regulation of human research subjects
    • Monitoring patient-oriented research
    • Preparing and funding a clinical research study

Core Procedure Skills

Procedural skills are learned through cognitive and practical activities:

Simulation training provides opportunities to develop skills and teamwork.
  • Airway Management
    • Maintenance of an open airway in non-intubated patient
    • Ventilation by bag-mask systems
    • Tracheal intubation
    • Management of pneumothorax
    • Management of tracheostomy-acute and chronic care
    • Bronchoscopy
    • Pulmonary function tests
    • Arterial blood gas analysis
    • Ventilator management utilizing a variety of ventilator modes and mechanical ventilators
  • Circulation
    • Electrocardiogram interpretation
    • Cardioversion-direct current and chemical
    • Central venous catheters
    • Transcutaneous and transvenous pacing
    • Placement of arterial catheters
    • Pulmonary artery catheterization
    • Vascular and cardiac ultrasound
  • Simulation training is an important feature of the didactic program.
  • Metabolic
    • Initiation and management of continuous renal replacement therapies
    • Nutrition assessment utilizing metabolic cart
  • Neurological
  • Indications for and management of ICP monitors.

Research Training

Fellows spend 1-3 years on their research projects in order to develop a firm foundation for their academic careers.

The Critical Care Medicine Department conducts active research programs in bedside clinical investigation, research in animal models, and molecular biology.

Full-time research activities commence at the beginning of the second year of the fellowship for fellows interested in the critical care subspecialty alone. For those interested in dual board eligibility, their second-year program is individually designed and consists of clinical rotations required for board eligibility in the particular subspecialties. After completion of a second subspecialty training, full-time research activities commence. Major topics of research interest within the Department include:

  • The immunopathogenesis of septic shock
  • Studies of immune cellular function in respiratory distress syndrome, asthma, and other forms of severe pulmonary disease
  • Biomarkers and novel therapies in pulmonary arterial hypertension
  • Biomarkers of acute cellular rejection in heart transplantation
  • Diagnosis and treatment of opportunistic infections
  • Studies of immune cellular function and therapy of AIDS
  • Pathogenesis and treatment of anthrax
  • Emerging infectious diseases
  • Biology and clinical effects of nitric oxide
    • acute lung injury
    • pulmonary arterial hypertension
    • role as transcription regulatory factor
  • Functional genomics of critical illness
    • human acute inflammation
    • animal model of septic shock and multiple organ failure
    • pulmonary arterial hypertension
    • solid organ transplantation
    • Emerging Infectious Disease

Qualified candidates must have completed 3 or more years of training in internal medicine or anesthesiology in the United States or Canada prior to entering the fellowship program. Eligible candidates must be US Citizens or US Permanent Residents. In some cases, a J-1 Visa may be accepted for training.

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This page last updated on 08/29/2018

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