Job Description

Critical Care - Intensivist - Physician at UPMC Presbyterian - UPMC summary:

This position is for a physician specializing in cardiothoracic critical care, focusing on managing high-acuity patients requiring advanced mechanical circulatory support and complex cardiothoracic interventions. The role involves a one-year intensive fellowship to develop expertise in ECMO management, cardiogenic shock, and post-cardiotomy care within a high-volume cardiothoracic ICU. Trainees gain hands-on experience in patient management, multidisciplinary collaboration, and leading critical care teams in a specialized cardiovascular center.

Cardiothoracic Critical Care is a growing subspecialty of critical care medicine that involves the treatment of patients with cardiothoracic pathology. This population includes post-cardiotomy, cardiogenic shock, respiratory failure, pre- and post-thoracic transplant, VAD implantation, and patients requiring temporary mechanical circulatory support (ECMO, Impella, intra-aortic balloon pump). Effectively caring for these high-acuity patients requires advanced training in the knowledge base, technology, and procedural skills that encompass this increasingly nuanced and complex field. As a leading cardiovascular center with a history of providing cutting-edge cardiothoracic critical care, we are uniquely well-positioned to meet the growing demand for this level of training.

This one-year non-ACGME fellowship provides an immersive training experience to board-certified and board-eligible intensivists dedicated to practicing and leading as cardiothoracic intensivists. Trainees will be immersed in our high-volume, high-acuity CTICU and gain the exposure, knowledge, and technical skills necessary to care for patients with advanced cardiothoracic diseases.

**Please note that unfortunately our program is unable to offer J-1 employer sponsorship for participation in this program.**

Clinical Experience

Fellows will spend several months in our 28-bed cardiothoracic intensive care unit (CTICU), working to acquire in-depth knowledge of the unique pathology, management, and technology involved in the care for our patients.

This clinical time consists of:

~22 weeks of daytime rounding includes:

Graduated autonomy in rounding and patient management

ECMO consults, multidisciplinary cardiogenic shock team calls

Direct supervision of residents and fellows

~36-night shifts include:

Independent management of CTICU patients overnight

Admission and management of new patients and late surgical cases

Coverage for ECMO consults, cardiogenic shock team calls, interhospital transfers

Nighttime ECMO support, including cannulation, troubleshooting, ECPR

CTICU attending support from home (will come in for any acute management and procedural issues)

Keywords:

critical care physician, cardiothoracic intensive care, ECMO management, cardiogenic shock, cardiothoracic critical care, intensivist fellowship, post-cardiotomy care, mechanical circulatory support, ICU physician, cardiothoracic surgery support

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