ϰϲͼ APP Critical Care Fellowship - How We Learn
The fellowship program structure integrates the APP Phased Onboarding program including behaviorally-based milestones, and is formatted on technology platforms for education delivery, scheduling, and evaluations.
Didactic Education
- In-person lectures
- Skills lab
- Case presentations
- Online didactics and learning modules
- Self-reflective journaling
- Specialty focused didactics including lectures, M&M, and journal clubs
Core Critical Care Curriculum
- Hemodynamics
- Respiratory failure
- Sedation and analgesia
- Altered mentation and delirium
- Renal failure
- Metabolic and electrolyte abnormalities
- Glycemic management during critical illness
- Acid/base disorders
- Sepsis and infections
- Hemorrhage and coagulopathy
- End-of-life
- Assessment and management of critically-ill patients
- Critical care nutrition
- Critical care quality
- APP critical care practice and team-based care
- Society of Critical Care Medicine Fundamental Critical Care Support Course
- BCLS
- ACLS
- ATLS (as available)
Procedural and Skills opportunity
- Skills labs
- Suturing
- Central Line Insertion
- Lumbar puncture
- Mechanical Ventilation Management
- Basic and Advanced EKG
- Ultrasound
- Online didactic
- Clinical experience
- Hands on clinical experience in all rotations in addition to the procedural rotation
Critical Care Rotations
Case Presentations
- All critical care fellows present at least 3 case presentations and lead an academic discussion to enhance learning and professional development within the fellowship team.
- Topics include diverse clinical patient experiences drawn from all rotations including acute biliary pancreatitis, DRESS, end-of-life management, molar pregnancies, clinical assessment of fluid balance, rejection after liver transplant, infective endocarditis, right ventricular failure, mucormycosis, graft versus host disease and many more.
Fellowship Projects
- Integration of Self-reflective Journaling into the APP Fellowship Program - Elizabeth Siegel, PA-C
- Facilitating APP Fellowship Rotation Hand-offs - Sarah Tybring, MSN, AGACNP-BC, APNP
- Optimization of Critical Care Patient and Family Communication - Justine Emerson, PA-C & Elise Rippelmeyer, MSN, ACACNP-BC, APNP
- Pilot of MD/APP Team Patient Cards in the TICU
- APP Critical Care Fellowship Patient & Family Communication Curriculum Development
- Family Experience in the ICU – Qualitative assessment of family survey responses - Laura Mark, MPAS, PA-C, MPH
- Development of an APP Preceptor/Learner Training Program for APP Fellowships - Joy Ikeri, DNP, AGACNP-BC, APNP
- Optimization of the External APP Fellowship Website - Driving Change from the Viewpoint of the Applicant - Ravi Dholakia, PA-C
- Critical Care Resource and Topic Guide for New Fellows - Sarah Wasz, PA-C and Brittany Lyda, PA-C
- Point of Care Ultrasound in the ICU: Didactic and Hands on Curriculum for the APP Critical Care Fellow - Madison Leahy, PA-C and Paula Winiarski, APNP
- Operationalizing CBME at ϰϲͼ - Daniel Handler, APNP
- Growing Evidence Based Medicine Skills - Lane Ringer, PA-C
- Identifying Peer Engagement and Social Connection Needs for APPs in ϰϲͼ APP Fellowship Programs - Alison Moody, APNP and Elena Lages, APNP
- Growing Evidence Based Medicine Skills Continued: Journal Club in Action - Harry Gray, PA-C and Meaghan Reed, PA-C
- Conflicted on Conflict: Recognition, Prevention and Management of Conflict between Clinicians and Surrogate Decision-Makers - Yekaterina Bezpalaya, APNP
Day in the life of an APP Critical Care Fellow
- Each day, APP fellows are assigned an APP preceptor to work with and are integrated into the academic, multi-professional critical care team.
- Daily education varies from bedside teaching, academic rounds, and rotation lectures to fellowship skills labs, journal clubs, and online didactics.
0630: Arrive in the ICU team room and confirm your patient assignment for the day
0645: Get sign-out from the overnight team
0700-0800: Pre-round
- Review data, assess your patients, and discuss any updates with the bedside nurse
- Prepare for rounds and formulate a plan of care for the day.
- Participate in academic patient care teaching
- Present your patients to the multidisciplinary team
- Collaborate with the critical care team to facilitate workflows and patient management
1100-1900: Critical Care Management
- Continue to assess and manage critically-ill patients
- Complete procedures
- Write critical care notes
- Service specific lectures, chalk talks, simulations, or other education
- Transfer, discharge, and admit patients
1900-1930: Hand-off to the night ICU team
Contact Us
Lauren Martin
APP Fellowship Recruitment
appfellowship@mcw.edu
Sarah Vanderlinden, MPAS, PA-C, DFAAPA
APP Fellowship Director and APP Critical Care Program Director
svanderl@mcw.edu