Department of Medicine

  1. Baylor College of Medicine
  2. Departments
  3. Medicine
  4. Sections
  5. Pulmonary, Critical Care and Sleep Medicine
  6. Education
  7. Critical Care Fellowship
  8. Clinical Rotations

Critical Care Fellowship Clinical Rotations

Master
Content

Critical Care Medicine Fellows rotate within our three hospitals including Baylor St. Luke’s Medical Center, Ben Taub Hospital, and Michael E. DeBakey VA Medical Center providing an unparalleled diversity of patient populations, pathologies, and healthcare systems. 

Baylor St. Luke's Medical Center

Medical Intensive Care Unit (MICU)

  • The BSLMC MICU service includes a multidisciplinary team led by a pulmonary/critical care or critical care attending physician. It is a closed 18 bed ICU managed by the MICU team. Fellows gain experience in the management of critically ill patients and also have the opportunity to gain procedural skills, including ultrasound and airway management.  

Mobile MICU

  • The mobile MICU service assists with the management of unstable patients not located in the ICU (i.e. on the general floor or emergency room) and overflow medical ICU patients located in primarily non-medical ICUs. Two fellows work on this service in a staggered shift model. Fellows will have the opportunity to gain procedural skills and will have exposure to rapid response systems.

Cardiac Intensive Care Unit (CICU)

  • In this closed 18-bed cardiac unit fellows will manage patients with cardiac disease, such as cardiogenic shock, myocardial ischemia, and other cardiac complications. Fellows will also have the opportunity to manage patients with intra-aortic balloon pumps, Impella devices, and hone their echocardiography skills.   

Cardiovascular Intensive Care Unit (CVICU)

  • Fellows will work with a multidisciplinary team led by a pulmonary/critical care or anesthesia critical care attending. The main focus will be care of the post-operative cardiovascular patient, particularly those who have undergone coronary artery bypass graft surgery and valve replacements. Fellows will get exposure to managing mechanical support devices and to ventilator liberation strategies after cardiac surgery. 

LVAD and Transplant ICU

  • Fellows will work with a multidisciplinary team led by a pulmonary/critical care or anesthesia critical care attending. Fellows rotating on this service will gain experience caring for patients who have received left ventricular assist devices (LVADs) or are on ECMO, becoming familiar with the devices and complications that may arise. Fellows will also care for patients who are immediately post heart, lung or heart-lung transplant. They will become familiar with early post-operative care of thoracic transplant recipients.  

ICU Electives

  • Neurocritical Care (NICU) – Fellows get the opportunity to rotate within our closed Neuro ICU within our comprehensive stroke center providing comprehensive neurologic and neurosurgical care. Fellows rotate with the NICU team, lead by board certified Neuro critical care attendings.  
  • Infectious Disease - Fellows get the opportunity to rotate with our Baylor College of Medicine Infectious Disease consultations services, providing infectious disease consultation for critically ill patients.
  • Palliative Care - Fellows get the opportunity to rotate with our Baylor College of Medicine Palliative Care Team, providing consultation to critically ill patients and their families.  

Harris Health System - Ben Taub Hospital

Ben Taub Hospital, a high-acuity Level I trauma center and public hospital, offers fellows unparalleled exposure to diverse and complex critical care cases in a public hospital safety-net setting. With strong multidisciplinary collaboration and a high-volume ICU, it provides an ideal training ground for developing expertise in managing critically ill patients. 

Medical Intensive Care Unit (MICU)

  • A 16-bed closed MICU lead by pulmonary/critical care or critical care attending, with a full team to include a fellow, resident, and medical students. Fellows will get the opportunity for broad clinical exposure as well as multidisciplinary team leadership and teaching. 

Neurosurgical Intensive Care Unit (NICU)

  • Fellows round with the NICU team and will learn about common neurosurgical injuries, such as intracranial hemorrhages, masses and infections while also being exposed to ICP monitoring and ventilator management in neurosurgical patients.  

Procedure Service

  • Fellows provide procedure support along with a critical care attending, including bronchoscopy, central line placement, arterial line placement, PA catheterization, right heart catheterization, chest tube insertion and endotracheal intubations. 

Michael E. DeBakey VA Medical Center

The Michael E. DeBakey VA Medical Center is a high-volume, tertiary care facility that provides fellows with extensive experience managing complex, multisystem critical illness in a veteran population. As a long-standing affiliate of Baylor College of Medicine, the VA offers unique training opportunities in cardiopulmonary critical care, quality improvement, and systems-based practice within a supportive, team-based environment. 

Anesthesia/OR

  • Fellows gain extensive and high volume hands-on experience in advanced airway management, working with anesthesiologists to hone their skills and confidence. 

Medical Intensive Care Unit (MICU)

  • The MEDVAMC MICU is a 16-bed closed unit (sharing beds with the CCU). Two fellows rotate through the ICU each month in a staggered shift model. Fellows are responsible for overseeing the care of all ICU patients and providing guidance for a team of residents, interns and students. Fellows also perform and supervise procedures, including bronchoscopy, central line placement, arterial line placement, and endotracheal intubations.