The Anesthesia CCM Fellowship is a 1-year program involving patient care at Stanford, Santa Clara Valley Medical Center and the PAVAMC and opportunity for research that may include additional training if desired. Satisfactory completion of CCM training allows Anesthesia CCM fellows to apply for subspecialty certification in CCM by the American Board of Anesthesiology (ABA)if they are certified by the ABA in Anesthesiology. Medical students who are interested in applying to the combined Anesthesia/Medicine Residency program as a pathway to the CCM fellowship should click for more information.
Combined CCM/Cardiac Anesthesia Fellowships
We encourage Anesthesiologists who wish to apply to our fellowships at Stanford in both Critical Care Medicine and Cardiac Anesthesia. There is some flexibility in constructing this 2 year program to meet the individual needs of the applicant. In combination, the fellowships provides outstanding training for the person interested in the perioperative management of patients with cardiothoracic and vascular disease, and who desire broad training as an intensivist and who would also like to be trained in Perioperative TEE (leading to certification) and extensive training in TTE and ultrasound exam/application in critically ill patients.
Two years of CCM training are required for subspecialty certification by the American Board of Internal Medicine (ABIM) if certified by the ABIM in Internal Medicine or the ABEM (American Board of Emergency Medicine). Alternatively, ABIM certified internists with ABIM certification in another subspecialty (e.g., Pulmonary, Nephrology, Cardiology, Hematology, Infectious Disease) are eligible for ABIM certification in CCM with 1 year of CCM training.
CCM fellows are expected to advance their knowledge of critical care medicine through a concentrated exposure to critically ill patients as well as concentrated time for the study of materials related to such patients. We provide an intimate relationship with experienced ICU attendings who can help translate that knowledge into clinical skill. Fellows are also expected to learn how to convey knowledge/skill, and become teachers of their specialty. Lastly, they are also expected to acquire skills with regard to the management of an ICU and the triage of critically ill patients.
With the initiation of accreditation by the Accreditation Council for Graduate Medical Education (ACGME) in 1987, the Stanford CCM Programs in Anesthesiology and Internal Medicine have gained accreditation status each evaluation period and with the establishment of subspecialty board certification in 1986, the CCM fellows graduating from Stanford have had 100% success in attaining certification.
The American Board of Surgery in 2006 has announced that a fully trained surgeon (or a surgical resident with at least 3 years of General Surgery training) may obtain CCM training in an accredited Anesthesia CCM program for 1 year of training. Surgical applicants should apply through our Anesthesia CCM site and application process. Surgeons who complete CCM training with us are eligible to take the ABS Critical Care exam. We accepted our first surgeon into our program in 2006.
Emergency Medicine CCM
The American Board of Emergency Medicine currently recognizes training in CCM and has developed a combined EM/IM/CCM pathway. This association with the ABIM will require 2 years of CCM training to meet certification criteria. EM/IM physicians who wish to pursue this path should apply to our Medicine CCM program. Now that the American Board of Anesthesiology has reached an agreement with the ABEM, we encourage EM only physicians to apply to our Anesthesia CCM program. We accepted our first Emergency Medicine physician in 1994.
The American Board of Neurology currently does not recognize training in CCM. However, some neurologists are seeking training in general CCM in addition to their Neuro-critical care training. Neurologists may also be able to obtain certification in CCM via the European Society of Intensive Care Medicine . We will consider applicants from Neurology, and have accepted our first fellow into our program in 2008.