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Introduction to the Division of Critical Care

Welcome to the Department of Anesthesiology’s Critical Care Division. Created in 2006, the division oversees the department’s clinical, education and research interests in critical care medicine at the University of Michigan. Critical Care is an integral part of daily anesthesiology practice. The American Board of Anesthesiology has been increasing the required time spent during anesthesiology training in formal critical care rotations. It is the goal of the University of Michigan Anesthesiology Residency, that graduates will have a significantly higher than average command of both clinical ICU experience and knowledge of critical care literature so that they will be able to manage the most complex, acutely ill patients in their practice.

The critical care training at the UM will consist of at least 6 months of critical care rotations during the 4 years of internship through CA-3 year. The critical care training will progress from a junior to a more senior level resident in both the Cardio-Thoracic ICU (CVC ICU) as well as the General Surgical ICU (SICU). Beginning in July 2007, Interns will rotate through the CVC ICU for 2 months as well as significant Neurosurgical critical care training in the NICU during their neurosurgery month. CA-1 residents will spend 1 month in the SICU, managing typical patients encountered in the operating rooms. CA-2 residents will spend 2 months in the CVC gaining advanced cardio-thoracic & vascular critical care training that will complement the operative rotations in the corresponding anesthesiology specialties. The CVC senior rotation will also give residents the opportunity to mentor Anesthesiology interns and prepare them for when they return as CA-2s. Finally, CA-3 residents will obtain advanced surgical critical care training as the senior ICU resident in the SICU also, overseeing CA-1 residents. Anesthesiology critical care faculty will attend at least half the months in both CVC and SICU.

The critical care team also includes physician extenders (nurse practitioners and physician assistants), pharmacists, respiratory therapists, and dieticians, all of whom round with the team.