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Department of Internal Medicine
MSC10-5550
1 University of New Mexico
Albuquerque, New Mexico 87131
Phone: (505) 272-4751
Fax: (505) 272-8700


Referrals: (505)272-4751


Fellowships

balloons in the sky

The Department of Internal Medicine offers a fellowhip in Pulmonary Medicine. Call (505)272-4751 for more information.

helecopter

The UNM Critical Care Fellowship is a multi-disciplinary program designed to develop outstanding Critical Care physicians. The focus of the program is to produce clinicians capable of practicing in all ICU environments, and capable of providing complete care for the sickest patients. The program is built around the 72 adult ICU beds of UNM hospital. Fellows will learn management of critically ill medical, surgical, trauma, neurologic and cardiac surgical patients. Fellows will learn advanced procedures, care of patients on all types of life support therapies (up to ECMO), while learning to lead a multi-disciplinary team in a fast-paced environment. Fellows will also be part of one of the most advanced ultrasound training programs in the country.

The fellowship has a two-year track for fellows applying from internal medicine or emergency medicine training. There are also one-year fellowships offered for trainees who have completed (or are completing) sub-specialty training in internal medicine (Cardiology, Pulmonary, Nephrology, ID, etc…). Click on the “application info” tab above for more details.

Click on each category below to view program description.

Curriculum

The UNM critical care fellowship curriculum is designed to ensure that, upon completion, fellows are competent in the management of critically ill patients in the medical, trauma, and neurosurgical ICU. Fellows will graduate skilled in bedside ultrasound and procedures including difficult airway management, percutaneous tracheostomy, and thoracostomy tube placement. The primary components of the didactic curriculum include a weekly ultrasound conference, high-fidelity simulation, a weekly fellows’ conference, and weekly radiology conference.

guy with res. dummy

The fellows’ conference is composed of case presentations, diagnosis-based lectures, Morbidity and Mortality, research updates and journal club. Fellows also undergo a weekly literature review with faculty. Our state of the art simulation lab is utilized to teach ventilator management, echocardiography, procedures, difficult airways, and code management. The ultrasound curriculum consists of weekly rounds with alternating sessions of image acquisition and interpretation.

Rotations

Rotations are arranged in 1-month blocks. 2-year critical care fellows will typically have a first year consisting of 6 Medical ICU rotations, 1 Trauma-Surgical ICU rotation, 1 CardioThoracic Surgical ICU rotation, 1 anesthesia rotation, and 1 pulmonary consult rotation. 2 months are allotted for research and scholarly activity. The second year is flexible and consists of 3-4 ICU blocks and electives such as toxicology and palliative care. Up to 6 months are allotted for research.

1-year fellowships, for candidates already boarded in another subspecialty, will have 5 medical ICU months, 1 trauma month, 1 neurosurgical ICU month, 1 cardiothoracic ICU month, 1 anesthesia month, a pulmonary consult month, a palliative care month, and a toxicology month.

Example 2 - Year Rotation Schedule: 

Year 1

  • Medical ICU
  • Anesthesia
  • Medical ICU
  • Medical ICU
  • Trauma ICU
  • Medical ICU
  • Research
  • Medical ICU
  • Neurosurgical ICU
  • Medical ICU
  • Pulmonary Consults
  • Research

Year 2

  • Research
  • Medical ICU
  • Palliative Care
  • Research
  • Research
  • Medical ICU
  • Research
  • Research
  • CT Surgical ICU
  • Toxicology
  • Research
  • Research

Example 1 - Year Rotation Schedule:

  • Anesthesia
  • Medical ICU
  • Trauma - Surgical ICU
  • Medical ICU
  • Pulmonary / Palliative
  • Toxicology
  • Medical ICU
  • Neurosurgical ICU
  • Anesthesia
  • Medical ICU
  • Cardiothoracic ICU
  • Medical ICU

Ultrasound

students in training room

UNM boasts one of the leading Critical Care Ultrasound training program in the country. The program features a comprehensive curriculum. Ultrasound training centers on a weekly 1-hr long conference which includes didactic lectures, skills evaluations, simulation sessions, bedside instruction and review of interesting clips. Learners learn all of the components of critical care ultrasound defined in the ACCP statement including basic and advanced echocardiography, lung and pleural ultrasound, vascular ultrasound, procedural ultrasound and abdominal ultrasound. Sessions are led by Dr. Boivin, Ahmed and Kraai. Dr. Boivin is a nationally recognized teacher of ultrasound, who frequently teaches and lectures about ultrasound in Critical Care at national courses of the ACCP, CHEST and ATS.

Procedures

Under supervision and instruction by the faculty and with the use of a state-of-the-art simulation training program, critical care fellows gain competency in performing procedures related to critical care medicine including:

  • Ultrasound guided central line placement (internal jugular, subclavian, femoral).
  • Ultrasound guided temporary dialysis catheter placement
  • Ultrasound guided arterial line placement
  • Swan-Ganz catheter placement
  • Laryngoscopy and endotracheal intubation techniques
  • Chest tubes (large bore and small bore / pigtail)
  • Percutaneous tracheostomy
  • Fiberoptic bronchoscopy
  • Ultrasound guided paracentesis and thoracentesis

Research

students in a gallery

Research

The UNM critical care fellowship includes time dedicated to learning research and completing scholarly activities. A dedicated curriculum allows learners to develop research skills, and fellows participate in mentored projects with the goal of creating manuscripts and presentations at national meetings. Here are some examples of recent fellows’ scholarly works.



Jarrod Frizzell  2011-2013

  • Frizzell J, Battah S, Boivin MA. Bronchial Effervescence, a new sonographic sign of pneumonia? Chest 2011 poster presentation
  • Frizzell JD, Boivin MA. A Breathtaking Journey (letter response). NEJM 367:1473,2012.
  • Kraai E, Ahmed S, Frizzell J, Boivin MA. Mid-Axillary assessment of the Inferior Vena Cava by Ultrasound. American Thoracic Society 2014.
  • Frizzell JD, Griffin LS, Boivin MA, Saeed AI. A 73-Year-Old Man With Left Lung "White Out". Chest. 2015;148(2):e38-41

Erik Kraai  2012-2014

  • Kraai E, Ahmed S, Frizzell J, Boivin MA. Mid-Axillary assessment of the Inferior Vena Cava by Ultrasound. American Thoracic Society 2014.
  • Kraai E, Boivin M. Ultrasound for critical care physicians: neutropenic patient with fever snd shortness of breath. Southwest J Pulm Crit Care. 2014;8(6):330-3.
  • Kraai EP, Seifert SA. Citalopram Overdose: a Fatal Case. J Med Toxicol. 2015 Jun;11(2):232-6

Issam Marzouk  2014-2015

  • Marzouk I, Melendres L, Boivin M. Ultrasound for critical care physicians: a tempting dilemma. Southwest J Pulm Crit Care. 2014;9(3):193-6.

Kashif Aslam  2014-2015

  • Aslam K, Boivin M. Ultrasound for critical care physicians: tiny bubbles. Southwest J Pulm Crit Care. 2015;10(5):216-9
unmh plaza

The Department of Internal Medicine offers a fellowhip in Sleep Medicine. Call (505)272-4751 for more information.

Eligibility

2-Year Program: 

Successful completion of an ACGME-accredited Internal Medicine or Emergency Medicine residency program. Note that potential fellows may apply during the last year of training.

1-Year Program:

Successful completion of an ACGME-accredited Internal Medicine subspecialty training (e.g. Cardiology, Pulmonary, Infectious Disease or Nephrology). Note that potential fellows may apply during the last year of training.

In addition to applications from U.S. citizens and permanent residents, we also accept applications from potential fellows with J-1 visas. Unfortunately we cannot accept fellows for training on H-1B visas.

Apply thru ERAS®

Desirable Qualities in Applicants:

All applications will be considered. However, applicants with a demonstrated record of strong performance on clinical rotations, teamwork, standardized exams and scholarly productivity will have highest consideration.

Timeline for Prospective Fellows:

  • Mid July 15th:  All applications are thru ERAS. It is strongly encouraged for prospective fellows to have applications submitted in ERAS by this time.
  • Late August – September:   Candidates selected will be invited to interview for positions.
  • Late September – October:  Candidates will be offered positions for the following year (July 1).
  • NOTE:Critical Care Fellowships are not processed thru the match (NRMP), thus there is no specific date for positions to be filled.

Number of Fellows:

There are usually have two critical care fellowship positions available per year. The total number of fellows in the program varies currently between 2 to 4. Call and much of the didactic training is shared with the fellows in UNM’s Pulmonary /Critical Care program, which has between 6 to 8 fellows at a time. See our main page for details on the Pulmonary /Critical Care Fellowship.