Clinical training in critical care medicine at Tufts Medical Center
Our critical care fellowship offers broad clinical training across multiple intensive care units, preparing fellows to manage complex patients in diverse settings. Through hands-on experience, expert mentorship and interdisciplinary collaboration, fellows develop advanced skills in diagnosis, treatment and procedural care.
Our fellowship delivers comprehensive critical care exposure across diverse ICU settings, preparing fellows for independent practice in complex clinical environments. We emphasize progressive autonomy, advanced procedural competence and close collaboration with multidisciplinary teams.
Medical Intensive Care Unit (MICU)
The MICU is a closed unit staffed by pulmonary/critical care attendings, fellows, residents and medical students. Fellows manage a wide range of medical and neurological critical illness, gaining expertise in bedside procedures including bronchoscopy, central line placement, pulmonary artery catheterization, ultrasonography and mechanical ventilation. Fellows also lead teaching rounds, reinforcing their academic development.
Coronary Care Unit (CCU)
Fellows focus on the management of critical cardiac conditions, including cardiogenic shock and mechanical circulatory support. Close collaboration with cardiology teams allows fellows to refine their skills in managing acute coronary syndromes and complex arrhythmias, integrating pulmonary and cardiac critical care principles.
Areas of concentration
- Mechanical circulatory support: Care of patients on V-V and VA ECMO, including post-transplant and cardiogenic shock cases.
- Pulmonary hypertension: Hands-on experience in right heart catheterization and inpatient management at a designated center of comprehensive care.
- Interventional pulmonology: Advanced airway and pleural procedures with optional certification in EBUS and training in Ion Robotic Bronchoscopy.
Clinical opportunities + educational objectives
We expect fellows to progress through ACGME Milestones in:
- Patient care
- Medical knowledge
- Systems-based practice
- Practice-based learning and improvement
- Professionalism
- Interpersonal and communication skills
Fellows advance these competencies year by year, tailored to each rotation’s specific learning goals.
