Critical Care Medicine Fellowship

We invite applications every year for our ACGME-accredited clinical fellowship in Critical Care Medicine. The fellowship is a multidisciplinary training program on the leading edge of intensivist training, delivering exceptional experiences in education, clinical exposure, and leadership in the rapidly advancing field of critical care medicine. It is designed to take the fellows through increasing levels of experience and responsibility, and prepare them for board certification in Critical Care Medicine. The Fellowship Program Director is Vadim Gudzenko, MD, and the Associate Program Director is Marisa Hernandez-Morgan, MD, MPP.

Our graduates are highly competitive in today's challenging healthcare market. Recent fellows have accepted excellent positions at private and academic medical centers including the University of Southern California Keck Medical Center, Long Beach Memorial Medical Center, Kaiser Permanente Santa Clara Medical Center, the University of Utah Health Care, the University of Texas Southwestern Medical Center, Santa Rosa Medical Center, and Northwell Health in New York. Several of our recent graduates have chosen to remain with us at UCLA and our associated West Los Angeles VA Medical Center.

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Critical Care Medicine Fellowship Operation

Program Overview

We are committed to the highest quality of training so that our fellows can become expert clinicians, educators, and leaders. Training takes place at the Ronald Reagan UCLA Medical Center and at the West Los Angeles Veterans Affairs Medical Center.

Ronald Reagan UCLA Medical Center (RRUMC) is a major medical center consistently ranked among the top hospitals in the U.S. It serves as a tertiary/quaternary referral center for Southern California, Arizona, Nevada, Hawaii, and other regions in the US and abroad. As a leading transplant center, RRUMC offers one of the largest multi-organ transplant programs on the west coast, providing services for heart, lung, liver, and kidney transplantations. In addition, UCLA is a Level I trauma center with a broad catchment area.

The West Los Angeles Veterans Affairs Medical Center (VAMC) is a major regional referral center for the veteran population. Patients are referred to the West LA VAMC from VA hospitals all over California for advanced surgical care in cardiothoracic, neurologic, and vascular surgery.

We currently offer five fellowship positions per year, and accept applications from qualified applicants with training backgrounds in anesthesiology, surgery, and emergency medicine. 

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Critical Care Medicine Fellowship Graduation

How does our program stand apart from other critical care fellowships?

  • Unparalleled clinical experience in one of the busiest transplant centers in the nation, combined with Level I trauma center experience and major referral center for Southwest USA, Hawaii, as well as many countries abroad.
  • Extensive exposure to complex cardiac critical care, including a variety of mechanical circulatory support systems and adult congenital heart disease.
  • Fellow-oriented educational program, where fellows are not considered solely as a necessary workforce required to “run the service”, and rotations focus on providing the best educational experience.
  • Multidisciplinary team experience with strong teamwork among critical care faculty, surgical faculty, cardiology faculty, nurse practitioners, housestaff from many specialties, perfusionists, and pharmacists.

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Clinical Curriculum

Our fellows rotate through several intensive care units during their training. Within the 12-month fellowship curriculum, fellows may choose six to eight weeks of non-ICU elective rotations from a broad range of ICU-associated subspecialty fields.

Critical Care Medicine Fellowship Clincal Curriculum
  • Cardiothoracic ICU (CTICU)

    The CTICU rotation comprises the core of the fellowship. Our fellows oversee the medical management of cardiac surgical patients undergoing a vast variety of procedures including CABG, valve replacement, repair of adult congenital heart disease, mechanical circulatory support device implantation, and heart and lung transplantation. The CTICU is the only unit at UCLA to manage adult patients on veno-venous and veno-arterial extracorporeal membrane oxygenators (ECMO) during the bridge to recovery or bridge to transplantation process. The ICU team works closely with the cardiac surgical team, and directs the entire perioperative medical management of these highly complex patients. Fellows typically spend 12-16 weeks in the CTICU.

  • General Surgical ICU (SICU)

    The SICU provides services to a diverse surgical patient population including trauma, general surgery, surgical oncology, vascular, thoracic, urologic, head-and-neck, orthopedic, and gynecologic patients. Fellows typical spend four to eight weeks on this rotation.

  •  “Night Float”

    On the "night float" rotation, our fellows care for CTICU and SICU patients at RRUMC. Typically, fellows spend 10-12 weeks on this assignment.

  • West Los Angeles VA SICU

    At the West Los Angeles VA SICU, fellows care for a variety of surgical patients including patients recovering from cardiac, thoracic, vascular, neurosurgery, general surgery, and major head-and-neck operations. Fellows spend four to six weeks on rotation in the VA SICU.

Elective ICU Experience

  • Medical ICU (MICU)

    The MICU at RRUMC is a 24-bed unit that takes care of complex patients with a variety of advanced disease processes, including pulmonary hypertension, end-stage lung disease,         respiratory distress syndrome, and recovery after bone marrow transplantation. Fellows spend three to four weeks on the rotation under the supervision of MICU attending physicians.

  • Liver Transplant ICU

    This ICU at RRUMC takes care of high-acuity patients with end-stage liver disease (ESLD), both pre- and post-liver transplantation. The experience provides fellows with broad exposure to patients with ESLD, emphasizing continuity throughout the full transplantation episode of care. Fellows typically spend three to four weeks in this unit, working in close collaboration with our liver transplant surgery team.

  • Neuroscience ICU (NSICU)

    The NSICU at RRUMC provides state-of-the-art intensive care for a distinct patient population with complex neurological pathology including stroke, subarachnoid hemorrhage, traumatic brain injury, traumatic spinal cord injury, neuromuscular diseases, status epilepticus, and other neurologic critical illnesses. The Neuro ICU team utilizes a wide range of diagnostic modalities including continuous EEG, transcranial Doppler, brain oximetry, Xenon/computed tomography cerebral blood flow, microdialysis, and neuroimaging techniques. Fellows have the opportunity to rotate in the NSICU for one to two weeks.

  • Pediatric/Burn/Trauma ICU

    Interested fellows may elect rotations in the Pediatric ICU at RRUMC, and the Burn and Trauma ICUs at the Los Angeles County and University of Southern California (LAC + USC) Medical Center.

Non-ICU Electives

Fellows have the opportunity to choose electives in non-ICU rotations, which can be organized according to the individual fellow's interests with the approval of the Fellowship Program Director. These include, but are not limited to:

  • Advanced echocardiography training (critical care TTE and perioperative TTE/TEE)
  • Blood bank
  • Hematology
  • Infectious disease
  • Interventional pulmonology
  • Interventional radiology
  • Nephrology / renal replacement therapy consult
  • Nutrition
  • Palliative care
  • Reading and research electives

Procedural Exposure and Training

Due to the high volume and complexity of patients in our ICUs, fellows gain experience with a variety of invasive diagnostic and therapeutic procedures, including:

  • Placement of hemodialysis catheters, transvenous pacemakers, and pulmonary artery catheters
  • Bronchoscopy
  • Thoracentesis
  • Paracentesis
  • Tube thoracostomy
  • Percutaneous tracheostomy

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Critical Care Medicine Fellowship Didactic Curriculum

Didactic Curriculum

To balance a busy clinical service, we have developed a comprehensive didactic program to provide our fellows with state-of-the-art, evidence-guided lectures and journal clubs. During the first two weeks of their clinical rotations, fellows receive an intensive introductory lecture series that serves to orient them to the fundamentals of intensive care as well as to the particulars of the day-to-day operation of our ICUs. Besides daily bedside teaching, our didactic program includes:

  • Surgical ICU Journal Club: 

    These faculty-mentored, fellow-led, weekly group discussions, involving fellows, faculty, and residents, cover a variety of classic and recently published articles in critical care medicine.
  • Combined SICU/Trauma Surgery Journal Club: 

    This resident- and fellow-led monthly journal club is dedicated to review and analysis of important literature in the area of trauma critical care.
  • Surgical ICU Lecture Series: 

    These faculty-led, weekly in-depth lectures and interactive workshops cover a variety of critical care topics.
  • Combined ICU Lecture Series: 

    These are monthly lectures by members of the multidisciplinary ICU faculty (medicine, anesthesiology, surgery, and neurology).
  • Board Review: 

    This bi-monthly didactic session is dedicated to the review of topics and questions to assist with preparation for the Critical Care Medicine Board Examination. Fellows may also participate in our department’s “mock oral” board examinations in preparation for the ABA Applied Examination.
  • Echo/US Lecture Series: 

    These monthly lectures by critical care and cardiac anesthesiology faculty are dedicated to the theoretical foundation of echo and ultrasound technology. The didactic content complements hands-on training in echocardiography and point-of-care ultrasound (POCUS) provided during core ICU rotations and electives.
  • Critical Care M&M Conference: 

    The monthly SICU team M&M conferences cover case presentations and discussions to promote professionalism, ethical integrity, and transparency in assessing and improving patient care.

In addition, fellows are encouraged and given time to attend other didactic sessions that include Anesthesiology Grand Rounds, Surgery Grand Rounds, weekly cardiac anesthesiology lectures and TEE reviews, as well as quality improvement, research, risk management, and professionalism workshops.

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Research and Quality Improvement

Our faculty are involved in a variety of clinical and translational research initiatives, and fellows are supported and encouraged to participate in research and  quality improvement projects in many areas of critical care and perioperative medicine. Some of our ongoing projects include:

  • Studies of injury and violence prevention in partnership with the Department of Health Services and the Department of Public Health (Dr. Dicker)
  • Study of a novel angiotensin II agonist for vasodilatory shock – part of ATHOS investigators group (Dr. Boldt)
  • Study of the effect of xenon on cerebral ischemia reperfusion following cardiac arrest (Dr. Boldt)
  • “Gerofit” prehabilitation project – study of the use of structured prehabilitation in the elderly veteran population prior to surgery (Dr. Singh)
  • Study of patient selection, risk assessment, and outcomes of multidisciplinary ECMO program (Dr. Gudzenko)
  • Research study of perioperative factors on outcomes following lung transplantation (Dr. Gudzenko)
  • Study of optimization of mechanical ventilation in interstitial lung disease (Dr. Ortiz)
  • Development of new sepsis screening and triage tools, and sepsis bio-banking (Dr. Crager)
  • Research on implementation of emergency critical care teams and the impact of the ED-ICU care model on patient outcomes and hospital operational efficiency (Dr. Crager)
  • Development of and research in transitions of care and perioperative handoffs (Dr. Antongiorgi)
  • Study of physician burnout in the perioperative setting (Dr. Antongiorgi)

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Faculty

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Application Process

Thank you for considering the UCLA Department of Anesthesiology and Perioperative Medicine for your Critical Care Medicine Fellowship training.

We will be accepting applications for the 2024-2025 academic year beginning November 2022. 

Application Submission Period: November through March
Interviews: January through April

Interviews are done by invitation only. Your file will not be reviewed until it is complete.

All applicants must possess a valid California medical license prior to starting the fellowship program.

Application File Requirements

Please submit the following to the SF Match application database at sfmatch.org.

  1. Completed Fellowship Application.
  2. Three letters of recommendation by physicians who are familiar with you professionally and personally (one must be from your Residency Program Director).

Please submit the following to Lucine Torosian, Fellowship Programs Coordinator, via email:

  1. Curriculum vitae including a list of publications
  2. Dean's Letter/Medical Student Performance Evaluation
  3. Copy of Medical School Diploma (or letter from medical school with official seal verifying date of graduation; international medical graduates should include a notarized English translation)
  4. Copy of Medical School Transcripts (international medical graduates should include a notarized English translation)
  5. Copy of Valid ECFMG Certificate (if international medical graduate)
  6. Copy of Valid State of California Medical License (if practicing in California)
  7. Copy of DEA License (if practicing)
  8. Copy of USMLE Step 1, 2, and 3 scores
  9. Copy of In-Training Examination scores
  10. Copy of ABA Basic Examination Result Letter
  11. Wallet-Sized Photo (Requested Prior to Interview)

Please be aware that all candidates who are selected for the program must clear a security background check.

Applicants should use the following document naming convention: Applicant’s Last Name, Applicant’s First Name - Document Title (ex: Bruin, Joe - CV).

All supporting documents should be submitted electronically to Lucine Torosian, Fellowship Programs Coordinator, at [email protected]

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Current Fellows and Recent Alumni

2021 - 2022 Fellow Profiles

Dr. Garry Deiter, MD

Garry Dieter, MD

Hometown: Spokane, WA
Undergraduate: Walla Walla University, BS Biology
Medical School: Loma Linda University School of Medicine 
Residency: Anesthesiology, Virginia Mason Medical Center
Recent Employment: Providence Spokane Anesthesia Group 
Why I chose UCLA: Cardiothoracic expertise was a priority for me as I sought a critical care fellowship.  US News and World Report listed UCLA as a top heart failure program with lots of mechanical circulatory support exposure.  It has been a great decision and I am grateful for the opportunity to learn from excellent and dedicated faculty. 

Dr. Garry Dieter is a seasoned cardiothoracic anesthesiologist who was practicing in Spokane, WA prior to pursuing a Critical Care Medicine fellowship at UCLA. He is excited to train at UCLA to broaden his perspective and practice in anesthesiology. Dr. Dieter plans to eventually return to his Anesthesiology group in Spokane and join their group of intensivists caring for cardiothoracic surgical patients in the ICU. During his free time, he likes to work on home improvement projects, garden, bike, hike, and take trips to the desert.

Dr. Albert Lee, MD

Albert Lee, MD

Hometown: Los Angeles, CA
Undergraduate: Occidental College, BA Biochemistry
Medical School: University of Chicago Pritzker School of Medicine
Residency: Anesthesiology, David Geffen School of Medicine at UCLA
Why I chose UCLA: UCLA provides academic rigor, challenging medical complexity, and amazingly supportive colleagues and mentors all in the heart of Southern California. I am confident that the training I receive here will prepare me to be adaptable in any practice setting in the future.

Dr. Albert Lee is on our combined Cardiothoracic Anesthesiology and Critical Care Medicine Fellowship track. He is currently completing his first year in Critical Care Medicine and will remain at UCLA a second year for his Cardiothoracic Anesthesiology Fellowship training. Some of Dr. Lee’s hobbies include rock climbing, hiking, and photography.

Sean Hickey, MD

Sean Hickey, MD

Hometown: Queens, NY
Undergraduate: Fordham University, BS Biological Sciences and History
Medical School: Albert Einstein College of Medicine
Residency: Emergency Medicine, Icahn School of Medicine at Mount Sinai
Why I chose UCLA: Wanted to explore west coast

Dr. Sean Hickey is a New York native and is excited to relocate to the west coast and pursue his two-year fellowship in Critical Care Medicine at UCLA after training in Emergency Medicine at Mount Sinai in NYC. Outside of medicine, he is a history enthusiast and hopes to travel to every country that was part of the Roman empire and see the best ruins.

Mohammad-Ali Shaikh, MD

Mohammad-Ali Shaikh, MD

Hometown: Albany, NY
Undergraduate: University of Texas at Austin, BS Neurobiology
Medical School: University of Texas Southwestern Medical School
Residency: Anesthesiology, University of Texas Southwestern Medical Center
Why I chose UCLA: I chose UCLA because I wanted to learn at a premier academic institution that pushes the boundaries of medicine. There are leaders in multiple fields here and to learn from them would be a privilege. UCLA not only provided me an opportunity to work with the best and brightest, but also a chance to enjoy beautiful southern California when I am not busy with clinical duties.

Dr. Mohammad-Ali Shaikh is a Texan native and is excited to relocate to California for fellowship training. When he is not working, Dr. Shaikh likes to spend his free time cooking and traveling. Dr. Shaikh also enjoys activities such as hiking, bouldering, rock climbing, and photography.


ACCM Fellows 2020-2021

 

Year Fellow Residency Latest Employment
2022-23 Brannon Altenhofen, MD UCLA (Anes)   
  Jeanette Chin, MD  UT Southwestern (Anes)   
  Sean Hickey, MD  Mount Sinai NY (EM)  
  Ashie Kapoor, MD   Sunrise Health GME (Anes)   
2021-22 Garry Dieter, MD Virginia Mason Medical Center (Anes) Providence Sacred Heart Medical Center, Spokane, WA 
  Albert Lee, MD (combined cardiothoracic anes) UCLA (Anes)  
  Sean Hickey, MD Mount Sinai NY (EM)  
  Mohammad-Ali Shaikh, MD UT Southwestern Medical Center (Anes) UT Southwestern Medical Center, Dallas, TX 
2020-21 Krisztina Escallier, MD (combined cardiothoracic anes) Washington University in St. Louis (Anes) USC Keck Medical Center, Los Angeles, CA
  Kasey Grewe, MD (combined cardiothoracic anes) Columbia University (Anes) Santa Barbara Cottage Hospital, Santa Barbara, CA 
  Melanie Kusonruksa, MD UCLA (Anes) USC Keck Medical Center, Los Angeles, CA
  James Madrian, MD University of Iowa (Anes) Providence Spokane Anesthesia Group & Sound Intensivist Group, Spokane, WA
2019-20 Allison Ferreira, MD UCLA (EM) UCLA Medical Center, Los Angeles, CA / Antelope Valley Hospital, Lancaster, CA
  Vikram Fielding Singh, MD, JD (combined cardiothoracic anes) UCSF (Anes) Stanford University, Stanford, CA
  Samuel Hong, MD UCLA (Anes) UCI Medical Center, Irvine, CA
  Eugene Won, MD UCI (Surg) Cardiothoracic Surgery, RWJ Barnabas Health, Newark, NJ
2018-19 Marisa Hernandez-Morgan, MD, MPP (combined cardiothoracic anes) UCSF (Anes) UCLA Medical Center, Los Angeles, CA
  Joseph Seif, MD UCLA (Anes) Anesthesia Service Medical Group, San Diego, CA
  Matthew Scott Vandiver, MD, PhD Johns Hopkins University (Anes) UCLA Medical Center, Los Angeles, CA
2017-18 Jeffrey Kim, MD (combined cardiothoracic anes) UCSF (Anes) Kaiser Permanente Los Angeles Medical Center
Los Angeles, CA
  George Lim, MD Mount Sinai NYC (EM) UCLA Medical Center, Los Angeles, CA
  Michael Wolfe, MD MGH (Anes) UCLA Medical Center, Los Angeles, CA
2016-17 John Michael Guthrie, MD Mount Sinai NYC (EM) Hoag Hospital, Newport Beach, CA
  Sirisha Rao, MD, MS Yale University (Anes) UCLA Medical Center / GLA-VA Medical Center, Los Angeles, CA
  Andrew Young, MD UCLA (Anes) UCLA Medical Center, Los Angeles, CA
2015-16 William Alexander Edwards, MD (combined cardiothoracic anes) UCSF (Anes) Kaiser Permanente Santa Clara Medical Center, Santa Clara, CA
  Joseph Guenzer, MD University of Chicago (Anes) University of Utah Health Care, Salt Lake City, UT
2014-15 John Anderson-Dam, MD (combined cardiothoracic anes) MGH (Anes) USC Keck Medical Center, Los Angeles, CA
  Jon Karch, MD UCLA (Anes) Santa Rosa Memorial Medical Center, Santa Rosa, CA
  Christopher Ortiz, MD, PhD UCLA (Anes) UCLA Medical Center, Los Angeles, CA
2013-14 Subarna Biswas, MD UCLA (Surg) LAC+USC Medical Center, Los Angeles, CA
  Bryan Romito, MD UT Southwestern Medical Center, Dallas, TX (Anes) UT Southwestern Medical Center, Dallas, TX
  Daniel Rolston, MD, MS St Luke’s - Roosevelt (EM) Northwell Health, Manhasset, NY
2012-13 Zarah Antongiorgi, MD UCLA (Anes) UCLA Medical Center, Los Angeles, CA
  Jun Sasaki, MD UCLA (Anes) UT Southwestern Medical Center, Dallas, TX

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