The Fellowship in Critical Care Medicine offers a unique training opportunity for those interested in the management of the critically ill, as fellows are involved in the management of a broad spectrum of patients using a variety of technologies. Each year, we typically accept 2 trainees who have completed Internal Medicine, combined Internal Medicine/ Pediatrics, or Emergency Medicine residencies. The program is, however, flexible in accommodating previous training experiences, as well as any special training interests.
Critical Care Medicine
Fellowship Program Director
Laurie Grier, MD
The Critical Care Fellowship is designed to have trainees immersed in the bedside management of a variety of critical illnesses early in training, with an evolution towards more in-depth exposure to skills such as ExtraCorporeal Life Support (ECLS) and research later in the curriculum. First year fellows begin leading the critical care teams in each of our ICU’s, gaining new skills and confidence in the management of the critically ill. By the second year, trainees participate more as a junior attending, helping the first year fellows learn the intricacies of the technologies and management strategies. Throughout the fellowship, trainees are participating in our Section conferences and journal clubs.
Our academic medical center, situated in northwest Louisiana 200 miles from the nearest medical school, serves a large area with a diverse population; as a result, fellows see a wide spectrum of diseases at various stages. Trainees graduate with a broad-based education in the diagnosis and management of Critical Care Medicine, including procedural skills that greatly exceed ABIM minimum requirements.
Critical Care education is spread across a range of ICUs at Ochsner LSU Health Shreveport. Each trainee will have experience in Medical ICUs, Surgical ICU, BurnICU, NeuroICU, eICU, with electives available in the Trauma ICU and Pediatric ICU. As part of their training, fellows will have exposure to advanced procedures, including percutaneous procedures such as tracheostomy and gastrostomy tube placement, continuous renal replacement therapy prescription and administration, and ECMO.
In addition, we offer a wide range of electives that will help fellows position themselves for their future careers. Standard options, such as Anesthesia, CT Surgery, and Ultrasound/ Echocardiography, and Chest Imaging, are complemented by research electives.
Ochsner LSU Health Shreveport
The main campus/ academic medical center in Shreveport is a Level 1 Trauma Center, Regional Burn Center, and houses a full range of ICU’s. In this setting, trainees are exposed to a wide range of critical illness, including neurologic, obstetrical and gynecologic emergencies. The Intensivists provide a full range of therapies, including ECMO and CVVH.
Intensive Specialty Hospital
Located near the main campus, this Long-Term Acute Care (LTAC) hospital serves many of our post-short term acute care patients. The Shreveport hospital specializes in rehabilitation of adult and geriatric patients with severe cardiopulmonary illnesses, including lung fibrosis and pneumonia. Rotations in the LTAC setting gives trainees additional experience in the post-ICU experience, including strategies for chronic ventilator weaning and addressing the complications of ICU stays.