Clinical training

The Critical Care Medicine Fellowship is a two-year program unless exceptional criteria are met for a one-year program.

The first year includes seven to nine months of critical care core rotations along with orientation, research and elective rotation time. The second year schedule is determined by the program director and based on the fellow's career development plan, which can be oriented toward research or clinical time. The clinical experience can be well-rounded or focused on a particular aspect of critical care, such as extracorporeal membrane oxygenation (ECMO) or transplant.

Rotation schedule

This is a typical rotation schedule (each block is four weeks):

Year 1
Rotation Length
  1. Medical and surgical ICU
  2. Subspecialty ICU
8-9 blocks
  1. Orientation
  2. Electives*
  3. Research
4-5 blocks
Year 2
Rotation Length
*Non-ICU electives consist of nutrition, chest radiology, anesthesiology operation room, echocardiography, experiential education, transfusion medicine, peripherally inserted central catheter (PICC) line rotation, pulmonary consult service, hepatology, sleep medicine and pulmonary function laboratory.
  1. Medical and surgical ICU
  2. Subspecialty ICU
4-6 blocks
  1. Electives*
  2. Research
4-6 blocks

Subspecialty ICU rotations include nephrology, infectious diseases, cardiology, cardiovascular surgery and ECMO, pediatric critical care, neurological and neurosurgical critical care, chronic ventilator dependency, lung and heart transplant rotation, and trauma.

A bronchoscopy and pleural service block is offered to all fellows during their fellowship.

Didactic training

Didactic training is an integral part of the fellowship. Fellows attend a variety of teaching sessions, conferences and lectures. Training includes experiential learning within the Mayo Procedural Skills Laboratory and the Mayo Multidisciplinary Simulation Center.

Research and quality training

Fellows have the opportunity to participate in at least one clinical or laboratory research project during the fellowship. They are expected to complete a research project for which dedicated time is allocated. During the first fellowship year, fellows can complete coached quality-improvement projects with a peer review mechanism and an academic certificate.

Call frequency

The residency call rotation may change for each rotation. Mayo Clinic College of Medicine and Science follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

Teaching opportunities

Opportunities are available for teaching rotating residents and medical students.


To ensure that fellows acquire adequate knowledge and develop the requisite technical skills, performance is monitored carefully during the course of the Critical Care Medicine Fellowship. Fellows are evaluated formally by supervising faculty members after each clinical rotation and meet with the program director to review these evaluations.

In addition, fellows regularly evaluate the faculty to ensure that their educational needs are being met.

Oct. 17, 2016