Program at a Glance

Orlando Health’s Adult Critical Care APP fellowship is a 12-month program, based in our Level One Trauma Center and Comprehensive Stroke Center with rotations in all areas of critical care including CVICU, surgical/trauma, medical, and neuroscience ICUs. The goal of the program is to produce highly skilled and competent Critical Care providers who can function in any ICU environment. There will be opportunities to participate in research activities and learn side by side with the residents and physician fellows.

Clinical Experience

• Wide variety of complex patient cases at a Level One Trauma Center and Comprehensive Stroke Center
• Clinical experiences in multiple subspecialities across many of the Orlando Health campuses
• Inter-personal learning with a team based approach
• Case presentations
• Average of 45-50 clinical hours weekly (90-100 hours biweekly)

Rotations (4 weeks each)

• Boot Camp
• Medical ICU (4 weeks each) at Orlando Health including Orlando Regional Medical Center and community sites
• Neuroscience ICU
• CVICU
• Surgical/trauma ICU

Subspeciality Rotations (1 week each)

• Neurosurgery / Neurology
• Pharmacy / Rapid Response
• Cardiology
• ID / Nephrology
• Elective

*Rotations subject to change*

Didactic Education

• In-person lectures monthly from experts
• Online learning modules
• End of rotation quizzes
• High yield case study simulation labs twice monthly
• Simulations with multiple procedures including:
  • Central lines
  • Intubations
  • Arterial lines
  • Paracentesis
  • Thoracentesis
  • Pericardiocentesis
  • Chest tube
  • Lumbar puncture

Core Fellowship Curriculum

• Boot camp (first month)
• NP/PA core clinical education
• FCCS course
• ENLS course
• POCUS
• Evidence-based practice
• Communication and Conflict Resolution
• Diversity and Inclusion

Professional Development

• Leadership Development
• Professional Mentorship
• Feedback and Reviews
• Fellowship QI presentation project

Self-reflection and Wellness

• Cohorting and Networking with other APPs and fellows; i.e. SIM labs and quarterly fellow lunches
• Wellness curriculum
• Peer support
• Dedicated APP provider wellness professionals

Assessments

• Fellow assessments
  • Rotation evaluations in electronic format
  • Milestone based and goal oriented reviews
  • 1:1 clinical evaluation by preceptors
  • Program Assessments
• Preceptor Assessments

Graduation Requirements

• Achieve or exceed milestones
• Maintain professionalism
• Complete fellowship requirements including passing all exams
• Certificate of completion awarded at graduation