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We are pleased to announce that the Nephrology division at Ochsner Health Department and the Section of Pulmonary/Critical Care & Allergy/Immunology at LSU Health Sciences Center New Orleans are collaborating on a combined three-year fellowship training program in Nephrology and Critical Care Medicine.

This combined fellowship training in Nephrology and Critical Care Medicine is becoming a recognized national and international trend. Patients admitted to intensive care units commonly develop acute kidney injury, volume overload, electrolyte and/or severe acid-base disorders. Many require intervention with different modalities of renal replacement therapy in addition to pulmonary support. This fellowship will provide the in-depth knowledge and procedural skills needed to lead an interdisciplinary ICU team and provide comprehensive care for the critically ill patient.

Ochsner Main Campus is a tertiary care facility and the referral center for the entire Ochsner Health System which provides a very high degree of acuity in our diverse patient population. With over 120 ICU beds and offering the most sophisticated and advanced technology in cardiac, neuro, medical, and surgical ICU, the trainee is guaranteed comprehensive exposure to critical care medicine. Additionally, consultative critical care rotations in Ochsner’s community hospitals provide one-to-one training experiences with teaching faculty.

In this integrated three-year track, fellows will complete two years of clinical nephrology training with emphasis on critical care nephrology, followed by one year of critical care training. Upon completion of the three years, the fellows will be eligible for both nephrology and critical care board certification.

We are supporting one nephrology/critical care fellowship position per academic year.

Fellows will have three MICU rotation electives during the nephrology fellowship experience.

Each will be Monday – Friday from 7 am – 4 pm as “second fellow” at Ochsner MICU for 3 weeks followed by one week (6 nights) in the University Medical Center MICU with attending staff supervision and teaching.

In addition, the fellow will have an anesthesia elective for 2 weeks and cardiac echo elective for 2 weeks during the first year.

All critical care conferences are recorded. Conference attendance in person is welcome during the first two years but not expected.

Year 1

Year 2

1

2

3

4

5

6

7

MICU

8

9

10

AirwaysEcho

MICU

11

MICU

12

13

All rotations in the 3rd year have 3 weeks of clinical experience and one week of elective.

  • For seven of the MICU rotations, the clinical experience will be 2 weeks during the day and 1 week at night.

  • Non-medical ICU rotations will include neurocritical care, surgical critical care, and cardiac critical care.

After scheduling four weeks of vacation, 9 elective weeks are available for bronchoscopy, right heart catheterization, airways in OR, cardiac echo, palliative medicine, transplant ICU, chronic critical care, and independent study (board preparation).

  • Throughout the critical care fellowship, the supervising faculty will be the same Ochsner-based and LSU-based critical care faculty that train the LSU Health Sciences Center New Orleans pulmonary/critical care fellows.

  • Fellows attend the Pulmonary/Critical Care Thursday conference at LSU from 1 pm – 4 pm when not on vacation or night float.

  • Over the three years of training, fellows will have ten weeks of night float. The first four night float experiences will be supervised by attending critical care staff on site at University Medical Center; subsequent night float experiences will be at Ochsner Medical Center with critical care staff support through the eICU.

No home call, no daytime weekend shifts

Year 3

1

MICU

2

MICU

3

MICU

4

MICU

5

NCC

6

Consult

7

MICU

8

MICU

9

SICU

10

Consult

11

CCU

12

Consult

13

MICU

  • Week 1 - Monday-Friday 7a - 4p
  • Week 2 - Monday-Friday 7a - 4p
  • Week 3 - Monday-Friday 7a - 4p
  • Week 4 - Monday-Saturday 7p - 7a

During the third year of training, the night float experience occurs only during the 7 MICU rotations. The consultative critical care has three weeks of clinical activity 7a - 7p Monday through Friday, with no night-time rotations (same for non-medical critical care). The seven night float rotations during the third year MICU rotations and the three night float rotations during the first and second year = 10 night float rotations for the three training period.

(sample – night float may fall on week 1 – 4)

  • Week 1 - Monday-Friday 7a - 7p
  • Week 2 - Monday-Friday 7a - 7p
  • Week 3 - Monday-Saturday 7p - 7a
  • Week 4 - Elective / Independent Study

In person attendance will be required during the critical care year. All lectures are recorded and will be available for on-demand review during the first 2 years. In person attendance where possible is welcome on any Thursday afternoon during the first two years. Presentations will be between 1 – 3 pm – roughly ½ of lectures will be critical care.

(sample – night float may fall on week 1 – 4)

  • Week 1 - Monday-Friday 7a - 7p
  • Week 2 - Monday-Friday 7a - 7p
  • Week 3 - Sunday-Saturday 7p - 7a
  • Week 4 - Elective / Independent Study

(CCU, NCC, SICU)

  • Week 1 - Monday-Friday 7a - 7p
  • Week 2 - Monday-Friday 7a - 7p
  • Week 3 - Monday-Friday 7a - 7p
  • Week 4 - Elective / Independent Study