The goal of the Medical Critical Care Fellowship Program at Carolinas Medical Center is to provide exposure to a wide array of complex disease processes in the critical care setting in order to prepare the Advanced Clinical Practitioner (ACP) with the skills necessary to be successful in delivering excellent critical care. The fellowship will allow both nurse practitioners and physician assistants to develop the knowledge base to perform critical care procedures and lifesaving interventions in various high acuity patient populations and situations.

It will serve as an immersion in specific critical care competencies to prepare the ACP for the critical thinking above and beyond the level received in their formal education. Furthermore, it will serve to further the ACP’s knowledge of evidenced based practice, basic research techniques, guideline development and quality improvement initiatives. Overall it will prepare the ACP to be a well-rounded provider, leader and resource within the critical care team.

In addition to scheduled simulation labs, fellows will have real-time exposure to patient care in the various Intensive Care Units. They will have a vast experience in many critical care procedures including, but not limited to tube thoracostomy, diagnostic and therapeutic fiberoptic bronchoscopy, central venuous catheter insertion, arterial catheter insertion, pulmonary artery catheter insertion, thoracentesis, paracentesis, lumbar puncture and hemodialysis catheter insertion.


The ACP Fellows will have a comprehensive rotation in the different medical intensive care unit service lines after the completion of the initial three months of core curriculum. Each fellow will rotate through the following service lines in a month long-format:

  1. Three Months of Core Curriculum
  2. MICU A & B service (MICU resident service)
  3. MICU N Service (Neurosurgical Intensive Care, Dickson Heart Unit, and CVRU)
  4. MICU C Service
  5. Pulmonary
  6. Progressive Care (RESCU Unit)
  7. Elective Month
    1. Neurology
    2. Infectious Disease
    3. Renal
    4. Endocrine
    5. Cardiology