About the Program

Didactic
This Critical Care Fellowship offers extensive didactic coursework including more than 20 classes, taught by experienced clinical mentors, on topics such as oxygen transport, artificial airways, arterial blood gases, lab values, pharmacology, mechanical ventilation, mechanical circulatory devices and electrocardiogram (EKG). Fellows also attend two three-day courses on transplant foundations and neuroscience provided here at Houston Methodist Hospital. Grand rounds are offered by multiple service lines. The program faculty also moderates its own ICU rounds at the conclusion of each rotation, during which the fellow presents an interesting case for discussion with faculty and staff. Additional learning opportunities are available through the hospital’s extensive in-house educational offerings.

Clinical Mentoring
The fellow rotates through five different ICUs with a clinical mentor assigned to each rotation. Fellowship clinical mentors are highly qualified, with extensive experience in teaching, research and patient care in the ICUs. One-on-one mentoring is provided throughout the program with intensity moving along a continuum from heavy (at the beginning of each rotation) to minimal (near the end of the rotation), allowing the fellow to become more independent in applying new knowledge and skills into patient care. The fellow is mentored at least four hours each week or a minimum of 190 hours during the course of the program.

Research and Evidence-Based Practice
The fellow participates in research, critiquing and synthesizing research for use in practice for the critically ill, and incorporating sound research conclusions into their practice. This may involve participation in an existing research project, developing best-practice guidelines or developing a new line of research.  By the conclusion of the program, the fellow should be able to cite current literature to support clinical decisions.

Specialty Observations
The fellow observes a variety of procedures common to critically ill patients throughout the program, including diagnostic testing, interventional procedures and surgery. In addition, the fellow meets with other health care professionals to observe and gain an appreciation for their roles on the ICU team.

Clinical Practicum
In order for the fellow to practice new knowledge, skills, and clinical reasoning, the fellow has clinical practicum time, which is independent patient care in ICUs or other areas where the fellow has demonstrated proficiency.  A clinical mentor is always available for questions during the practicum hours.

Contact Us
Please contact us for additional information
Judith Ragsdale, PT
Critical Care Fellowship Program Director
Houston Methodist Hospital
6565 Fannin St, M1-024,
Houston, TX 77030
jragsdale@houstonmethodist.org
713.441.1178