On behalf of all of the intensivists here, I want to thank you for considering our critical care program at AdventHealth Orlando. At over 1400 beds under one roof we are one of the largest facilities in the country, and we are the hub of a multi-hospital system here in central Florida. With 7 different general and specialty adult ICUs containing close to 200 adult ICU beds we have the capacity and resources, as well as the widest range of pathology, to provide a rich educational opportunity for our trainees.
You will be able to learn from our multidisciplinary intensivist group, all of whom bring different perspectives to the delivery of critical care medicine. You will learn from, and eventually lead, our interprofessional rounds. There will be opportunities to teach residents, medical students, and scholars of all levels.
With both elective and selective rotations you can spend additional time developing special interests, working on research, or exploring areas around critical care. Our faculty will work with you in order to prepare you for the career you envision, whether it be in academics or community medicine, or some blend of the two.
We look forward to the opportunity to meet you and show you all of the amazing opportunities here at AdventHealth.
Enthusiastically,
Bob Cambridge
Fellowship in Critical Care Medicine
This short video can give you an overview of our program as well as a look at the ICUs you can rotate through during your time here at AdventHealth.
Our fellowship is located at one site in Orlando. AdventHealth Orlando has 180 adult ICU beds across 7 units.
Medical ICU: the MICU has 20 beds and sees a mix of medical and cardiac patients. Fellows rotate under the supervision of a critical care attending. Emergency medicine residents rotate here throughout the year as well.
Multispecialty ICU: this is a 20 bed unit and co-houses the Liver ICU. In addition to the hepatology cases, this until sees general medical patients with a focus on oncologic and bone marrow transplant cases. This unit is the primary ICU rotation site for the internal medicine residency.
Cardiac ICU: the CICU has 20 beds and sees cardiomedical patients, heart failure and pre-cardiac surgery patients. Fellows will be exposed to, and learn to manage cardiac support devices such as impellas, balloon pumps, temporary pacers, and pulmonary artery catheters.
Cardiovascular surgery ICU: this is a 28 bed ICU for general post-op cardiac and basic thoracic surgical patients. The fellow rounds with one attending and one APP.
Advanced Cardiothoracic Surgical Unit: this is a 32 bed ICU with more complex cardiothoracic surgical patients, post-transplant for heart and lung, LVAD implants, and more. This unit has the capacity to run over 20 ECMO circuits simultaneously. There are two attendings, one fellow, and a small army of APPs.
Neurology/neurosurgical ICU: the NSICU is a 40 bed unit with two attendings, two fellows, and one APP. Fellows work with the neurointensivists to manage critically ill patients with strokes, seizures, post-neurosurgical cases, and other disorders of the CNS
Surgical ICU: the SICU has 20 beds and sees post-operative patients, including abdominal organ transplant patients (liver, kidney, pancreas). Fellows rotate under the supervision of a surgical critical care attending.
Trauma ICU: AdventHealth Orlando is not a trauma center of any designation. We have partnered with the local level 1 trauma center to offer a rotation during the second year in the trauma ICU.
Medical and Surgical Services
We have a wide range of medical and surgical services, and as a fellow you will be exposed to and learn how to manage:
Cardiac and pulmonary support devices such as ventilators, impellas, balloon pumps, LVADs, VA and VV ECMO, etc...
Continuous renal replacement circuits
Heart, lung, liver, kidney, and pancreas transplant patients
Complex oncologic patients
Shock, shock, and more shock
The everyday patients of critical care as well as the rare and unusual cases.
We are a quaternary referral center for the region and the state hub of our hospital system
Program Leadership
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Pulmonary/Critical Care
Sonja Andersen
*Maria Carrillo
*Martin Cearras
*Khaled Fernainy
Benjamin Gleason
Eduardo Oliveira
Peter Tofts
* - core faculty
Internal Medicine/Critical Care
Krishna Aparanji
*Arnaldo Lopez-Ruiz
*Carlos Pacheco
*Mehul Patel
*Sam Venus
* - core faculty
Emergency Medicine/Critical Care
*Bob Cambridge
Gregory Ruppel
*Amanda Tarkowski
* - core faculty
Anesthesia/Critical Care
Al Haddadin
Neuro/Critical Care
*Okorie Okorie
Amay Parikh
Bassel Raad
Murad Talahama
*Core Faculty
Current Fellows
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David Coe, MD
PGY-5
Chief Fellow
Thomas Cox, MD
PGY-5
Jose Freire, MD
PGY-5
Ji Moon, DO
PGY-5
Jordan Pierce, MD
PGY-5
Mansi Vadodaria, DO
PGY-5
Andrew Gabanic, MD
PGY-4
Ethan Hartman, MD
PGY-4
Seema Jaga, MD
PGY-4
Archana Mathew, DO
PGY-4
Ajmal Mirzoy, DO
PGY-4
Kevin Moriles, DO
PGY-4
Curriculum
We operate on a 13-block annual cycle
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Year 1
6-7 blocks medical/cardiac ICUs (with a mix of day and night blocks)
1 block SICU
1 block Neuro ICU
1 block ACSU
1 block CVICU
1 block Trauma
The remaining are electives.
Year 2
6 blocks medical/cardiac ICUs (with a mix of day and night blocks)
1 block Trauma ICU
1 block CVICU
2 blocks of surgical selectives (choose from SICU, Neuro ICU, ACSU)
The remaining are electives.
Program Information
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Research
The Importance of Research
Helps to fulfill the ACGME competency requirement of "practice-based learning"
Helps our quality assessment
Helps us to serve our patients better and with more treatment options
Teaches Residents how to achieve these goals in their future practices
Residents, fellows, and faculty involved in required GME scholarly activities receive guidance from the Center for Academic Research Excellence (CARE) through the Clinical Academic Research team, comprised of an Academic Research Mentor, a Project Coordinator, and a Regulatory Coordinator. In addition, the center includes a group of biostatisticians, a health economist, and a medical editor.
CARE assists residents and faculty with all types of scholarly activities (case studies, QI projects and research studies), from study design and protocol development, to data analysis and poster, presentation or manuscript preparation.
Eligibility
Our program is two years and is open to graduates of an accredited internal medicine or emergency medicine residency program. We also accept applicants who have completed or are completing an accredited internal medicine subspecialty fellowship; however we do not offer an abbreviated program.
For more information on the many benefits offered across all programs, click here.
Ultrasound (Procedural Expectations)
The Point-of-Care Ultrasound and Critical Care Echocardiography training for Fellows is designed to lead trainees towards eligibility for national board certification in Critical Care Echocardiography.
The training includes a series of lectures as well as supervised hands-on training sessions. During these sessions, fellows develop practical skills and expertise in both basic and advanced echocardiography, focusing on image acquisition and interpretation.
Trainees will also have the option to pursue an additional elective, providing them with an opportunity for further hands-on experience. This ensures that fellows are well-prepared, not only for certification but also for the challenges of real-world critical care scenarios.
In addition, this training program offers a unique opportunity for participants to take the lead in research or quality improvement initiatives related to Point-of-Care Ultrasound (POCUS).
Application Process
Join Our Fellow Team
We accept applications through the Electronic Residency Application Service (ERAS).
All applications require the following:
Curriculum vitae
3 letters of recommendation (one of which must be from a program director or department chair)
USMLE/COMLEX results
Personal statement
Photograph.
Our program accepts 6 fellows per year. The fellowship is a 2-year ACGME approved program.
We accept applications through ERAS, and we fill all of our spots through the NRMP fellowship match.
Our fellowship is open to applicants with internal medicine or emergency medicine residency training. Applicants who have completed or are completing an ACGME approved internal medicine fellowship are also invited to apply.
There is an additional track available in neurocritical care. More information can be found through the Neurocritical Care Fellowship Page
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