Fellows are exposed to medical, surgical, transplant, neurosurgery, cardiac, cardiothoracic, oncology, obstetrical, and trauma patients. The units are closed, and fellows either perform or supervise procedures. In addition to intubation, venous and arterial line insertion, chest tubes, and bronchoscopy, fellows also learn percutaneous tracheostomy, transvenous pacemaker placement, and pulmonary artery catheter insertion. Under the guidance of nutritionists, pharmacists, and critical care attendings, fellows will learn about nutrition in critical illness as they write parenteral nutrition orders for ICU and short bowel syndrome patients.

Fellows will also learn to manage and write orders for continuous venovenous hemofiltration and rotate on the Central Venous Access Service (CVAS). CVAS performs approximately 2,000 lines per year including: triple lumen, large dual lumen (dialysis, stem cell harvesting, plasmapheresis), and peripherally inserted central catheters on non-ICU inpatients and outpatients. Our fellows also rotate on the rapid response team. Rotations occur in a diverse range of health care settings, including quaternary care, veterans' affairs, city, level I trauma, and community hospitals.

Throughout fellowship, educational opportunities are extensive and include an introduction to critical care medicine boot camp, monthly simulation sessions, and lectures and symposia.

Additionally, fellows benefit from learning experiences within the Icahn School of Medicine at Mount Sinai’s state-of-the-art Simulation Teaching and Research (STAR) Center. The STAR Center is equipped with multiple high-fidelity simulation mannequins, two large critical care simulation bays with full audio/visual equipment, including intracranial pressure monitoring, chest tube insertion, percutaneous tracheostomy, ventilator management, transesophageal echocardiogram, transvenous pacemaker, and pulmonary artery catheter placement/interpretation.

Every month, our fellows spend three hours mastering critical care techniques in the STAR Center. Faculty members are available during scheduled training sessions to instruct fellows on critical care procedures. In addition, junior and senior fellows work together in assigned training sessions to enhance collaboration and communication skills. Fellows interested in medical education can help design simulations and learn how to run simulations. Fellows rotate on a quality improvement rotation that allows them to participate in quality improvement initiatives. Local and Institute for Critical Care Medicine research meetings occur regularly, and all fellows can participate in several research projects or design their own projects.

We offer two programs to help fellows further hone their skills and pursue their career interests.

Mount Sinai Health System Health Profession Educator Pathway for Fellows

The Health Profession Educator Pathway is a one-year course delivered by expert Mount Sinai faculty via virtual, asynchronous, and in-person education modules that prepare fellows for careers as clinician educators. Graduates acquire foundational knowledge, develop experience in the method and practice of teaching health care providers, and secure desired clinician educator faculty positions. Enrolled fellows commit three to four hours to education modules each month and devise and implement a medical education scholarly project in parallel with the course. As part of the scholarly activity, fellows will identify a local faculty mentor who will oversee the design, implementation, and reporting of the project. Additional mentorship will be provided by the program’s faculty and mentors.

Graduate Medical Education Leadership Development Program

The Graduate Medical Education Leadership Development Program is a one-year program open to house staff. The primary objective of the program is to enhance participants' critical self-awareness of leadership behavior and to further cultivate skills and strategies for more effective engagement in various professional and interprofessional team environments.

The program curriculum addresses topics immediately relevant to professional life, including leadership skill-building, team effectiveness, conflict management, communication and feedback, diversity and inclusion, as well as personal wellness and development.

We offer 8 to 15 positions per year to those who have completed an ACGME residency in either internal medicine or emergency medicine. A one-year fellowship is available to internal medicine-trained applicants who have completed a two- or three-year fellowship in an internal medicine subspecialty. Integrated three-year tracks in infectious disease/critical care and nephrology/critical care are also available at The Mount Sinai Hospital. We accept J1 visas and H1-B transfers, but do not accept initial H1-B visas.

Fellowship applications are accepted through the National Resident Matching Program Electronic Residency Application Service (ERAS). We offer an internal medicine track and emergency medicine track. Due to a high volume of applications, we are unlikely to extend interview offers to applicants who do not signal our program. Application materials include:

• A completed ERAS application
• Curriculum vitae
• Three letters of recommendation (including one letter from the program director)
• United States Medical Licensing Examination scores
• Medical school transcripts
• Personal statement

The well-being of our fellows is a foundational priority of our program. Recognizing the intensity and emotional demands of critical care, we have long championed a culture of wellness. Our program includes a dedicated Critical Care Wellness Champion who leads structured initiatives to support emotional resilience, work-life balance, peer connection, and psychological safety. Fellows benefit from regular wellness check-ins, protected time for self-care, and access to institutional mental health resources. We are proud to foster an environment where trainees feel supported, valued, and equipped to thrive both personally and professionally.