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Critical Care Fellowship - VMFH

Virginia Mason Franciscan Health Critical Care APP Fellowship Program

Mission statement

To prepare the post graduate Advance Practice Provider (APP) in accordance with the highest professional standards, scientific methods, and with interdisciplinary collaboration for practice in the intensive care unit.

Program description

This is a 12-month fellowship for the post graduate PA-C/ARNP (APP). APPs will be working within a team to provide comprehensive medical care to the most vulnerable and critically ill patient populations. APP will be responsible for assessment, diagnosis, management, procedures/interventions, evolutionary care, and evaluations of the critically ill patient and will manage and participate in all aspects of patient care in collaboration with other APP and physician colleagues. Primary training will take place in the medical ICU with clinical rotations in cardiothoracic and vascular surgery, cardiology, neurosurgery, trauma and general surgery, gastroenterology, and nephrology, with additional training with our pharmacy, respiratory therapy, nutrition, and physical therapy teams.

Why apply

  • Hands on experience
  • Quality mentorship
  • Multidisciplinary collaboration
  • Skill and knowledge development
  • Employment opportunities

Requirements for application

To apply, you must meet the following criteria:

  • Graduate of an ARC-PA accredited PA program -OR-
  • Graduate of an accredited Acute Care ARNP program (FNP applicants with prior ICU experience as an RN will be considered)
  • Pass national boards exams prior to program start date.
  • Boards, Washington State License and DEA must be completed/acquired prior to Aug. 31, 2023 to allow time for hospital credentialing
  • ACLS certification


  • Submit CV and personal statement to Matthew Harris by May 1, 2024
  • Interviews conducted in May 2024
  • Selection and notification of fellows completed by June 1, 2024

Education and program overview

  • Core Fellowship Curriculum developed with multidisciplinary collaboration between all ICU service lines
  • Fellows will practice primarily in the medical ICU with 2-4 week rotations through our ICU specialty service lines to include cardiothoracic surgery, cardiology, neurosurgery, trauma and acute care surgery, gastroenterology, nephrology, and vascular surgery
  • Didactics: Fellows will meet weekly for designated classroom didactic learning, simulation labs and procedural training
  • Professional development: Fellows will participate in journal club and attend grand rounds
  • Procedural experience and proficiency includes, but is not limited to: intubation, central venous insertion, arterial line placement, chest tube placement and bronchoscopy
  • Courses/certifications completed during the fellowship include: Fundamentals of Critical Care Support (Instructor course), The Difficult Airway Course, Emergency Neurological Life Support, Palliative Care Academy, and Critical Care Ultrasound
  • Most didactic courses and clinical time will be in Tacoma, Washington, unless otherwise specified in the fellowship schedule

Graduation requirements

  • Completion of all clinical rotations as assigned during the 12 month training cycle
  • Pass quarterly evaluations with a score of 3/5 or greater
  • Pass post rotation exams with a score of 80% or greater
  • Maintain attendance and professionalism throughout 12 month cycle
  • Adherence to all policies and procedures of Virginia Mason Franciscan Health
  • Maintain accurate procedure logs

Contractual work requirement post graduation (statement)

  • All fellows will be contracted to return two years of service within our Virginia Mason Franciscan Health teams paid at regular staff Advanced Practice Provider salary, upon successful completion of the fellowship.

Benefits / stipend

  • Pay $66,712 / year base stipend
  • Full medical benefits
  • SCCM membership
  • Paid educational courses as outlined above


  • Accredited by VMFH
  • Association of Postgraduate Physician Assistant Programs

How to apply

To apply, please submit the following to Mathew Harris at [email protected]:

  • CV
  • Statement of interest: Please include a short (<1,000 words) personal statement about why you would like to pursue a career in critical care medicine. Your statement should be size 12 font, double spaced and submitted in PDF format.

After careful review of your CV and personal statement, if you are selected, we will contact you to request submission of:

  • Two (2) letters of recommendations / reference (if new graduate, one must be from program director)
  • Educational transcripts

If selected, you will be notified of an offer to interview after review of your transcripts and letters of recommendation. We thank you for your interest!

Additional information

If you would like more information about our Fellowship or have any questions or concerns, please email Shelly Voigt at: [email protected]