The Department of Anesthesiology has two ACGME-approved critical care fellowship positions. One position is a traditional, 1-year critical care training pathway, while the other is a combined 2-year NIH research and clinical pathway. Given our current volume in the 189 beds in 10 adult intensive care units at the University of Maryland, our critical care fellows have ample opportunity to gain experience in managing the most complex and interesting patients in the intensive care unit. Each critical care fellow will participate in a total of 9 months in the various intensive care units, with the remainder 3 months on elective rotations such as echocardiography, infectious disease, cardiology, nephrology, palliative care, and liver transplant anesthesia.