-Rotation at Cleveland Clinic for CTICU - attend one national meeting paid by the program - will attend ASSET Course on campus -Evidence based Practice of Critical Care book provided for didactics -weekly didactics with faculty - no rounding post call -SCCM in-service exam done to help assess knowledge and areas needed to improve -Surgical Critical Care Boot Camp in 1st week of training -optional 2nd year of fellowship (NON AAST) with tracks in leadership, education, burn or research