critical care ultrasonography training we provide for our fellows, promotes their growth and adds significant knowledge about cardiopulmonary physiology. We believe that TEE is an important addition to the fellowship skill set and gives fellows the ability to evaluate patients who are critically ill and in an undifferentiated shock state when inadequate transthoracic echocardiographic views are available. Spending 20 hours with faculty on a simulator over the course of a 3-year fellowship has enabled them to perfect this skill set prior to performing it on patients. We do not believe that this addition has taken the place of other essential portions of the curriculum. In fact, we strongly believe that every training program should consider adding TEE training to their curriculum, as it is really an essential skill for the modern intensivist.

No abstract