Critical Care Fellowship

Internal Medicine/Critical Care Program Director, Drew MacGregor, M.D

The Department of Internal Medicine at Wake Forest School of Medicine offers an Adult Critical Care Fellowship administered within the Department of Anesthesiology. This fellowship offers a strong core of multidisciplinary critical care training and also allows fellows to tailor their education to the components of Critical Care that compliment and expand their previous training. The program accepts physicians who have completed residency or subspecialty training in Internal Medicine. Recent agreements also have allowed the Internal Medicine-CCM Fellowship to consider physicians trained in Emergency Medicine. Applicants with other specialty training are also considered. Fellowships are one or two years in duration, depending upon prior training. Prior graduates of the fellowship programs have come from diverse backgrounds, including Anesthesiology, Internal Medicine, Emergency Medicine, Cardiology, Endocrinology, Obstetrics & Gynecology, Pulmonary Medicine, Hematology & Oncology, Nephrology, and Infectious Disease. The fellowship is fully ACGME accredited and fulfills all requirements for Board certification by the American Board of Internal Medicine.


All rotations are at Wake Forest Baptist Medical Center, a tertiary referral center for central and western North Carolina and southern Virginia. The fellowship includes rotations in our Neurosciences, Cardiothoracic, Medical, and Trauma, Intensive Care Units. Critical Care fellows have in depth interaction with residents and attending physicians from each of these specialties, further broadening their training and experience. Elective rotations include the opportunity for time in the Operating Rooms, Coronary Care Unit, Pediatric ICU, and additional training in toxicology, transesophageal echocardiography, and other disciplines is available. Bedside ultrasound utilization is immediately available in each of the Critical Care Units and taught throughout the program. Fellows are actively engaged in ICU triage, quality improvement (QI) and other administrative functions as they pursue their training.  


The Department of Anesthesiology Section on Critical Care provides a wide variety of didactic and other educational conferences, including weekly Core Curriculum lectures, and several monthly conferences - Journal Club, Research Meeting, Critical Care M&M, and Board Review. Each Friday, the section has Critical Care Grand Rounds, which is a multi-disciplinary conference, that is dedicated to topic discussions relevant to critical care that are given by fellows or attending physicians, both from within the Section on Internal Medicine Critical Care and faculty outside our department. During many of the conferences, fellows will have the opportunity to present interesting cases, review the literature, or give prepared topic discussions. 


Each fellow will have between 2 and 4 months per year of fellowship dedicated to the pursuit of scholarly activity under the guidance of one or more of the attending faculty. This may take the form of clinical research, bench research, quality improvement or another suitable academic project. Two year fellows will have the opportunity to pursue one of two tracks for their second year. These are the Academic Track, in which more time is allotted to ensure successful completion of their scholarly project, and the Clinical Track, in which time outside of core rotations is spent pursuing elective clinical opportunities. It is anticipated that each fellow will be able to complete and submit at least one peer-reviewed abstract or article for publication during the fellowship.

Contact & Application

Only applicants who have completed (or will be completing) an ACGME-accredited residency program in Internal medicine or Emergency Medicine, or one deemed substantially equivalent, will be considered for application. International medical graduates must have completed an ACGME-accredited residency in Internal Medicine or Emergency Medicine to be considered for an interview. In addition, international medical graduates must hold a J-1 visa or have resident alien status and a valid ECFMG certificate.

Interested individuals should contact Liz Leonard at for additional information.

Thank you for your interest in our program. 
-Drew MacGregor, MD FCCP 

 We are currently accepting applications for July 2016. 


Congratulations to our 2014 Critical Care Fellowship Graduates​

CC Fellows 2014
In photo left to right Philip Keith, MD, Jennifer Walker, MD, Brian Delmonaco, MD,  Jake Krieg, MD

Quick Reference

Critical Care Fellowship

Phone 336-716-6533
Fax 336-716-9534

Liz Leonard
Dept. of Anesthesiology
Wake Forest Baptist Medical Center
Medical Center Blvd
Winston-Salem, NC 27157
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Sepsis Inflammation Lab

Sepsis Inflammation Lab

Dr. Vachharajani, a board certified Critical Care Physician, is an Associate Professor in the Department of Anesthesiology/Section on Internal Medicine Critical Care at Wake Forest School of Medicine, with special interest in microvascular response in sepsis.

Last Updated: 12-04-2014
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