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This one-year fellowship focuses on clinical experiences as well as a robust didactic curriculum, to provide well-rounded education intended to fully prepare an APP for a full time position in critical care. Ideal candidates would be a new APP or an APP wishing to change specialties. The APP Fellow will be exposed to a wide array of disease processes in multiple different critical care settings with monthly rotations in the NSICU, CTICU, MSICU, SMICU, CICU and STBICU as well as elective rotation opportunities. Additionally, the APP Fellow will have the opportunity to learn and complete competencies on various critical care procedures such as central venous catheters and arterial catheters. They will be expected to participate in weekly lectures including grand rounds, as well as complete an end of year project. APP Fellows will be supported throughout the fellowship by APPs in each department as well as APP mentors, physician fellows and physician leaders. MUSC Charleston continues to build their APP critical care group, which currently assists in covering all adult ICUs in both the Main and ART hospitals.