We are striving to meet the needs for more intensivists, and as a result, we have transitioned to three medical intensive care unit teams. Two teams are comprised of interns/residents, a fellow, and an attending and the third team is a non-teaching service comprised of an attending and Nurse Practitioners. Census on each team averages around 12 to 15 patients. The fellows rotating in the ICU will admit to their respective services during the day and will rotate responsibilities of handling transfer or admission calls week to week. The fellow will be very familiar with the patients and concentrate on new admissions each morning. He/she will also arrange for bronchoscopies and will closely supervise any procedures performed by the housestaff (central venous catheters, thoracentesis, pulmonary artery catheters, intubations, etc.). Education has a very important role in the ICU and the fellow will have an important role in teaching on relevant ICU topics, such as the following.