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Rolling admission · Istanbul · Delivered in English

Critical Care (Intensive Care) Observership intensive care rounds, ventilation and the daily team review in Istanbul

Follow how a university intensive care unit sets ventilation, supports the circulation, manages sedation and reviews every patient each day as a team, with no patient contact, as the unit's caseload allows during your dates.

  • Anaesthesiology
  • Observership 1–4 weeks
  • Fellowship 12–24 months
  • English-medium · proof required
Inpatient corridor of a university teaching hospital
Routes
Observership 1–4 weeks · Fellowship 12–24 months
Format
Observation only — no patient contact
Language
English, with official proof of level
Location
University teaching hospital, Istanbul
Admission
Rolling — apply 3–6 months ahead
Certificate
Attendance (observership) · completion (fellowship)

What can an observer follow in Critical Care?

What you see depends on the department's clinical calendar during your placement; the list below describes the department's usual scope, not a guaranteed programme.

  • The daily multidisciplinary round: how each patient is presented system by system and how the plan for the next twenty-four hours is agreed
  • Ventilation strategies: how the mode and settings are chosen, how lung protection is applied and how readiness to wean is assessed, as the team explains them
  • Haemodynamic support: how invasive monitoring is read and how fluids and vasoactive medicines are chosen and adjusted
  • Sedation practice: how targets are set, reviewed each day and balanced against comfort and safety
  • Handover from theatre after major surgery and the first hours of post-operative intensive care, where such admissions occur during your dates
  • Infection prevention in the unit: hand hygiene, isolation precautions and line care, which every visitor is expected to follow
  • Departmental morbidity and mortality meetings and case-based teaching sessions

How are decisions made in intensive care, and who shapes them?

Intensive care is organised around repeated review, not single decisions. On the daily round each patient is presented in a fixed order, usually system by system, and the team asks the same questions: what has changed since yesterday, which support can be reduced and what would have to happen for the patient to leave the unit. The plan that follows is written as goals for the day. Doctors, nurses and the other professionals who attend the review each contribute, and the referring surgical or medical team is brought into the discussion when the plan touches the underlying disease.

Ventilation and circulation dominate much of that discussion. For patients with injured lungs, teams generally aim for protective settings that limit the volume and pressure delivered with each breath, and they test readiness to breathe without support at regular intervals. In shock, the first question is the cause, because the balance between fluids, vasoactive medicines and treatment of the source differs from one cause to another. Sedation is commonly kept as light as the patient's condition allows, since deeper sedation tends to lengthen ventilation. Observers hear how these general principles are adapted to one patient at a time.

Some of the most important decisions are not technical. Conversations with families, the limits of treatment and the timing of discharge to the ward are part of every unit's work, and an observer may be asked to step out while they take place. How a unit is staffed, who leads it and how it shares responsibility with the referring teams differ between hospitals and health systems; seeing one model closely is often what visiting physicians value most. An observer who attends the round through a full week sees how a plan made in the morning is tested by the evening.

How this page differs

This page covers the intensive care unit within the anaesthesiology department. The parent anaesthesiology page spans pre-operative assessment, theatre and the pain service; the neonatology page covers the neonatal unit within paediatrics; intensive care nursing practice is described on the nursing observership page.

Who applies, and which route fits?

Clinical Observership

Graduate physicians and trainees in anaesthesiology, internal medicine, emergency medicine or surgery who want to see how an intensive care unit organises its day; clinical-year students are eligible and should expect a demanding setting in which access is restricted at times.

Clinical Fellowship

Anaesthesiologists with a specialist qualification who state intensive care as their interest within the anaesthesiology department; the department decides allocation, and the unit is followed alongside its theatre and pain work.

What an observer does not do

Both routes are strictly observational: observers attend theatre and clinic without patient contact, do not scrub or assist, and are not assessed on any procedure.

  • Strictly observational: no examination of patients, no adjustment of ventilators, pumps or monitors, no procedures and no entries in the clinical record.
  • Access follows the unit's infection-control and visiting rules; you may be asked to leave the bedside during procedures, emergencies or family discussions.
  • The case mix cannot be chosen; no particular diagnosis, device or technique can be promised.
  • No procedural certification, logbook entries or competence sign-off: the certificate records attendance or completion, not competence in intensive care medicine.

The two routes at a glance

The two routes side by side
Clinical ObservershipClinical Fellowship
Duration1, 2 or 4 weeks (extension possible on request)12 to 24 months, agreed with the host department
Who it is forMedical students in clinical years and graduate physicians from outside TurkeyRecognised specialists and family physicians seeking advanced exposure beyond standard specialty training
FormatFull-time, strictly observational — outpatient clinics, operating theatre, ward rounds, case discussionsExtended observational attachment to one department: daily practice, service structure and specific techniques
CertificateCertificate of attendance issued by the host hospital and signed by its Medical DirectorCertificate on completion issued under the accreditation of the affiliated university school of medicine
StartRotations typically begin on a Monday; dates are agreed individuallyStart date planned around the date you request and the department's capacity

Before you apply

  • The programme is delivered in English and every applicant evidences their level with an official document.
  • Fees and terms are confirmed in writing after the eligibility review; they are not published on this page.
  • Apply three to six months ahead: departments accept only one or two observers at a time and files are reviewed in order.
  • State your focus in the objectives of your application. Allocation follows the department's lists during your dates.

What do candidates ask about Critical Care?

Is this an accredited critical care fellowship?
No. The Clinical Fellowship is an extended observational attachment of twelve to twenty-four months to the anaesthesiology department, with intensive care stated as your interest. It is not a training post, it carries no clinical duties and it does not count towards national or European intensive care examinations. The host hospital issues a certificate on completion that records the attachment. Accredited training in intensive care medicine follows the rules of the country in which you practise.
Which intensive care unit will I attend?
The placement is with the intensive care unit of the anaesthesiology and reanimation department. Other units in the hospital belong to other departments and are described on their own pages; the neonatal unit, for example, is covered by the neonatology page. If a particular setting matters to you, such as intensive care after cardiac surgery or neurosurgery, say so in your objectives and ask before applying what is realistic during your dates.
Can I examine patients or change settings under supervision?
No. Both routes are strictly observational. Observers do not touch patients, equipment or records, even under supervision, and do not take part in procedures. What the placement offers is the reasoning: you hear how the team reads the monitors, weighs the options and agrees the plan.
What background do I need to follow the rounds?
The programme does not publish a minimum level of experience. The Clinical Observership is open to medical students in their clinical years and to graduate physicians, the Clinical Fellowship to recognised specialists. In practice the round is far easier to follow if you already understand the basics of mechanical ventilation, blood gas interpretation and the assessment of shock, and if your spoken English is fluent enough for fast clinical discussion.
Are nurses eligible for an intensive care placement?
Nursing placements are arranged through the nursing observership, which includes intensive care nursing as the unit's caseload allows and has its own page. This page describes the route for medical students and physicians.

Apply for an observership with Critical Care as your focus

One online application for both routes. State Critical Care as your focus in your objectives; ATDERA reviews the file and prepares it for the Anaesthesiology department, then replies with next steps, typically within two working days.

  • Five short steps: your details, education, programme choice, documents and declaration.
  • A personal link by email, so you can leave and return where you stopped — for 60 days.
  • Documents are uploaded in step 4; you need nothing to hand to begin.

Already started? The application page picks up where you left off.

ATDERA Global Limited (Companies House No. 17173428, registered in England and Wales) coordinates this programme for a university teaching hospital in Istanbul. ATDERA is not a hospital and does not provide clinical care; admission decisions and certificates are the host hospital's.

Ready to apply?

One online application covers both routes and all twenty-one specialties — details, programme choice and documents in five short steps. ATDERA reviews the file and replies with next steps, typically within two working days.