Why Choose Our ICU APP Fellowship?
Autonomous critical care practice in a tertiary hospital setting with close mentorship from expert providers, including exposure to multidisciplinary teams in transplant, thoracic surgery, and cardiovascular surgery.
Structured education and simulation training featuring lectures, frequent airway management, cardiac arrest, and stress simulations using a high-fidelity, human-like mannequin.
Hands-on procedural competency in central and arterial line placement, intubation, needle decompression, dialysis catheter insertion, and optional advanced procedures like thoracentesis, lumbar puncture, and chest tube placement.
Personalized evaluations and feedback at every stage, with one-on-one mentorship from APP leadership tailored to strengthen your clinical skills and address your learning needs.
Join Georgia’s leading Pulmonary and Critical Care APP Fellowship Program at Piedmont and take the next step toward mastering critical care in a supportive, expert-driven environment.
Upon successful completion of the Pulmonary and Critical Care APP Fellowship at Piedmont, fellows are offered a permanent APP position at one of our Georgia hospitals. We have rolling admissions to accommodate motivated applicants year-round. Fellows are expected to commit to living in Georgia long-term and become vital members of our dedicated critical care team.
ICU APP Fellowship (PA & NP) at Piedmont Atlanta
Thank you for your interest in the Pulmonary and Critical Care ICU APP Fellowship Program at Piedmont Healthcare — Georgia’s premier training program for advanced practice providers.
Our fellowship is led by a dedicated group of critical care, sleep medicine, and pulmonary specialists practicing across multiple hospitals within the Piedmont Healthcare system in Georgia. This unique and rigorous 12-month APP fellowship program is designed to transition newly graduated APPs into confident critical care providers.
As an ICU APP fellow, you will develop advanced clinical skills and decision-making abilities while working alongside some of the most experienced critical care professionals in the region. Upon successful completion, fellows are onboarded to one of our satellite hospitals, collaborating with seasoned APPs to provide comprehensive critical care coverage across Georgia.
Apply & Eligibility
Our Pulmonary and Critical Care APP Fellowship Program offers rolling admissions throughout the year to provide flexibility and timely entry for motivated applicants. To express your interest, please fill out the form at the bottom of this page.
If you’re interested in learning more or joining our program, please fill out this interest form to get started. Please note, this form is not a formal application but a way to express your interest and begin the conversation.
We highly encourage early submissions, as we prefer that all applicants complete a rotation or shadow with us in the ICU. This hands-on experience allows you to see firsthand how our team functions and helps you determine if our fellowship is the right fit.
cirriculum: General Timeline of the Pulmonary and Critical Care APP Fellowship Program
ICU Preceptorship - A 2-week (8 shifts) hands-on experience with an assigned
veteran APP at Piedmont Atlanta. This phase focuses on learning standard
operating procedures essential for success in the ICU environment.Pulmonary Rotation - A 4-week rotation (approximately 16 shifts) designed to help
you master core pulmonary topics, develop basic note-writing skills, and understand
the fundamentals of patient admission and discharge processes.Formal ICU Rotation - An 8-week intensive rotation (about 30 shifts) that begins with day shifts and gradually transitions to night shifts as your skills improve. This rotation immerses you fully into critical care practice under expert supervision.
Formal Graduation - During 3-4 night shifts, you will be shadowed by a veteran APP to demonstrate your clinical competency. Upon approval, you will begin solo shifts at your assigned Piedmont hospital, marking your transition to autonomous practice.
Mentorship - For 6 months post-graduation, you will periodically work alongside experienced APPs to ensure a seamless transition to full autonomy as a critical care provider.
Senior Fellowship Project & Leadership Opportunities
During the mentorship phase, you will engage in one of several key components within the team. Continued involvement beyond mentorship is expected, with opportunities in:
Professional Development
Simulation Lab Leader: Host and lead simulation labs for APPs, nurses, and respiratory therapists.
ICU Unit Education: Develop and deliver education programs tailored to RTs, nurses, and APPs at your hospital.
Pulmcast/Multimedia Content Development: Create podcasts, blog posts, and other educational materials to advance critical care knowledge.
Difficult Airway Course/FCCS Development: Serve as a lecturer and innovate course improvements.
Leadership
Intra-Hospital Process Improvement: Collaborate with leadership teams to enhance hospital workflows and patient care protocols.
EPIC Note, Protocol, and Order Set Development: Work with EPIC team leaders to optimize clinical documentation and order sets.
Hospital-Specific Group Liaison: Represent the APP group in hospital meetings to foster collaboration and improve interdisciplinary relationships.
Nancy H.
“It was the hardest and most rewarding things I’ve ever done. From the beginning, I was drawn to this program’s strong emphasis on hands-on learning, supportive faculty, and the sense of community among residents. What stood out most was the mentorship: APPs were not only experts in their fields but also genuinely invested in our growth and well-being. This program pushed me to think critically and taught me how to remain calm during high-stakes situations. It shaped me into a well rounded and compassionate PA. I’m incredibly grateful for the training and mentorship that Piedmont provided for me. ”
Class of 2022
Anna F.
“My ICU fellowship was both the most challenging and rewarding phase of my training. Immersed in high-stakes, fast-paced environments, I was pushed to the limits of my clinical knowledge, critical thinking, and emotional resilience. I cared for the most vulnerable patients—often in life-or-death situations—while learning to manage complex conditions, rapidly evolving emergencies, and multidisciplinary coordination. There were long hours, difficult cases, and moments of uncertainty, but every challenge brought growth. Over time, I developed not only technical proficiency but also deep empathy, grace under pressure, and an unwavering sense of purpose. The ICU taught me that even in the most intense circumstances, small victories and compassionate care make a profound difference. I came out of the experience with sharpened skills, a stronger sense of self, and a deeper commitment to patient-centered medicine. ”
Class of 2020
An ICU APP fellowship is a post-graduate training program for physician assistants (PAs) and nurse practitioners (NPs) designed to develop clinical skills and confidence in managing critically ill patients.
The Pulmonary and Critical Care ICU APP Fellowship Program is open to board-certified/eligible PAs and NPs, ideally licensed in Georgia or eligible for it.
The program is 12 months and includes structured clinical rotations, procedural training, high-acuity ICU exposure, and mentorship from experienced critical care faculty.
Yes. The fellowship offers a competitive salary and benefits. Fellows are considered full-time employees with access to CME, mentorship, and institutional support.
Fellows receive hands-on training in intubation, central and arterial line placement, ultrasound, paracentesis, and other critical care procedures under supervision.
The Pulmonary and Critical Care ICU APP Fellowship Program is based in Atlanta, Georgia, and operates within the Piedmont Atlanta Hospital’s high-acuity medical ICU.
Yes — for many physician assistants and nurse practitioners, an ICU APP fellowship offers structured support, procedural training, and critical care experience that can be hard to gain on the job as a new grad. It also improves confidence and marketability in high-acuity settings.
Some ICU APP fellowships offer a full PA/NP salary with benefits, while others offer reduced pay in exchange for training. Programs like this one provide full-time salary and mentorship, so you're compensated while learning.
ICU APP fellowships can be competitive, especially at large academic centers. Having strong clinical rotations, letters of recommendation, and interest in procedures or physiology helps applicants stand out.
No. Most fellowships are designed for new grads or early-career APPs without prior ICU experience. A genuine interest in critical care and a strong foundation in pathophysiology are more important than ICU-specific experience.
APP fellows in the ICU typically learn intubation, central lines, arterial lines, bedside ultrasound, and management of ventilators, vasopressors, and critical care pharmacology.
An APP fellowship is a structured, mentored, time-limited program with a defined curriculum, rotations, and procedural training. On-the-job training varies by employer and often lacks the same depth, consistency, or protected learning time.