Medical Critical Care Service

The Medical Critical Care Service (MCCS) is comprised of board-certified and hospital-employed critical care physicians, physician assistants and nurse practitioners who are dedicated to the academic mission at Inova Fairfax Hospital. The critical care physicians, also known as intensivists, conduct combined management and teaching rounds every day and serve as the attending of record for the majority of patients on the teaching service. These intensivists also administer the ICU house staff lecture series. The educational director for the rotation is a member of this group and attends monthly Inova Fairfax Hospital Department of Medicine academic meetings to ensure an outstanding experience for the house staff during the rotation.

Director of Medical Critical Care Service

Dr. Albert E. Holt, IV, is the Medical Director for adult critical care and the Medical Director for the Medical Critical Care Service at INOVA Fairfax Medical Campus. Dr. Holt leads the team of critical care physicians and advance practice providers who support the MSICU, CVICU, NSICU and CCU at IFMC. He also leads system-wide initiatives for quality improvements, such as the early identification and management of patients with sepsis. He is board certified in critical care medicine and internal medicine, and has an MBA in Medical Management from Johns Hopkins. Dr. Holt’s goal is to ensure that critically ill patients within the INOVA system receive the best care possible, in a coordinated effort across 5 hospitals with different capabilities and capacities. Dr. Holt has spent over a decade developing and leading high-performing teams of physicians for national health care organizations, and enjoys working with exceptional colleagues striving to provide the best care at INOVA. Dr. Holt currently resides in Washington, DC, and spends his leisure time on the water sailing or under it scuba diving in tropical places.

Associate Directors of Medical Critical Care Service

Svetolik Djurkovic, MD

Years of Experience: 23

Dr. Djurkovic is Section Chief of Critical Care for the Department of Medicine

Dr. Svetolik Djurkovic is an Associate Medical Director in the Medical Critical Care Service who provides care to patients in the Intensive Care Unit at Inova Fairfax Hospital. Dr. Djurkovic's clinical interests are severe infections and respiratory failure. He is board certified in critical care medicine, infectious diseases and internal medicine. Dr. Djurkovic's goal with his patients is to treat their acute and often life-threatening conditions and also to help their families, especially during the most acute phase of the patient's disease. His prized possession is a rock given to him by a patient who survived cardiac arrest with "Hope" inscribed on it. A native of Slovenia, Dr. Djurkovic currently resides in Southern Maryland with his wife and 3 sons. In his spare time he likes to read and hike with his family.

Osman Malik, MD

Years of Experience: 24

Dr. Osman Malik is an Associate Medical Director in the Medical Critical Care Service who provides care to patients in different ICUs at Inova Fairfax Hospital. His special interests are ARDS, cardiovascular critical care and ECMO. Dr. Malik is board certified internal medicine, critical care, pulmonary medicine, sleep medicine and neurocritical care. He resides in Northern Virginia with his wife and 3 children. His favorite times are spent reading science-fiction, riding his bike and watching his kids play in the back yard.

Megan Elizabeth Terek, MD

Years of Experience: 13

Dr. Megan Terek is an Associate Medical Director in the Medical Critical Care Service at Inova Fairfax Hospital. She graduated from Northeast Ohio Medical University in 2007 and completed her internal medicine residency at George Washington University Hospital in 2010. She served a year as Chief Medical Resident at George Washington before going on to fellowship in Critical Care Medicine also at George Washington, which she completed in 2013. She joined the Medical Critical Care Service (MCCS) at Fairfax Hospital in 2013, currently holding faculty positions with Virginia Commonwealth University and George Washington University. She serves as the physician co-chair on the Medical Surgical Emergency Team (MSET) committee, also as a member of critical care peer review committee, and internal medicine resident clinical competency committee.