Surgical Critical Care Fellowship
The Spectrum Health/Michigan State University Surgical Critical Care Fellowship is a one year ACGME accredited program. The fellowship aims to train individuals in a broad range of disciplines essential to care of the critically ill and injured patient, with two fellowship positions per year. The surgical intensive care unit at Spectrum Health Butterworth Hospital serves as the main site of clinical rotations. Fellows will be exposed to an extensive variety of patients including general surgery, trauma and severe traumatic brain injuries, burn, surgical oncology, vascular surgery, orthopedics, and thoracic patients.
Fellows receive significant experience in invasive procedures including central line placement, chest tube placement and intubation, bronchoscopy, percutaneous gastrostomy tube placement, and tracheostomy placement. Additionally, fellows will have the opportunity to maintain operative skills on the busy emergency general surgery service and participate in trauma resuscitations and operative interventions.
The 22 bed surgical intensive care unit at Spectrum Health Butterworth Hospital serves as the main site of clinical rotations. Fellows will be exposed to an extensive variety of patients including general surgery, trauma and severe traumatic brain injuries, burn, surgical oncology, vascular surgery, orthopaedics, otolaryngology and thoracic patients. Fellows will work with members of the division of acute care surgery, including 12 board certified surgical intensivists with diverse clinical backgrounds.
Additional rotations and experiences including cardiothoracic intensive care unit, ECMO, neuro intensive care unit, advanced airway and anesthesiology, emergency general surgery, surgical nutrition and echocardiography are also included in the fellowship year.
Numerous patient populations are cared for including orthopedic, neurosurgery, cardiovascular, burn, trauma, peripheral vascular, urology and general surgery patients. The blended intensive care unit structure provides the fellows with a unique opportunity to care for a variety of patients and to learn from a dedicated team of general and specialty surgeons. Additional rotations in the cardiothoracic intensive care unit aim to give the fellow exposure to heart and lung transplant patients, ECMO and assist device management.
The fellowship also provides each physician with significant experience in invasive procedures including central line placement, chest tube placement and intubation, bronchoscopy, percutaneous gastrostomy tube placement, and tracheostomy placement. Fellows will also have the opportunity to maintain operative skills on the busy emergency general surgery service and participate in trauma resuscitations and operative interventions.
In addition to clinical experience, the fellowship also provides significant experience in the area of surgical nutrition and research. An integral part of the fellowship is experience in the areas of metabolic response to stress, shock, and multiple organ system failure. Under the guidance of two dedicated nutrition physicians, the fellow will gain experience with fluoroscopic nasojejunal tube placement and determining TPN and tube feed needs. Other rotations including echocardiography will allow the fellow to develop a basic understanding of bedside ECHO in shock and resuscitation. Advanced airway skills are also offered to enhance the fellow’s ability to manage more routine to complex airway situations. Other activities required of the fellow include contributions to Quality Improvement activities and clinical protocol development.
Finally, each critical care fellow has the opportunity to serve as a resource and teacher for junior residents in the general surgery residency program. The fellow will work with and lead the multidisciplinary surgical critical care team consisting of and overseeing, residents, medical and nurse practitioner and physician assistant students. The practice is also supported by advanced practice providers.
Based upon the American Board of Surgery outline, fellows will have a dedicated weekly curriculum including question bank to prepare for the ABS Surgical Critical Care Examination. Weekly general surgery conferences including M&M are also attended. Other conferences include weekly SICU didactics, monthly ACS journal club, weekly ACS meetings, bimonthly radiology-surgery conference as well as attendance to daily check in. Numerous opportunities to become involved in process and quality improvement exist for those that are interested. The fellowship year provides ample opportunity for study and preparation for the critical care board exam.
For research support, the scholarly activity support team can assist you. The scholarly activity support team also offers biostatistics consultation, and poster preparation. Residents will be expected to submit their work for presentation at an institutional Research Day.
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