The primary educational focus is the complex management of the critically ill surgical patient with an emphasis on prioritization of care and multidisciplinary care coordination. Daily work rounds are conducted by the General Surgery Residents and directed by the Surgical Critical Care Resident. These are followed by daily attending rounds with board-certified intensivists, nurses, doctors of pharmacy, nutritionists, social workers, physical and occupational therapy. Decisions for patient care include management of cardiovascular, respiratory, neurological, nutrition and infection control. Additional education is gained in overall Intensive Care Unit management with daily experience in the management of staffing, decisions for transition to other levels of care, infection control practices and allocation of hospital resources.
The fellow is expected to participate in administrative and research aspects of surgical critical care. The fellow is a member of the administrative committee of the Trauma/General Surgery ICU and also attends the monthly meeting of the Special Care Committee of the medical staff. Funding is provided for the fellow to attend at least one outside course or symposium on ICU administration, particularly those held in conjunction with the annual meeting of the Society of Critical Care Medicine. Finally, the fellow is expected to develop and complete at least one clinical research project during the residency. If desired, more in-depth training in basic or clinical research is available through an optional second year of research training.
The program is based at Saint Louis University Hospital (SLUH). Saint Louis University Hospital is a Level I trauma center and tertiary care referral center. In addition, it is the regional center for Skull Based Surgery and has an active solid Organ Transplantation program. The trainee spends ten months in the Surgical Intensive Care Units at this institution. Saint Louis University is in compliance with the directives of the ACGME and the work hour requirements. The Surgical Critical Care fellow is in house for 72 hours per week and has 1 day off/weekend. Daily responsibilities include directing the Surgical Critical Care Service, providing 24-hour coverage for all critically ill patients in the Trauma/General Surgery ICU and for selected patients in the Cardiovascular Surgery ICU and Transplant/Neurosurgery ICU. The training program also includes two elective months, which may include rotations in the Medical Surgical ICU at Mercy Medical Center (MMC), the Burn Unit at MMC or in the Pediatric ICU at Cardinal Glennon Children's Hospital. The two elective months may also be dedicated to clinical research activities. Other arrangements may be considered on an individual basis.
Teaching rounds are supplemented by didactic materials, including lectures and directed reading. The Surgical Critical Care fellow is responsible for selecting topics and speakers for the weekly Surgical Critical Care Conference. The fellow will present at least once at Surgical Grand Rounds and will attend and provide commentary regarding critical care decision making at the weekly Trauma and General Surgery Morbidity and Mortality conferences.
The Surgical Critical Care Residency is an accredited one-year program designed to provide the trainee with in-depth knowledge of Surgical Critical Care. Completion of this residency qualifies the individual for the examination offered by the American Board of Surgery for the Certificate of Added Qualifications in Surgical Critical Care. Individuals applying to this program need a minimum of three clinical years in a surgical training program, but preference is given to individuals who have completed or are completing their surgical residency training.
3635 Vista Avenue
St. Louis, MO - Missouri 63110
Phone: 314-577-8317 x3
Mar 24, 2013