The Unit
Description
Johns Hopkins has a long history of post-residency training in trauma and emergency general surgical care. Historically, the Surgical Assistant Chiefs of Service had played this role (along with many other duties). We have recently modified the fellowship to focus fellow education on the care of trauma and emergency surgery patients. The program will based on the structure of the new American Association for the Surgery of Trauma (AAST) view of the future of trauma surgery. The fellow will be broadly trained as an “Acute Care Surgeon”, consisting of clinical care in the areas of Trauma, Emergency Surgery, and Critical Care. The Johns Hopkins Trauma / Critical Care Fellowship position will be flexible to the appropriate candidate to focus on trauma care and emergency surgery or combine this with time in our well-established Critical Care Fellowship.
Time spent treating trauma patients will be as a closely mentored trauma attending (at the level of clinical instructor).� These responsibilities consist of evaluation and management of trauma patients at our urban level I trauma center. We see approximately 2000 trauma patients per year.� The trauma service has five dedicated trauma surgeons with additional critical care fellowship training. Additional faculty members are used to cover for the 24/7 in-house attending trauma surgeon.� Operative cases abound with our greater than 40% rate of penetrating trauma among our most serious “delta” trauma patients.� The trauma service performs a wide range of trauma surgical procedures including abdominal procedures along with repairing our own cardiac, thoracic, vascular, and renal injuries. Education revolves around daily trauma pass on rounds in which all trauma contacts from the previous 24-hours are reviewed, critiqued, and discussed. Fellows hone their general surgical skills in the coverage of urgent and emergent general surgery from the busy inner-city emergency room. Clinical research endeavors are supported and the fellow will be encouraged to present at major national meetings. The trauma fellow will be encouraged and enabled to become certified as an instructor for ATLS and ATOM (Advanced Trauma Operative Management), which is taught on campus. Options are available for additional coursework towards the Masters of Public Health (MPH) from the Johns Hopkins Bloomberg School of Public Health.
The fellow may spend time as part of the fellowship in Critical Care Medicine. This program is an integrated fellowship between the Departments of Surgery and Anesthesiology and Critical Care Medicine.� It utilizes all resources that presently reside at Johns Hopkins Hospital. The core program is centered in a surgical intensive care environment including the Surgical Intensive Care Unit (SICU, 16-beds), the Weinberg Intensive Care Unit (Weinberg ICU, 20-beds), and the cardiac Surgical Intensive care Unit (15 beds). Patients, representing more than 9,000 patient-days, are admitted from the adult trauma, transplant, vascular, cardiac, thoracic, orthopedic, plastic, obstetric, gynecologic-oncology, endocrine and general surgical services. Additional rotations in the Medical ICU, Neurosciences Critical Care Unit, Neurovascular ICU and Pediatric ICU are routinely provided. Rotations through the Oncology ICU and the Burn ICU (JHBMC) are available for appropriate candidates. Electives are available in all medical subspecialties as well as Pulmonary Physiology, Echocardiography and Infection Control. The SICU, Weinberg ICU and Cardiac SICU are covered by 16 faculty members, all BC/BE in Critical Care Medicine. Primary appointments reside in the Departments of Anesthesiology and Critical Care Medicine (ACCM) and Surgery.�
Fellowship Program
Contact
Edward E. Cornell III, MD, FACS, FCCM
Professor of Surgery
Chief, Adult Trauma Service
Johns Hopkins University School of Medicine
600 N. Wolfe Street, Blalock 688
Baltimore, Maryland 21287-4688
USA
Phone: (410) 955-2244
Fax: (410) 955-1884
Email:
URL: http://www.hopkinsmedicine.org/surgery/div/CriticalCareandTrauma#fellowship
Mar 10, 2007
