Surgical Critical Care Fellowship

The Adult Surgical Critical Care Fellowship prepares graduates to become leaders in the field of Acute Care Surgery/Trauma. The curriculum includes 13 four-week rotations at Michigan Medicine: ten core Surgical Critical Care (Surgical ICU, Cardiovascular ICU, Trauma Burn ICU), three elective rotations in Critical Care Ultrasound, Neurocritical Care, Mechanical Ventilation/Airway Management and an additional two week rotation in Critical Care Transport/Survival Flight, CCMU, CICU, Pediatric ICU, Acute Nephrology, Nutrition, ECMO, Burn Surgery.

The curriculum is designed to provide broad exposure to Surgical Critical Care, including care of complex general surgical, trauma, burn, vascular, oncologic, transplant, subspecialty surgery, cardiothoracic, complex airway and neurologic emergencies. The full spectrum of organ support including complex mechanical ventilation, CRRT, VA/VV ECMO is managed within the Core ICUs. Opportunities for career support and mentoring in advocacy, surgical education, health services research, safety and quality assurance and clinical trials conduct are available to interested fellows.

The Pediatric Surgical Critical Care Fellowship prepares graduates to become leaders in the specialty as part of an accelerated 1-year program combining pediatric and adult surgical ICU training. We accept 3 fellows a year.

This program is designed for applicants who have completed their General Surgery residency and seek further training in the post-operative management of the critically ill pediatric surgery patient. At the end of the program, trainees are eligible to take the Surgical Critical Care Certifying Examination through the American Board of Surgery.

As a fellow, you will spend 8 months at CS Mott Children’s Hospital, Michigan Medicine’s nationally ranked children’s facility, home to neonatal and pediatric intensive care units (NICU and PICU).

You will gain experience in the pre-, peri- and postoperative management of complex pediatric surgery patients from the neonatal period and into young adulthood. Common diagnoses in these patients include necrotizing enterocolitis, gastroschisis, congenital diaphragmatic hernia and esophageal atresia with tracheoesophageal fistula. The multiple injury child is a common admission to the PICU as we are a referral center for the state of Michigan. You will become proficient in the management of mechanical ventilation, fluids and electrolytes and parenteral nutrition in the neonate and pediatric patient. You will also have the opportunity become adept at ECMO management in the neonatal, pediatric and adult populations.

Your remaining 3 months are spent at University Hospital caring for critically ill and injured adults, learning fluid and electrolyte balance, blood gas interpretation, respiratory therapy, and hyperalimentation in this population. Fellows attend all regular conferences within the Section of Pediatric Surgery as well as the Surgical Critical Care core lecture series and journal club.