Surgical Critical Care FellowshipThe Surgical Critical Care Fellowship at Yale is designed to train leaders in academic surgical critical care and trauma through a rigorous clinical and educational experience. Two surgeons are accepted annually into this RRC-approved one-year program, and they are immersed into the management of critically ill and injured patients. The program also provides the opportunity for the fellow to gain unique expertise in specialty areas through elective rotations and research.
Qualified applicants must meet the following prerequisites:Completion of an approved general surgery residency with Board eligibility or certification by the American Board of Surgery.
Surgical Critical Care fellows are involved in the education of students and residents who rotate on the Surgical Critical Care Service and provide daily management of critically ill patients. The service manages approximately 2600 patients a year, including patients admitted to the 26-bed SICU, the 9-bed surgical step-down unit, and overflow units. The Surgical Critical Care fellow is expected to provide regular didactic lectures to the ICU team and attend a twice-weekly Surgical Critical Care fellow lecture series. Daily ICU rounds are held with attending physicians from the Departments of Surgery, Anesthesiology and Emergency Medicine who are Board-certified or Board-eligible in critical care medicine. Clinical research activities are an important component of the fellowship. The fellows attend a national annual meeting.
- The completion of an accredited surgical residency training program qualifies the surgeon to manage critically ill surgical patients. The Surgical Critical Care Fellowship enables the fellow to acquire an advanced body of knowledge and level of skill in the management of critically ill surgical patients in order to assume a leadership role in teaching and in research in surgical critical care. This advanced body of knowledge and level of skill must include the mastery of: (1) the use of advanced technology and instrumentation to monitor the physiologic status of adults; and (2) organizational and administrative aspects of a critical care unit; and (3) ethical, economic, and legal issues as they pertain to critical care.
- In addition, individuals completing a training program in surgical critical care will be expected to:
- Teach the specialty of surgical critical care.
- Undertake investigations into the various areas of surgical critical care, such as new instrumentation, identification of important physiologic parameters, evaluation of pharmacologic agents in critically ill patients, or health outcomes and/or health policy issues related to surgical critical care.
- Administer a surgical critical care unit and appoint, train, and supervise specialized personnel, establish policies and procedures for the unit, and coordinate the activities of the unit with other administrative units within the hospital.
Clinical Research Projects
The Surgical Critical Care Fellowship has an active research agenda with a variety of clinical translational and basic science programs under development and outcomes measurement oriented projects.