| Fellowship Type: |
Surgical Critical Care Only |
| Description: |
Fellows in our program gain experience in the delivery of surgical critical care to severely injured and critically ill patients. They become competent in the application of advanced technology geared toward optimization of care for the physiologic derangements seen in critically ill patients. Fellows are also exposed to onsite instruction in the process of administration and management of critical care units, as well as contribute to the education of members of the critical care team. Fellows actively participate in our ongoing research programs. The master rotation schedule consists of 12 months. The schedule is organized so that each service acts as a building block for the next and it allows time at the beginning of the schedule for fellows to prepare for examination for certification. Fellows are on in-house call two to four nights per month. Attendings are always present in-house. Two months are reserved for elective rotations. Fellows can choose from among the following: Transplant Critical Care at the Mayo Clinic Jacksonville (4-week block) Burn Intensive Care Unit at Shands at UF (2- or 4-week block) Anesthesia at Shands Jacksonville (2- or 4-week block) Nephrology at Shands Jacksonville (2- or 4-week block) Trauma at Shands Jacksonville (2- or 4-week block) Healthcare Administration at Shands Jacksonville (2-week block) The didactic curriculum includes lectures, case discussions, and journal clubs. Topics covered include: Pharmacology/Toxicology Nutrition Cardiovascular Pediatrics Neurology Pulmonary Gastrointestinal Infectious Disease Renal Hematologic Endocrine Obstetrics The MCCKAP exam is administered annually each spring to assist fellows in preparation for the Surgical Critical Care Boards, and. to help critical care program directors to assess the strengths and weaknesses of their fellowship program and program participants. Each fellow is required to complete the exam as a preparation tool for the critical care subspecialty board examination and to identify topic areas that need further study. Fellows participate actively in ongoing research programs and are expected to bring to completion at least one project for presentation and/or publication. Fellows work with faculty as well as research coordinators who assist with the IRB approval process. Fellows must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning. Fellow involvement in a quality improvement and patient safety project is required to systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement. The UFCOM-J encourages resident and fellow research through the availability of Dean’s Fund Research Awards and an annual Research Day. Applicants who will be considered must meet the following requirements per the ACGME guidelines: Fellows must have completed at least three clinical years in an ACGME-accredited graduate educational program in one of the following specialties: anesthesiology, emergency medicine, neurological surgery, obstetrics and gynecology, orthopaedic surgery, otolaryngology, surgery, thoracic surgery, vascular surgery, or urology. OR Fellows, who have completed an emergency medicine residency, must also complete one preliminary year of education in the surgery program at the institution where they will enroll in the surgical critical care fellowship. At a minimum the preliminary year of education must include supervised clinical experience in: pre-operative evaluation, including respiratory, cardiovascular, and nutritional evaluation pre-operative and post-operative care of surgical patients, including outpatient follow-up care care of injured patients care of patients requiring abdominal, breast, head and neck, endocrine, thoracic, and vascular operations management of complex wounds and minor operative procedures related to critical care, such as venous access, tube thoracostomy, and tracheostomy. |