The Acute Care Surgery Fellowship Program at Atrium Health's Carolinas Medical Center provides a comprehensive multidisciplinary experience. The fellowship is modeled to address specific needs of the fellow. Rotations include trauma, emergency general surgery, hepatobiliary, vascular surgery and cardiothoracic surgery, with opportunities for advanced minimally invasive surgery experience. Research opportunities are available, primarily through clinical, database and industry trials. Fellows are encouraged but not mandated to participate. Travel for podium presentations is supported during the academic year. Mentorship is available for the fellow through a faculty that is widely published and grant-supported. The didactic educational experience is diverse. There is an active conference and lecture schedule, and the fellow is an active participant with teaching of residents, advance care practitioners, medical students, respiratory therapists and nurses. The acute care surgery fellow is supported for ATOM, ASSET, Critical Care Ultrasonography Course, and the Hepatobiliary Fellows Conference and Workshop. The program is committed to the successful training of acute care surgeons to be clinically adept, academically prepared and administratively active.