||Acute Care Surgery Fellowship at Johns Hopkins The Acute Care Surgery fellowship at Johns Hopkins has evolved to train surgeons to meet the increasingly recognized need for emergency surgical treatment nationwide. The one-year fellowship is often completed following completion of the Johns Hopkins multidisciplinary fellowship in surgical critical care, and requires board certification or board eligibility in general surgery. Fellows function at the level of clinical instructor at Johns Hopkins, in the role of a junior faculty member with full admitting and surgical privileges. The Acute Care Surgery fellowship is designed to provide a broad clinical exposure to many aspects of emergency surgery. Fellows take in-house attending trauma call at the Level I adult trauma center. The trauma population gives an extensive exposure to operative trauma management, as approximately 35% of cases seen are due to a penetrating mechanism. Additionally, fellows take emergency general surgery call several times per month, and treat a wide variety of emergent and routine general surgery patients. There are numerous opportunities for elective general surgery cases as well as bedside ICU procedures (ie. percutaneous tracheostomy and percutaneous Endoscopic gastrostomy [PEG] placement). Fellows who have completed their training in surgical critical care have the opportunity to attend in the surgical ICU. The fellow’s education is further enhanced through participation in the trauma service core lecture series, surgical and trauma morbidity and mortality conferences, critical care educational conferences, journal clubs, and surgery grand rounds. Fellows contribute to resident and medical student education through didactic lectures, participation in animal labs, as well as direct patient care. All fellows will take both the Advanced Trauma Life Support (ATLS) and Advance Trauma Operative Management (ATOM) courses. Elective rotations are offered based each fellow’s individualized need and may include: thoracic surgery, vascular surgery, transplant surgery, burn surgery, radiology (interventional and/or diagnostic), orthopedics, and/or neurosurgery.