The Surgical Critical Care and Acute Care Surgery Fellowship offers primary training at ECU Health Medical Center, the 900+ bed tertiary care teaching hospital of the Brody School of Medicine at East Carolina University. ECU Health is the third largest Level I Trauma Center in the nation, an American College of Surgeons Level I trauma center serving a 29-county primarily rural catchment area. The state-of-the-art trauma center evaluates 3400 injured patients annually, with trauma service admissions of approximately 2300 patients. As the only tertiary care medical center in the entirety of Eastern North Carolina and the Outer Banks, ECU Health cares for a high volume and breadth of complex trauma and surgical critical illness. The Division of Acute Care Surgery has functioned as a true acute care model for over a decade. The ACS service, with a mean census of 50 – 80 patients, consists of trauma, surgical critical care, and emergency general surgery components. The SCC/ACS Fellowship consists of 12 months of surgical critical care followed by a second year of acute care surgery. The ACS format includes 10 months of mandatory rotations in trauma, emergency surgery, vascular/interventional, urology, thoracic, and neurological and orthopedic surgery. Elective rotations in pediatric surgical critical illness, burns, and transplant/urology are available. A unique feature of the program is the focused mentorship and teaching. The faculty to fellow ratio is 10 to 4. Subspecialty rotations, including neurosurgery, orthopedics, urology, and interventional radiology, do not have residency programs. In the absence of other surgical fellowships or subspecialty residents, the ACS fellow will be the sole learner on the majority of rotations. For rotations on services covered by general surgery residents, ample case volume and complexity are available for all learners. East Carolina University is an equal opportunity and affirmative action employer and seeks to create an environment that fosters the recruitment and retention of a more diverse student body, faculty, staff and administration. We encourage qualified applicants from women, minorities, veterans, individuals with a disability, and historically underrepresented groups. All qualified applicants will receive consideration for employment without regard to their race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, disability, political affiliation, or veteran status.