||Surgical Critical Care Only
Program Description The Division of Acute Care Surgery at Indiana University offers fellowship training in surgical critical care & acute care surgery. We offer the two following positions. One-Year, ACGME Approved, Surgical Critical Care Fellowship The Department of Surgery at Indiana University School of Medicine has had an ACGME accredited fellowship in Surgical Critical Care since 2008. Eighteen surgical intensivists as well as multiple anesthesia and emergency medicine intensivists provide the clinical training and didactic education to our fellows. The program encompasses the rich opportunities of multiple tertiary academic medical centers providing three rotations in unique dedicated surgical critical care environments including two level I trauma centers. We provide an evidence-based, multidisciplinary approach to education and patient management with an active participation in outcomes research, quality improvement initiatives, teaching and guideline development. A structured weekly didactic program is in place that fosters development of core critical care knowledge and complex acute care surgery conditions and delivery of that knowledge to junior learners. Exposure to ICU administration and trauma program management are also an integral component to fellowship training. The fellows rotate through ten months of critical care and two months of acute care surgery services. Three fellowship positions are offered each year. Standard Rotations Surgical Intensive Care Unit at Indiana University Hospital (4-months) The University Hospital SICU service is a consult service in a closed unit design. Services admitting to this SICU include General Surgery, Thoracic surgery, Urology, ENT, Plastics, Gynecology and Orthopedics admitting primarily oncological and hepato-pancreatic-biliary conditions providing a broad range of complexity and acuity. Surgical/Trauma Critical Care Unit at Methodist Hospital (3-months ICU and 1-month surgery) A robust surgical critical care service manages both trauma and emergency general surgery patients Fellows also participate in trauma resuscitations and operative management of the ICU patient. The fellows participate in a night float experience as the lead of the Trauma/EGS team for a single month. Surgical Intensive Care Unit at Eskenazi Hospital (3-months ICU and 1-month surgery) The Eskenazi SICU service is a closed unit for all trauma and emergency general surgery patients and works collaboratively with all subspecialty services including vascular, thoracic, neurosurgery, etc. Fellows again participate in trauma resuscitations and operative management of the ICU patient. The fellows also staff the Trauma/EGS service for a single month. Elective Rotations Medical Intensive Care Unit at Eskenazi Hospital The fellows while rotating at Eskenazi have the opportunity to rotate on the MICU service. There are two- and four-week options that are reciprocated with the Medical ICU service. This is a closed unit with all medical admissions managed by a dedicated ICU service. Cardiac Anesthesia/TEE The fellows while rotating at Methodist have the opportunity to rotate in the operating room with Cardiac anesthesia. Here, they participate in intubations, placing pulmonary artery catheters and participating in Transesophageal Echocardiography. Two-Year, AAST Approved, Acute Care Surgery Fellowship In 2015, an Acute Care Surgery (ACS) Fellowship accredited by the AAST was added as an opportunity for further advanced surgical training in a two-year tract. The curriculum has changed to the newly adopted experiential model where a fellow is hired as an instructor level staff member with oversight and supervision by acute care surgery faculty; a “transition to practice”. This second year is structured to increase autonomy, lead residents through operative cases, and build upon both teaching instructor and research skills while still having continued mentoring by academic surgeons. The fellow splits the year between both Level I trauma centers to provide exposure to different systems of care. Presently, a single fellow continues to the second year, however, the program has been approved for three positions with the expectation of expansion. The designated ACS fellow will rotate onto a Vascular service at one of our neighboring hospitals during his/her first year and during the second year, he/she rotates onto the Cardiothoracic service for a one month and also on the Hepatopancreaticobiliary service several weeks a year to fulfill the required case log.