Vanderbilt University Medical Center is a comprehensive health care facility dedicated to patient care, research, and the education of health care professionals. Its reputation for excellence in each of these areas has made Vanderbilt a major patient referral center for the Mid-South as well as a prime example featured on The Learning Channel's Trauma: Life in the ER, Maternity Ward, and Resident Life. A Vanderbilt medical education has long been held in high esteem among its peer institutions, and the number one reason given by medical students for choosing Vanderbilt continues to be the collegial atmosphere between faculty and students and the close personal attention that students receive.
The Division of Trauma and Surgical Critical Care mission is to provide exemplary care for critically ill or injured patients while increasing the general level of knowledge within these disciplines, both through formal educational efforts as well as independent research.
The fellowship program is designed to train leaders in academic Surgical Critical Care, Acute Care Surgery and Trauma through an intensive clinical and educational experience. The Division of Trauma and Surgical Critical Care directs programs in Surgical Critical Care, Trauma, Emergency General Surgery, and Burns. Four fellows are accepted into this typically two year program each year and are immersed in the management of critically ill surgery, trauma, emergency general surgery and burn patients. Directed effort is put toward the development of specific areas of interest for each fellow during their two year program and to enhance their research, educational, and administrative skill sets.
Please complete the application and submit with curriculum vitae and three letters of recommendation. The completed application file will then be reviewed for the interview process.
The clinical component of the VUMC Surgical Critical Care and Acute Care Surgery Program generally consists of a two year fellowship of which the first year is designed to provide requirements for a Certificate of Added Qualifications in Critical Care and the second year is designed to prepare the surgeon for a leadership role in academic Acute Care Surgery with directed supplemental training in Trauma and Emergency General Surgery. Additionally, candidates interested in additional expertise in the care of acutely burned patients may elect to complete supplemental training in Burns. First year fellows direct the care of critically ill patients in diverse ICU settings with in-depth Critical Care Faculty mentoring. Second year fellows direct all aspects of care and operative management of patients who require urgent or emergent operative intervention. They receive appointments as Instructors of Surgery and the direct care of patients under the mentorship of Division faculty. A description of the services directed by the Division of Trauma and Surgical Critical Care is provided below.
The Level I regional trauma center provides service for 80,000 square miles in Tennessee, Kentucky, and Alabama, averaging 4,000 patient admissions per year with a case mix of 80% blunt trauma and 20% penetrating trauma. The trauma unit consists of a 31-bed integrated acute and sub-acute care unit, which contains a 14-bed ICU, a 7-bed acute admission area, and a 10-bed subacute unit. Fellows direct care in the Trauma ICU during their 1st year as well as direct the resuscitation, stabilization, and operative management during their on-call experience. Second year fellows function as supervised junior faculty while on the Trauma service.
A 21-bed SICU provides surgical critical care for approximately 1,400 patients a year from general, vascular, transplants, thoracic, and subspecialty surgical services. All critically ill patients are managed by the Surgical Critical Care Service in conjunction with the primary team. Fellows are an integral part of the multidisciplinary surgical critical care service that provides management for all critically ill patients in the unit.
The Division of Trauma and Surgical Critical Care runs the Emergency General Surgery service, which serves roughly 2,000 patients each year. The EGS service provides timely surgical assessment and operative management of patients with diverse acute general surgical problems, concentrating the care of the patient into one service with dedicated faculty. Between 20 and 40% of this population requires ICU management and many require staged or repeated operative interventions. The EGS service allows fellows to gain considerable expertise in surgical infections, complications of acute surgical disease, and complex surgical management.
Our regional burn center provides specialized care for greater than 500 burn admissions, roughly 3,500 out-patient visits and comprehensive adult and pediatric burn care. The burn team is a multidisciplinary group of physicians, nurses, therapists, nutritionists, and social workers. The Critical Care Fellow rotation features educational opportunities in child and adult airway management, fluid resuscitation of the major burn victim, high-frequency percussive ventilation, wound management, surgical infectious diseases, nutrition, and catabolism. Additional training in surgical management and certification in the use of skin substitutes is available.
The program provides the opportunity for fellows to gain unique expertise in specialty areas through elective rotations-including neurological, pediatric, medical intensive care, and research, among others.Advanced Training >>>