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Surgical Critical Care Fellowship


Overview — The Surgical Critical Care (SCC) Fellowship program at UT Health Science Center San Antonio is designed to create leaders in trauma surgery and surgical critical care through intensive clinical exposure to complex surgical critical care, the development of administrative skills required to manage a modern surgical intensive care unit, and involvement in various educational and clinical research opportunities.

The one-year SCC fellowship is fully accredited for 3 fellows per year by the ACGME and has received maximum accreditation under the NAS. For those who are interested, an additional year consisting of Trauma Surgery and/or research is available. The Trauma Surgery year consists of dedicated clinical training on the Trauma and Emergency Surgery service at University Hospital, the lead Level 1 trauma center in San Antonio, a city consisting of over 1.4 million people and the 7th largest city in the nation. During the second year, fellows also have the opportunity to earn the degree of Master of Science in Clinical Investigation(MSCI) from UTHSCSA.

The UTHSCSA SCC program is a member of the TRISAT multi-institutional educational consortium, consisting of the three major San Antonio critical care programs: UTHSCSA Surgical Critical Care, UTHSCSA Anesthesia Critical Care, and San Antonio Military Medical Center (SAMMC) Surgical Critical Care. This affords our UTHSCSA SCC Fellows unique educational opportunities, including exposure to anesthesia critical care faculty as well as clinical rotations at military installations managing critically-ill military and combat casualties.

Clinical sites include University Hospital (Surgical Trauma ICU), Audie Murphy VA Hospital (Ultrasound, Surgical ICU), SAMMC (Surgical ICU, Trauma ICU), and the US Army Institute of Surgical Research (Burns).

The UTHSCSA SCC program also offers a strong didactic experience through its multi-institutional weekly webcast lecture series that is currently viewed on a routine basis by 8 institutions across the country, and a comprehensive Reading Compendium which consists of over 12o articles organized into 12 SCC topics.

Fellows also have the opportunity and are encouraged to participate in any of the ongoing research projects that encompass trauma, critical care, emergency surgery, and burns. Additionally, Fellows can develop their own projects depending on individual interests. Fellows are provided 1 month in a non-service role to allow them ample opportunity to pursue independent reading, participate in process improvement projects, and hone their teaching skills. Trauma faculty research focuses on new and innovative ways to improve the care, management and treatment of trauma and critically ill patients. Ongoing research includes industry-sponsored studies, grant sponsored multi-institutional studies, and investigator-driven studies in areas such as acute lung injury, ARDS, ventilator-associated pneumonia (VAP), intra-abdominal infections, critical care diagnostic devices, surgical infection, and surgical nutrition.

Fellows who are able to obtain a Texas license prior to starting fellowship are appointed as faculty at the rank of clinical instructor and are given the opportunity to take faculty trauma and emergency surgery call. With two in-house trauma/critical care faculty 24/7/365, assistance is immediately available during call periods.

Qualified applicants must have completed an ACGME-accredited General Surgery residency prior to starting fellowship and must be either board-eligible or board-certified by the American Board of Surgery.

Interview offers will be sent by email, typically by the end of June of the interview year. Interviews are conducted July to September, and positions are filled through the NRMP Match.