Surgical Critical Care Fellowship - Clinical Practice
The UTHSCSA Division of Trauma and Emergency Surgery is composed of nine faculty
trauma/critical care surgeons, six physician assistants, and seven nurse practitioners.
As the region’s lead Level 1 trauma center, adult trauma activations at University Hospital
average over 4,500 per year with an average case mix of 10% penetrating trauma, 85% blunt
trauma, and 5% burns. As the region’s only pediatric trauma/burn center, University Hospital
receives over 1,100 pediatric trauma activations per year, providing pediatric trauma and burn
The Trauma Resuscitation Unit (TRU) in the Sky Tower at University Hospital consists of a
20-bed integrated acute and subacute trauma area, consisting of six open bay trauma/critical
care beds, ten subacute trauma beds, and four pediatric trauma resuscitation beds. Two modern
256-detector CT scanners support the trauma and emergency surgery service, and overhead
monitors in each trauma bay display vital signs and videos during intubations or ultrasound
procedures. When on-call, fellows direct care in the TRU as well as lead the resuscitation
and operative management of trauma and emergency surgery patients.
In addition to trauma and surgical critical care, the division also runs the emergency
surgery service at University Hospital, which manages about 1,500 patients per year. With
a variety of complex general surgical problems, fellows gain significant operative and
critical care experience managing common general surgical issues, surgical infections, and
complications of surgical disease.
The $778 million 716-bed Sky Tower at University Hospital, opened in 2013, has 35
operating rooms, two of which are dedicated to the Trauma and Emergency Surgery service.
The hybrid trauma/interventional radiology operating suite is reserved for critically-ill
trauma patients and those requiring emergency trauma surgery. The acute care surgery suite
functions 24/7/365 to manage our multiple emergency and general surgery cases.
When on-call during rotations at University Hospital, fellows are provided the opportunity
to manage trauma patients in the trauma bay, perform required surgical procedures or
operations, and direct the critical care aspects of post-operative care, all in
coordination with one of the two in-house trauma/surgical critical care faculty.
Similarly, emergency surgery patients are managed by fellows on call, from initial
evaluation to operative intervention and postoperative care.
A modern 30-bed Surgical Trauma ICU at University Hospital provides care for
general, trauma, emergency surgery, ENT, plastics, orthopedics, vascular, and
ob/gyn patients. All critically ill patients are managed by the Surgical Critical
Care service in conjunction with the primary team. In addition to surgical residents,
three advanced practice faculty clinicians are permanently assigned to the ICU.
Fellows are responsible for the leadership and management of the two ICU teams
in conjunction with surgical critical care faculty. Multidisciplinary bedside
teaching rounds are conducted on a daily basis, focusing on all aspects of the
critically ill patient.
In addition to daily teaching rounds, weekly conferences, and additional didactics, the UTHSCSA SCC fellowship offers the following training opportunities: