Educational Curriculum

The program curriculum is designed to provide fellows with a comprehensive clinical experience with graduated advancement to the goal of a superior level of independent, competent practice in surgical critical care. Surgical critical care (SCC) fellows are expected to demonstrate the mastery of the ACGME competencies of Medical Knowledge, Patient Care, Practice-Based Learning and Improvement, Interpersonal and Communications Skills, System Based Practice and Professionalism. It is our goal to stimulate and advance the knowledge of the science and art of critical care surgery.

The surgical critical care fellow will act as a physician, teacher, administrator and researcher. The numerous clinical, system and ethical issues that arise in a busy SICU will result in the SCC fellow becoming an adept problem solver. The surgical critical care fellow will assume the role of an attending as the year progresses and will be expected to demonstrate independence in clinical decision making. They will also be integrally involved in the clinical education of junior residents and medical students during their rotations in the SICU.

The Surgical Critical Care fellow will spend 10 months rotating in the SICU and one month each in the MICU and CT-ICU (The fellowship year runs from 8/1 through 7/31.)

Education for the critical care fellows occurs throughout the academic year and includes daily bedside teaching rounds, weekly didactic sessions (protected time), twice monthly critical care journal club, and multidisciplinary conference twice weekly.
 
The fellow will be encouraged to attend a conference of their choosing (such as the SCCM annual conference, annual board review course, or the EAST annual scientific assembly. The program also offers the fellow the opportunity to become an ATLS instructor by taking the instructor candidate course offered at SJUMC, as well as partaking in other courses offered at the institution, such the ASSET or BEST courses.
 
2020- 2021 Surgical Critical Care Fellowship Educational Schedule
 
Week Date Topic
1 Aug 3 Cardiac Arrest
2 Aug 10 Hemodynamic monitoring; invasive and non-invasive
3 Aug 17 ABG Interpretation
4 Aug24 Airway Management
5 Aug 32 ICU pharmacology
     
6 Sep 7 Fluid and electrolytes
7 Sep 14 Pulmonary physiology
8 Sep 21 Basic ventilator management
9 Sep 28 Diag. and Management of ICU acquired pneumonia
     
10 Oct 5 Metabolic response of illness / SIRS / MSOF
11 Oct 12 ARDS
12 Oct 19 Sepsis / septic shock
13 Oct 26 Shock- Hypovolemic/hemorrhagic/neurogenic
     
14 Nov 2 Cardiac arrhythmias
15 Nov 9 Cardiac hemodynamics: CO, DO2, VO2, SvO2, etc.
16 Nov 16 Cardiogenic Shock / AMI management
17 Nov 23 CHF / endocarditis
18 Nov 30 Management of diabetes/ hyperglycemia
     
19 Dec 7 Anemia in critical illness / blood transfusions
20 SDec 14 Coagulopathy / DIC/ factors / MTP
21 Dec 21 Thrombocytopenia / HIT / platelet transfusions
22 Dec 28 DVT/PE/Anticoagulation and reversal
     
23 Jan 4 Management of Chest Trauma
24 Jan 11 Management of Abdominal Trauma
25 Jan 18 Management of Ped. / Geriatric / Pregnant Trauma
26 Jan 25 Management of Compartment Syndromes
     
  
  Date Topic
27 Feb 1 TBI / Management of  cerebral edema
28 Feb 8 Stroke / SAH / Intracranial aneurysms
29 Feb 15 Brain Death  / Organ Donation
30 Feb 22 Prognostic Scoring for ICU patients
     
31 Mar 1 Management of Acute Renal Failure / RRT
32 Mar 8 Acid Base Disorders: Dx. and Management
33 Mar 15 Endocrine Issues in Critical Care
34 Mar 22 Sedation / Analgesia / Delirium
35 Mar 29 Antibiotic Management / Stewardship
     
36 Apr 5 Nutritional Assessment and Support
37 Apr 12 TPN
38 Apr 19 Acute and Chronic Liver failure
39 Apr 26 Manag. of abdominal infections / C diff
     
40 May 3 Ethical Issues in the ICU
41 May 10 Palliative care in the ICU
42 May 17 Humanism in the ICU
43 May 24 Geriatric Pharmacology
     
44 Jun 7 Critical Illness in Pregnancy
45 Jun 14 Manag. of Spinal Cord Injury in the ICU
46 Jun 21 Rehabilitation in the ICU / Early mobility
47 Jun 28 Post-ICU syndrome/Persistent Critical Ill.
     
48 July 6 Fellow Grand Rounds
49 July 13 TBD
50 July 20 TBD
51 July 27 Cancelled