Program Overview

Curriculum

The educational program includes daily teaching rounds, didactic lectures, biweekly multidisciplinary rounds, bioethics conferences, and critical care grand rounds.  The faculty of the program includes eight board certified critical care specialists from the Departments of Surgery and Anesthesia with a wide range of clinical expertise and research interests.  Critical Care residents are encouraged to participate in research activities in the SICU and pursue original study ideas during the fellowship.

Rotations

The Critical Care program provides a twelve-month clinical experience in all aspects of surgical critical care including: patient management, critical care procedures, nutrition support, clinical research, and ICU administration.  Individuals will spend a minimum of nine, and possibly twelve months in the SICU.  Elective rotations for surgical residents in Trauma Surgery, Cardiac Surgery, and Pediatric Intensive Care may be arranged.  Anesthesia residents in their third year have the opportunity to apply their interests and ability in research, subspecialty training, or advanced clinical experiences.  Elective rotations for Anesthesia residents include Medical ICU, Pediatric ICU, and Emergency Medical Services.

The fellow(s) are responsible for the immediate supervision of the Critical Care Service which is composed of second year residents from the Departments of Surgery, Anesthesia, and Emergency Medicine who are assigned to the SICU.  The junior residents take in-house call with backup by the critical care fellow and attending from home.  Weekends are covered on an alternating basis by the surgical and anesthesia fellow.  Fellows are allowed three-weeks vacation and time off for meetings.

Research

The attendings on the Trauma and Critical Care Service perform both basic science and clinical research.  A second-year devoted to either clinical or basic research is available if desired.

Fellows are offered the opportunity to participate in clinical research projects and encouraged to submit abstracts and attend a major Critical Care meeting each year.  The Office of Clinical Research is administered by the Section of Trauma/Critical Care and is involved in many clinical trials.  The group is part of Critical Care Clinical Investigation Network of the Society of Critical Care Medicine.  Most of the clinical trials involve the evaluation of new therapies for critically ill patients including: hemorrhagic shock, adult respiratory distress syndrome, brain injury, septic shock, pancreatitis, nosocomial pneumonia, nutrition, and renal failure.

A number of clinical and basic science faculty have active laboratory research programs in critical care related areas, including:   mechanisms of growth hormone resistance in sepsis, regulation of skeletal muscle protein metabolism in sepsis, the biochemical basis of hyperlactatemia in sepsis, cytokine regulation of the IGF system during infection, regulation of the IGF system and muscle wasting by alcohol.