The goal of the Surgical Critical Care Fellowship Program at Carolinas Medical Center is to provide exposure to complex surgical critical care in order to prepare Advanced Care Providers (ACPs) with the skills necessary to be successful in delivering excellent critical care.  The fellowship with allow both nurse practitioners and physician assistants to develop the knowledge base to perform procedures and life-saving interventions in a high acuity patient population.

It will serve as an immersion in specific critical care competencies to prepare the ACP for the critical thinking needed above and beyond their master’s degree training. Furthermore, it will serve to further their knowledge of evidence based practice, basic research techniques, guideline development and quality improvement initiatives.  Overall, it will prepare the ACP to be a well-rounded provider, leader, and resource in a critical care team.

In addition to scheduled simulation labs, fellows will have real-time exposure to patient care in the Intensive Care Unit, Operating Room, Inpatient Floor, Outpatient Clinic and the Trauma Bay in the Emergency Department.  They will have a vast experience in many surgical procedures including, but not limited to simple/complex suturing, tracheostomy, thoracostomy, percutaneous endoscopic gastrostomy, bronchoscopy, central venous catheter insertion, arterial catheter insertion, pulmonary artery catheter insertion, wound debridement, thoracentesis, inferior vena cava filter insertion and hemodialysis catheter insertion.

There will also be opportunities for other surgical procedures while on emergency general surgery and general surgery rotations.

Rotations

The ACP Fellows will have a comprehensive rotation in all Acute Care Surgery Service lines including the initial three months of core curriculum, followed by a month long experience in each of the following:

  1. Three Months of Core Curriculum
  2. Surgical Critical Care
  3. Trauma Intensive Care
  4. General Surgery
  5. Emergency General Surgery
  6. Trauma Floor Service (Floor patients, Clinic and Trauma Code Admissions)
  7. Elective Month
    1. Hepatobiliary Surgery
    2. Vascular Surgery
    3. Transplant Surgery
    4. Surgical Oncology
    5. Minimal Invasive GI Surgery
    6. Cardiothoracic Surgery
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