Carolinas HealthCare System
Trauma and Surgical Critical Care

Surgical Critical Care Fellowship

Surgical Critical Care physicians and residentsThe Surgical Critical Care Fellowship at Carolinas Medical Center (CMC) provides a wealth of experience in critical care medicine to train future academic surgeons with specialty interests in trauma and critical care. A dynamic core faculty is comprised of nine board certified nine attendings in Surgical Critical Care. One of the attendees is fellowship trained in Minimally Invasive Surgery and all are dedicated to teaching and mentoring. In addition to core surgical procedures, our fellowship provides expert training in transesophageal echocardiography, vena caval filters and sonography for trauma and invasive procedures. The fellow will also gain experience with dedicated medical, cardiac, anesthesiology and pediatric intensivists. Additionally, CMC has a robust disaster preparedness system and well-established trauma networks in North Carolina. As such, the fellow will be provided with opportunities to engage in these exercises. CMC's fellowship encourages active participation in outcomes research, quality improvement initiatives, guideline development, state-of-the-art simulation training and teaching.

The educational program consists of resident/fellow mentoring by faculty, didactic instruction, extensive hands-on experience, and education in critical care administration and policy development. Our goal is to fully prepare our graduates to be superb clinicians, excellent academicians, and thought leaders in their future institutions.

Location

Carolinas Medical Center serves as a primary site for training experience. CMC is the flagship facility of Carolinas HealthCare System and provides primary, tertiary, and quaternary services to a population of approximately 1.5 million people in the greater Charlotte area. As one of North Carolina's largest hospitals, CMC serves as the regional referral center for western North Carolina and northern South Carolina. The hospital, which operates 894 beds with 127 ICU beds, is one of only five facilities in North Carolina designated as an Academic Medical Center Teaching Hospital and a Level I Trauma Center. It operates a number of specialized centers and institutes, bringing together some of the finest medical personnel in the country to treat patients with specific diagnoses

Located on the campus of CMC, Levine Children's Hospital is the largest children's hospital between Washington DC and Atlanta. The 240,000-foot hospital opened in 2007 and is home to the region's only dedicated children's emergency department, which  operates 24/7.With more board-certified physicians in more pediatric specialties than any other hospital in the region, Levine Children's Hospital provides a level of care unparalleled in this area of the southeastern United States.

Clinical Responsibilities

There are numerous clinical resources available to the fellow at Carolinas Medical Center, including multiple adult and pediatric multi-specialty ICUs that admit thousands of critically ill patients per year. The fellow rotates through five of the main ICU's: surgical, trauma, medical, pediatric, and cardiothoracic. Under the attending's supervision, the fellow is responsible for the daily evaluation and management of these patients. Additionally, CMC features a recently-constructed simulation laboratory with state-of-the-art simulation modules.

Administrative Responsibilities

Carolinas Medical Center's critical care faculty is heavily integrated within the intensive care administrative structure at the institution. The fellow will be mentored in the organizational structure and management of an ICU. The fellow will be mentored in the organizational structure and management of running an ICU and will also serve as a member of the ICU advisory committee, the STICU advisory committee, the surgical critical care outcomes committee, the trauma outcomes committee and the ICU infection control committee. The critical care faculty will mentor the fellow through this administrative process.

The fellow will attend one hospital-funded national conference during the year and will have support for abstract/research presentations to be conducted throughout the year. A full-time medical editor employed by the Department of Surgery is available to the fellow for editorial assistance with manuscript preparation and submission. The fellowship program coordinator will provide administrative support for the fellow.

Objectives

The general educational goals, skills, and competencies of Carolinas Medical Center's surgical critical care fellowship program are focused on enabling the fellow to:

  1. Develop a sound understanding of the pathophysiology of critical illness
  2. Acquire an in-depth knowledge of the management of critically ill and critically injured patients, including a comprehensive understanding of the literature supporting various clinical approaches
  3. Master the use of various technologies for monitoring within the critical care unit
  4. Achieve competence in the therapeutic interventions employed within the intensive care setting
  5. Develop the administrative skills necessary to direct a surgical intensive care unit
  6. Acquire a basic understanding of design and conduct of basic and clinical research
  7. Develop sound clinical decision-making abilities as well as adopting a professional demeanor
  8. Acquire the fundamental core competencies as described by the ACGME

Application

For more information please contact the Fellowship coordinator: Diane.winters@carolinashealthcaresystem.org

Previous SCC Fellow

2010-2011: Dr. Lindsay Fairfax

SCC Fellow Publications (2010-2011)

Oral Presentations

  1. Fairfax LM, Christmas AB, Braxton V, Janulis K, Sing RF. Timing of Tracheostomy: Comparison of Medical, Surgical, and Trauma Patients. Submitted for Presentation at South Carolina/North Carolina Chapter of American College of Surgeons, July 2011.
  2. Fairfax LM, Heffner AC, Schiffern L, Christmas AB, Sing RF. The Use of Echocardiography in the Intensive Care Unit. Submitted for Video Presentation at American College of Surgeons Annual Meeting, Oct 2011.
  3. Fairfax LM, Walters KC, Montero PF, Heniford BT, Sing RF. Operative Drainage of Peripancreatic Abscess: Combined Laparoscopic/Open Approach. Video Presentation at American College of Surgeons Annual Meeting, Washington, DC. Oct 2010.
  4. Fairfax LM, Sing RF, Christmas AB, Huynh T, Jacobs DG, Thomason MH. Decreased Participation in Trauma Resuscitations in the Era of Work Hour Restrictions: Further Sacrifices on Resident Education. Oral Presentation at South Carolina/North Carolina Chapter of American College of Surgeons, Myrtle Beach, SC. July 2010.

Posters

  1. Fairfax LM, Christmas AB, Braxton V, Janulis K, Sing RF. Timing of Tracheostomy: Comparison of Medical, Surgical, and Trauma Patients. Poster Presentation, Society of Critical Care Medicine, Annual Congress, San Diego, CA, Jan 2011
  2. Fairfax LM, Kercher K, Sing RF. Total Abdominal Colectomy Performed in the Intensive Care Unit. Poster Presentation, Society of Critical Care Medicine, Annual Congress, San Diego, CA, Jan 2011.
  3. Fairfax LM, Christmas AB, Braxton V, Janulis K, Sing RF. Laparoscopy for Trauma: Beyond Diagnosis. Poster Presentation, Eastern Association for the Surgery of Trauma, Annual Meeting, Naples, FL, Jan 2011.
  4. ?

Manuscripts

  1. Fairfax LM, Sing RF. Vena Caval Interruption. Critical Care Clinics of North America. Submitted June 2011.

SCC Fellowship Manual

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