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Surgical Critical Care Fellowship

Program Director: Matt Rosengart, MD, MPH

Acute Care Surgery Fellowship

Program Directors: Jason Sperry, MD, MPH and Andrew B. Peitzman, MD

Training programs in surgical critical care and acute care surgery are under the auspices of both the Department of Surgery and the Department of Critical Care Medicine. The Surgical Critical Care Fellowship is accredited by the ACGME and the Acute Care Surgery Fellowship is accredited by the American Association for the Surgery of Trauma, only the third such program to be approved. The goals of the programs are to teach the clinical knowledge and technical skills of critical care, trauma and acute care surgery that will enable each fellow to become a confident critical care practitioner, administrator, and educator.

The Surgical Critical Care Fellowship includes rotations in Trauma, Surgical, Neurotrauma, Neurovascular, Cardiothoracic, and Abdominal Organ Transplantation intensive care units. Several elective rotations, including Burn Care, Obstetrics/Gynecology and Pediatrics, are also available. Three months of the fellowship year involves operative experiences on the Trauma/Acute Care Surgery Service. This service has >4000 trauma admissions/year and a busy elective and emergency general surgery practice.

Clinical training is provided at the University of Pittsburgh Medical Center-Presbyterian, the Pittsburgh VA Healthcare System, Mercy Hospital, Magee-Women’s Hospital, and Childrens’ Hospital of Pittsburgh. The rotations provide a broad spectrum of experiences.

In addition to this extensive clinical experience, the fellowship’s educational program includes an in-depth critical care lecture and workshop series, rotation-based educational materials and conferences, research conferences, quality improvement and morbidity/mortality conferences, journal clubs, and grand rounds. Computer-assisted, full-scale patient simulation (Winter Institute for Simulation Education and Research – http://www.wiser.pitt.edu) is used extensively. The curriculum includes discussions of medical education techniques, scientific methods, and administration.

The Acute Care Surgery Fellowship includes the one-year Surgical Critical Care Fellowship, followed by a second year during which the fellows are appointed as Instructors and are expected to take on a leadership role on the Trauma/Acute Care Surgery Service. They are afforded increased autonomy as they progress through the Fellowship. The ample experiences in trauma and acute care surgery are complemented by rotations in thoracic, hepatobiliary, vascular, and pediatric surgery. Additional electives are available. Opportunities for research, education, and administration can be tailored to meet individual fellow’s needs.

Fellows may apply for a three-year, NIH-sponsored National Research Service Award in critical care research. In addition, advanced training in research, education, or clinical-administration, is available in certificate and degree programs at the University of Pittsburgh. Fellows are encouraged to consider extending their training period to complete one of these programs.

Four surgical critical care positions are available each year with up to 2 positions designated for Acute Care Surgery training. Applicants for the surgical critical care fellowship must have completed at least 3 years of surgery training prior to beginning the fellowship; applicants for the combined surgical critical care/acute care surgery fellowship must have completed a general surgery residency.

For fellowship inquiries, please contact Kris Baldridge (baldridgek@UPMC.EDU).