• Trauma only
• Critical Care only
• Trauma & Critical Care
• Acute Care Surgery
• Advanced Practitioner

• Duration: 1 year
• Positions available: 4
• Salary: $81,074
• Program Director: Laura Bruce Petrey, MD, FACS

Last updated: November 22, 2024

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https://www.bswhealth.med/education/Pages/gme/dallas/surgical-critical-care-fellowship.aspx

Baylor University Medical Center (BUMC) is a 1,008-bed tertiary care hospital in the heart of Dallas with a high level of acuity and approximately 40,000 admissions a year. Since 1997, the American College of Surgeons has recognized BUMC as a Level 1 Trauma Center with approximately 3700 admissions yearly. There are 123 total ICU beds, 57 of which are surgical ICU beds for which would be seen by the surgical critical care fellows. Currently, our surgical critical care faculty provides care for trauma, acute care surgery, general surgery, solid organ transplant, heart and lung transplant, cardiothoracic, neurosurgery, orthopedic and orthopedic spinal surgery, ENT, oral surgery, OB-GYN, and plastic surgery. Our ECMO program is a Platinum Center of Excellence and is in the top 10 Adult ECMO centers in the country by volume with a very active E-CPR program. As of 2023, we have completed 177 runs for ECMO with a higher than ELSO Survival to Discharge Percentage (Cardiac 46% compared to 45%; Pulmonary 61% to 58%; E-CPR 39% to 30%). The surgeons in the Division of Trauma, Critical Care and Acute Care Surgery have always been closely involved in general surgery resident education (10 residents a year), research and quality initiatives. Our surgeons also serve as Texas A & M Health Science Center College of Medicine faculty and are heavily involved in medical student education. There are 48 medical students in each class that rotate on our campus starting in their 2nd year. The Division of Trauma, Critical Care and Acute Care Surgery faculty (22 faculty) are a diverse group which includes surgical critical care, emergency medicine, anesthesia, and pulmonary critical care intensivists.

The ACGME approved our Surgical Critical Care Fellowship in March 2016 for four (4) fellowship positions. Initially, we had funding for three (3) positions. In 2024, we were able to obtain funding for the 4th position by our affiliate hospital, Baylor All Saints, in Fort Worth Texas. Baylor All Saints (BAS) is an ACS Level 3 Trauma Center with 538 beds with programs of excellence in cardiology, transplantation, oncology, women’s, and children’s services. Surgical critical care covers at BAS all the ICUs and has capability for up to 6 ECMO patients. There is also a general surgery residency program with 3 residents per year and medical students from Texas College of Osteopathic Medicine as well as Burnett School of Medicine at Texas Christian University.

The goal of our Surgical Critical Care Fellowship program is to prepare the fellows to function as qualified practitioners at the advanced level of performance expected of Board-certified sub-specialists. The fellowship will allow fellows to develop proficiency in the management of critically ill and injured patients, develop necessary qualifications to supervise surgical critical care units, and to conduct scholarly activities in trauma/surgical critical care.

The 12-month fellowship is designed to provide surgical critical care fellows with an education in the principles and practice of state-of-the art trauma and surgical critical care according to medical knowledge and patient care, practice-based learning and improvement, systems-based practice, professionalism, and interpersonal and communication skills. This is accomplished by exposing the surgical critical care fellows to a broad array of surgical illnesses through didactic instruction in the basic and clinical sciences, as well as education during teaching rounds, primary patient care, educational conferences, and specialized rotations. Upon completion of training, the surgical critical care fellows are expected to integrate the acquired knowledge into the clinical situation to demonstrate proficiency in surgical critical care decision-making, specific organ system support, evaluation of new technology and treatment techniques, ICU administration, outcomes assessment, research design, and interaction with patients, families, and health care personnel. The Surgical Critical Care Fellowship will be individualized to each applicant and is focused on developing their future practices whether in academics or a private setting. The fellowship year is also customized to address specific deficits that the candidate feels that he/she might have with respect to operative, non-operative, and interventional management.

Rotations
Surgical and Trauma ICU (STICU BUMC) —3 months
23 ICU beds

Cardiothoracic and Transplant Surgery ICU (CTICU BUMC) — 3 months
34 ICU beds, including patients with heart and lung transplants, total artificial hearts, durable and percutaneous LVAD and RVADs (including Impella) and ECMO.

Surgical Critical Care patients throughout all the ICUs at BAS — 3 months
29 ICU beds, including patients with durable and percutaneous LVAD and RVADs (including Impella) ECMO, and solid organ transplants including liver and kidney.

Emergency General and Trauma Surgery BUMC— 1 month

Two elective months (only one can be non-surgical)
Possible electives:
Nephrology
Vascular Surgery
Colorectal Surgery
Infectious Diseases
Interventional Radiology
Cardiothoracic Surgery
Thoracic Surgery
Anesthesia
GI/ Endoscopy
The PD will work with the fellow to tailor an elective that meets the fellow’s needs

Call Schedule
All Fellows: One Friday 24-hour call every 4 weeks at BUMC. The STICU fellow covers the daytime (7A-5P) for the BUMC fellows. BAS fellow does a full 24-hr call.

BUMC Rotators: Saturday / Sunday ICU Day call on 7 Roberts (every 3 weeks). Monday following weekend call off.

Days off per month: approximately 7 total including 2 weekends the Sunday and Monday after Friday call and one Monday after the weekend call.

Scholarly Activities
Conferences for surgical critical care include journal club, process improvement and quality assurance meetings, research, and didactic lectures. Also, collegial interaction with the pulmonary critical care service and their fellows (2 per year) includes a weekly combined didactic lecture series that alternates between specialties. The fellows will participate in an ASSET course, ATLS certification or re-certification and if available, an ATLS Instructor course and a board review course. And all fellows attend the Eastern Association for the Surgery of Trauma Annual Meeting.

Program started 2016

How to apply

Wendy.Shelley@BSWHealth.org  - (214) 820-8485 (phone)

Qualifications: Application Requirements
Eligible candidates should also submit:

Dean's letter
Medical school transcript
Personal statement
Three letters of recommendation from attending physicians
Prior to appointment in the program, fellows must have completed at least three clinical years in an ACGME-accredited graduate medical education program in one of the following specialties:

Anesthesiology
Emergency medicine
Neurological surgery
Obstetrics and gynecology
Orthopedic surgery
Otolaryngology surgery
Thoracic surgery
Vascular surgery
Urology
Fellows who have completed an emergency medicine residency must also complete one preparatory year as an advanced preliminary resident in surgery at Baylor Dallas. The content of this year should be defined jointly by the program directors of the surgery program and the surgical critical care program. It must include clinical experience in the foundations of surgery and the management of complex surgical conditions.

At a minimum, this preparatory year of education must include supervised clinical experience in:

Pre-operative evaluation, including respiratory, cardiovascular and nutritional evaluation
Pre-operative and post-operative care of surgical patients, including outpatient follow-up care
Advanced care of injured patients
Care of patients requiring abdominal, breast, head and neck, endocrine, transplant, cardiac, thoracic, vascular and neurosurgical operations
Management of complex wounds
Minor operative procedures related to critical care, such as venous access, tube thoracostomy and tracheostomy

We use the Surgical Critical Care and Acute Care Surgery Fellowship Application Service (SAFAS) to electronically accept fellowship applications, letters of recommendations, dean’s letters, transcripts and other credentials directly from your medical school.

Research opportunities

Research opportunities for trauma, emergency general surgery and critical care.

Location

3525 Worth St
Dallas, TX 75246
Website

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