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

• Duration: 1 year
• Positions available: 1
• Salary:
• Program Director: Charles A. Adams Jr., MD

Last updated: May 17, 2024

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The goal of the Surgical Critical Care Fellowship Program is to provide an educational setting in which the trainee gains concentrated experience in all aspects of the care of the critically ill (resuscitation, emergency management of life-threatening illness or injury, and long-term support for single or multi-system organ failure), administrative direction of an intensive care unit, development of educational programs and teaching skills, and clinical research.

The trainees will learn the specific content (knowledge and procedures) by direct patient care under the guidance of the faculty. They will also participate in managing the units, including bed allocation, quality assurance monitoring, brain death certification, decisions regarding goals of therapy as well as end-of-life care and nursing care.

The fellow receives a salary equivalent to a PGY-6, professional liability insurance, and four weeks of vacation. Rhode Island Hospital provides a portion of health, disability and life insurance.

Clinical Experience
During the fellow's one-year program, additional didactic clinical education is provided through several weekly conferences, including two specifically for the fellows: the Critical Care Fellow's Conference and the Multidisciplinary Critical Care Conference. Fellows participate in a variety of curricula, courses, and seminars as outlined below and may attain the appropriate credentials to become course directors in these educational endeavors if desired ATLS instructor/course director ATOM (advanced trauma operative management) instructor FCCS (fundamentals in critical care support) instructor Critical Care and Trauma Ultrasound/ECHO.

Fellows are closely mentored by the program director during their training and encouraged to define and develop areas of interest that will enable clinical, research, educational, and administrative skills to be concentrated into a particular niche for long-term academic growth and success. Numerous opportunities are available, some are illustrated below.

Surgical Infectious Diseases
Educational programs and clinical research initiatives are provided in the area of surgical infectious diseases offering unique research opportunities for Critical Care Fellows. Several faculty members have a particular interest and expertise in research in surgical infectious diseases. A large database of nosocomial infections exists to support research endeavors.

Surgical Nutrition
The adult nutrition support service consults all patients on TPN and provides consultation on complex GI dysfunction and critical illness as well as combined TPN/TEN nutrition therapy. Divisional members serve as co-directors of the nutritional support service.

Research
The division has a very active program in clinical and basic research. Ongoing NIH funded clinical research provides access to research opportunities for fellows. The Division also participates in numerous multi-center trials in the areas of trauma, critical care, burns, and surgical infectious diseases. The Division maintains a Surgical Critical Care database and an extensive trauma registry.

Acute Care Surgery Fellowship Second Year
The second year of the ACS fellowship will provide tremendous variety and volume. With rotations in emergency general surgery (EGS), hepatopancreaticobiliary (HPB), endocrine surgery, vascular surgery, cardiac surgery, thoracic surgery, urology, orthopedic surgery, and neurosurgery, the fellow will have an opportunity to develop a comprehensive understanding of how the most complex injured and acutely ill surgical patients are cared for. These rotations will each provide extensive operative experience, and while a fully incorporated member of each of these subspecialty teams, the ACS fellow will also learn about decision-making through rounds, conferences, and clinics.

Throughout the year the ACS fellow will have graduated responsibility which will aid their transition to independent practice. This graduated responsibility will include in-house Trauma and ACS Call with full attending backup that will initially be in-house as well, and protected clinic time for follow-ups with an assigned mentor to discuss these patients.

The fellow will also be granted an academic role as a clinical instructor at The Warren Alpert Medical School at Brown University. There will be numerous opportunities to hone formal and informal teaching skills through delivery of the ACS curriculum and there will be research opportunities as well in investigating clinical outcomes.

Program started 1994

How to apply

lcabana@lifespan.org  - (401) 444-0326 (phone) , (401) 444-6681 (fax)

Qualifications: Applicants for the Surgical Critical Care and Acute Care Surgery Fellowship must have completed at least three clinical years in an ACGME-accredited graduate educational program in one of the following specialties: anesthesiology, emergency medicine, neurological surgery, obstetrics and gynecology, orthopaedic surgery, otolaryngology, plastic surgery, surgery, thoracic surgery, vascular surgery, or urology. It is preferred that applicants have completed their General Surgical training.

Candidates must submit application and supporting materials, including a C.V., one letter of recommendation from the Chairman of the Department of Surgery, and 2 letters of recommendation from other faculty in the Department of Surgery www.safas.smapply.io

Research opportunities

https://www.brown.edu/academics/medical/about/departments/surgery/research/department-surgerys-research-database

Location

Rhode Island Hospital
Providence, RI 02903
Website

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