The curriculum for the Surgical Critical Care and Acute Care Surgery Fellowship includes block rotations as well as conferences and teaching experience.
Surgical Critical Care (SCC) Rotations
Rotations are grouped in blocks of two so fellows spend at least four months at three of the school’s training sites (IU Health Methodist, IU Health University, and Eskenazi Hospital). IU Health Methodist and Eskenazi Hospital are two of the state’s Level 1 trauma centers, exposing the fellow to a wide variety of trauma critical care management. Out of the four months spent at each of these institutions, one month is dedicated to night trauma (IUH Methodist) and one month dedicated to day trauma (Eskenazi). The remaining months are in the respective surgical intensive critical care units.
IU Health University Hospital does not have a trauma center or an ER, but the surgical intensive critical care unit at this facility focuses on post-operative patient care for patients after general surgery related procedures and subspecialty procedures (HPB, Thoracic, Colon-Rectal, and Endocrine). The Surgery Critical Care team works in tandem with specialty service teams to provide the best patient care and experience.
Acute Care Surgery (ACS) Rotations
Following guidelines set by the American Association for Surgery Trauma (AAST), the Acute Care Surgery year is structured to ensure increased confidence and autonomy in the trauma and acute care surgery setting. Incorporated into the faculty call schedule at IU Health Methodist, the majority of the year is spent working with the trauma and emergency general surgery services. A dedicated vascular surgery rotation is completed during the surgical critical care year in lieu of a trauma rotation, a dedicated endocrine surgery rotation, and a dedicated cardiothoracic rotation is completed during the acute care surgery year. The fellow provides vacation coverage for the fellow and senior level residents on the HPB service for additional experience.
All Surgical Critical Care and Acute Care Surgery fellows attend a weekly surgical critical care focused conference on Wednesday mornings after the departmental M&M session. In addition, hospital specific weekly conferences are required to be attended by fellows assigned to those specific locations.
Fellows as Teachers
Opportunities exist to become a training instructor in the following courses provided to residents in the department of surgery. Surgical Critical Care and Acute Care Surgery fellows may participate in Advanced Trauma Operative Management and/or Advanced Surgical Skills for Exposure for Trauma if they did not receive this experience as a surgery resident:
- Atlas Trauma Life Support (ATLS)
- Advanced Trauma Operative Management (ATOM)
- Advanced Surgical Skills for Exposure for Trauma (ASSET)
Fellows are expected to teach intern skills labs when led by Surgical Critical Care faculty in the areas of:
- Central Line Placement
- Emergency Airway
- Chest Tube Placement