Adult Surgical Critical Care Fellowship
The one-year Adult Surgical Critical Care Fellowship is accredited by the American Council for Graduate Medical Education (ACGME). The fellowship is administered through McGaw Medical Center of Northwestern University.
Clinical training for the fellowship includes rotations through multiple units at Northwestern Memorial Hospital, including the Surgical Intensive Care Unit (SICU), Cardiothoracic/Transplant Intensive Care Unit (CTICU), Neuro-Sciences Intensive Care Unit (NSICU) and Medical Intensive Care Unit (MICU). Elective rotations in Infectious Disease, Nephrology, Echocardiography, Hospice & Palliative Care, Coronary Care (CCICU), as well as Neonatal and Pediatric Intensive Care Units are offered at Northwestern. All elective and customized rotations have documented educational value and clear goals approved by the ACGME; they proceed under the supervision of experienced faculty.
The Surgical Critical Care Fellowship at Northwestern is a one-year ACGME-accredited fellowship for graduates of ACGME-accredited general surgery residency programs. The program accepts two fellows each year. Two features distinguishes our fellowship program: first, we create “Individualized Learning Plans” to accommodate the specific needs and aspirations of each fellow based on their chosen career trajectory. Second, we foster collaborative, multi-disciplinary and multi-specialty innovative educational programs and provide our fellows with immersive experiences through rotations on a number of diverse critical care units and related consulting services to provide comprehensive clinical experiences to manage all aspects of critical illnesses.
SCC fellowship rotations are based primarily at Northwestern Memorial Hospital (NMH) in the heart of the beautiful city of Chicago next to the touristic Magnificent Mile. The Surgical Critical Care service manages critically-ill surgical patients including those from general surgery, trauma, vascular, thoracic, surgical oncology, urology, ENT, gynecology, as well as pre- and post-transplant patients.
NMH reputation as one of the nation’s leading academic medical centers continues as we develop additional world-class facilities and expanded clinical programs with our academic partner, Northwestern University’s Feinberg School of Medicine. This is a 894-bed academic medical center hospital, with at least 115 ICU beds that is the primary teaching affiliate for the Feinberg School of Medicine and has nearly 1,900 affiliated physicians representing virtually every medical specialty. According to U.S. News & World Report (2019-20), Northwestern Memorial Hospital is the No. 1 hospital in Illinois and Chicago and is recognized among the top hospitals in the country ranking No. 10 on the Best Hospitals Honor Roll.
The goal of the Surgical Critical Care (SCC) fellowship training at Northwestern is to graduate SCC specialists who are able to fulfill and advance the clinical, administrative and research expectations of future leaders in SCC.
Graduates of the Northwestern SCC fellowship are expected to:
- Implement best evidence-based practices that are cost-effective, adhere to patient safety principles and improve patient outcomes
- Demonstrate advanced decision-making abilities during complex clinical situations
- Operate effectively within multidisciplinary patient care teams
- Practice effective and comprehensive communication skills with patients, families and teams of healthcare providers
- Participate in quality control projects to achieve institutional and national quality benchmarks and improve patient outcomes
- Design and conduct research projects that are relevant to the science of critical care
- Develop essential administrative and managerial skills that improve resource utilization within the critical care unit and the institution
- Illustrate competence in utilizing monitoring and support devices essential for patient care
- Your welfare and well-being is an important goal for the program. Do not hesitate to reach out to the program director or appropriate faculty or available resources when you are in need of support and help. You will find a list of resources to promote well-being and help you mitigate fatigue on the fellowship website.
- Closely observe safety practices for yourself and for the team including having a mask at all times while in the unit, meticulous hand hygiene and gowning when appropriate.
- Take ownership of your service and of your education like a champ!
- Self-motivation and taking initiatives is the rule, there should be no expectations of “spoon feeding.” Faculty will help and direct you to the best resources.
- Be happy and energized coming into work every day! Let the program director know when you are not!
- Be courteous and civil and remember that people look up to you. For example:
- a) Say hello, good-morning, please and thank you to all ICU and primary team staff.
- b) Allow all members ICU staff (nurses, respiratory, pharmacists) to voice their opinion before interjecting your own to demonstrate respect.
- C) We may have differences of opinions with other teams or between attendings, but please keep discussion about those opinions academic and do not criticize others.
- Be professional even if others around you are not. There is ZERO-tolerance for outbursts and insulting, vulgar, derogatory or cursing language.
The comprehensive curriculum was designed to ensure that fellows are prepared for independent practice as SCC specialists who are excellent and compassionate clinicians, thorough scientists and visionary leaders in the field.
Curricular elements for SCC fellowship at Northwestern were adopted from four main sources:
- The Society of Critical Care Medicine (Guidelines for Advanced Training for Physicians in Critical Care, Crit Care Med 1997; 25:1601-1607)
- The Surgical Critical Care Program Directors Society (Training and certification in surgical critical care: a position paper by the Surgical Critical Care Program Directors Society. J Trauma. 2010 Aug; 69 (2): 471-474)
- The ACGME Program Requirements for Graduate Medical Education in Surgical Critical Care
- American Board of Surgery- Content Outline for the Certifying and MOC (Recertification) Examination
- Bedside multidisciplinary rounds (daily)
- Morning report (Monday-Wednesday every week)
- Multidisciplinary Critical Care Core Curriculum Series (once or twice a month)
- Multidisciplinary Journal Club (once a month)
- Pulmonary CCM (once a month)
- Anesthesia CC Conference (once a month)
- CCM Journal Club (once a month)
- Simulation Series (October - May)
- SICU M&M (last Wednesday of the month)
This program is available to individuals seeking additional training in surgical critical care who have:
- Satisfactory completed the United States Medical Licensing Examination (USMLE) Steps 1, 2, and 3
- Completed a United States ACGME-accredited residency program
- And are eligible for medical licensure in the State of Illinois
Candidates are asked to submit all application documents through the SCC and ACS Fellowship Application Service (SAFAS). Access the SAFAS application service and follow the Applicant Instructions located on the homepage. Requested documents are:
- Curriculum vitae
- Personal statement
- Three letters of recommendation, including one from your program director
- ABSITE scores
- USMLE scores
Housestaff training through McGaw Medical Center of Northwestern University provides diverse and challenging clinical experiences and world-class education located in the heart of the beautiful city of Chicago. Learn more via the links to the McGaw website below.
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