The Boonshoft School of Medicine of Wright State University Acute Care Fellowship program is under the Division of Trauma and Emergency General Surgery. It is structured to enable development of advanced proficiency in the management of all aspects of care of critically ill trauma and emergency surgical patients. The program includes rotations in all disciplines at Miami Valley Hospital. The Department of Surgery has forged a collaborative relationship with other Departments at the Medical School and the clinical service lines of Miami Valley Hospital to provide a comprehensive educational experience.
For the purposes of patient care and resident/student education, the service is broken down into two Emergency General Surgery services and one SICU service. Each with an attending surgeon rotating on a weekly basis. Senior surgery residents run the EGS services separately. The ICU service is run by the fellow. The fellow takes a 12-hour call every other Friday for trauma and emergency general surgery, fully participating in the trauma bay resuscitations and decision making commensurate with their experience. There is always a trauma attending in house. The fellow has a shared weekly clinic for follow-up visits.
Two Training Tracks
Surgical Critical Care Fellowship
A one-year ACGME Residency Review Committee (RRC) accredited program focused on the care of critically ill trauma and surgery patients. The fellow actively participates in the daily bedside rounds, and leading residents through bedside procedures. The fellow will learn critical care ultrasonography and the use of bedside echocardiography in resuscitation and patient management.
Eight months are spent on direct care of surgical and trauma ICU patients. Rotations on the Neurocritical Care, Heart & Vascular, Burn and Neonatal ICU’s are available tailored to the fellow’s career goals.
Acute Care Surgery Fellowship
A two-year program comprising of one year of Surgical Critical Care and the AAST-approved Acute Care Surgery. On this track, the fellow will have the opportunity to develop a more in-depth understanding of the pathophysiology and management of acute surgical patients. The fellow is fully integrated into the Trauma and Emergency General Surgery service, granted graduated autonomy and independent decision making with the intention to eventually function as a junior faculty very early in the fellowship. Further in-depth exposure and cases are provided by: Surgical Oncology, Cardiothoracic Surgery, Vascular Surgery, Orthopedics, Neurosurgery, The Regional Burn and Wound Center, Interventional Radiology and other clinical specialty services complementing Miami Valley Hospital.
- Weekly trauma performance improvement (PI) conference (M&M)
- Monthly Coroner’s conference
- Weekly surgery performance improvement (PI)
- Weekly Acute Care Surgery Fellows’ conference. Students, residents, NP and PA are encouraged to attend
- Monthly Trauma Committee Meeting
We provide the necessary tools for the fellows to develop proficiency in critical care echocardiography both through the Society of Critical Care Medicine and working side-by-side with participating hospital cardiologists. The fellow will actively participate in the teaching of critical care ultrasound to the surgical residents.
Research is encouraged and opportunities are available, supported by a fulltime Ph.D. basic science faculty and a BSN, RN; both dedicated to assist in the departmental research.
Miami Valley Hospital is an 848-bed regional referral and specialty center, a member of the Premier Health Partners network. It is one of five major teaching hospitals in the Greater Dayton area affiliated with The Boonshoft School of Medicine of Wright State University. The facility is a 20-year ACS-verified Level I Trauma Center (with over 3,000 trauma admissions and 500 emergency surgery admissions per year) and the only Burn Center in southwest central Ohio. The MVH Shaw Trauma and Emergency Center is a 71-bed emergency department, the busiest emergency department in the state of Ohio, seeing nearly 100,000 patients annually.
There are separate Medical-Surgical, Neurocritical Care, Heart & Vascular and Burn ICU’s. A Level III Neonatal ICU with neonatal ECMO capability of up to 60 beds is housed in the hospital complex.
Specific Advanced Training
The Fellow may attain the appropriate credentials to become a course director of these educational endeavors if desired.
- Advanced Trauma Life Support (ATLS)
- Advanced Surgical Skills for Exposure in Trauma (ASSET)
- Fundamentals in Critical Care Support (FCCS)
- Critical Care Echocardiography
Only applicants who meet the following prerequisites qualify for consideration:
- Completion of an approved general surgery residency
- Board eligibility or certification by the American Board of Surgery
- A strong interest to teach medical students and residents
- Ability to obtain a State of Ohio Medical License
- A strong history of professionalism and ethical behavior in the workplace
- US citizenship or green card
Applications are online through SAFAS (Surgical Critical Care and Acute Care Surgery Fellowship Application Service). Qualified applicants will be invited for an interview. Applications must be submitted within deadlines listed on SAFAS.
More specific information about surgical critical care can be obtained from the ACGME website.
Fellowship at a Glance
- Fellowship positions: 2
- Duration: 1-2 years
- RRC Certified: SCC—Yes
We seek applicants who have completed an ACGME/AOA-approved general surgery residency program and are board eligible or board certified in surgery (ABS or AOBS, or the equivalent). Interested applicants, please complete the application linked below.
How to Apply
Apply through the SCC and ACS Fellowship Application Service.