The Surgical Critical Care Fellowship offers advanced training in managing critically ill trauma and emergency surgical patients through comprehensive rotations at Miami Valley Hospital.
About the Program
SCC Director: Cathline Layba, M.D.
Wright State University Boonshoft School of Medicine’s Surgical Critical 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 only Level 1 trauma center in the area with one of the busiest emergency departments in the state of Ohio. 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.
As a fellow, you will rotate and lead rounds in the surgical ICU with graduated responsibility. You will develop proficiency in all procedures necessary to manage critically ill patients, including but not limited to: intubation, bronchoscopy, vascular access, tracheostomy and feeding tube placement, and thoracostomy tube placement. Collaborative rotations outside of the SICU include experiences in the Medical ICU, Cardiovascular ICU, and Neuro ICU. On these rotations you will gain further exposure to critically ill patients requiring ECMO, continuous EEG, ICP monitoring, invasive cardiovascular monitoring and other unique procedures.
You will also have rotations on the EGS/Trauma service where you will act as junior faculty. You will be expected to manage the service headed by the PGY-4 resident — leading rounds, overseeing trauma bay resuscitations and carrying out surgeries for the patients on your team.
Multiple electives are available to round out your fellowship year and are tailored to each fellow’s specific interests.
For additional operative exposure throughout the year, fellows will take call for two 12-hour shifts per month, typically every other Friday night.
Our educational curriculum is robust with a Friday noon Fellows’ conference didactic series tailored to core surgical critical care topics. Additionally, you will attend and participate in the Department of Surgery weekly M&M and trauma conferences. Several times a year, the fellows will also have a dedicated cadaver lab to practice procedures. Fellows are also offered instructor training for courses in ATLS, ASSET and FCCS.
There are 2 trauma/EGS teams and 1 SICU team. Our teams are made up of residents, APPs, and students with in-house attending support 24/7.
This year-long training is designed to give our fellows the confidence to lead, educate and collaborate in any setting with advanced knowledge of physiology, procedural skills and evidence-based practice.