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ACGME Surgical Critical Care Fellowship

A Critical Care fellowship has been in existence at the University of California, San Francisco for over twenty-five years. Surgeons, Anesthesiologists, and Internists have trained in the program over that period of time. In November of 1999 the Department of Surgery at the University of California was granted provisional accreditation of the fellowship in Surgical Critical Care by the RRC/ACGME.   The third visit by the RRC took place in February of 2012. Currently the program in Surgical Critical Care is fully accredited and is scheduled for the next RRC visit in 2017.  

In 2001, we added a second year for a Trauma fellowship. The  fellowship  in  Trauma  and  Emergency  General  Surgery  at  SFGH  is  a  12-month,  non-ACGME,  structured  clinical experience designed to equip a board-eligible or certified general surgeon with the clinical and administrative skills necessary to assume a leadership role in trauma surgery.  The fellow is a member of the active medical staff at SFGH and effectively functions as a junior attending. The fellow has oversight responsibilities for the care of the trauma patients hospitalized on the trauma service at SFGH, augmenting the continuity of care in the setting of decreased house staff work hours and increased frequency of rotation.   The fellow also serves as the principal surgical liaison to the trauma multidisciplinary service rounds, and participates in the full range of performance improvement activities of the SFGH Trauma Program.  The Department of Surgery at SFGH accepts two (2) fellows each year, generally following completion of the corresponding ACGME approved fellowship in Surgical Critical Care at SFGH.

Program Overview 

The Critical Care fellow will rotate to two hospitals that are part of the University of California, San Francisco, School of Medicine integrated hospital system.   The parent general surgery training program is based at the UCSF/Moffitt-Long Hospital and rotates general surgery residents to both hospitals.  San Francisco General Hospital is a fully integrated teaching hospital in the UCSF, School of Medicine Hospital System. 

The postgraduate residency program in surgical critical care provides 6 months in the Intensive Care Unit of the San Francisco General Hospital, 2 months in at the UCSF/Moffitt-Long Hospital, and one  additional month at SFGH rotating on the anesthesia service in the operating room. 

The resident receives experience in the Intensive Care of blunt and penetrating trauma victims, the head injured patient, the injured child, burns and inhalation injuries, necrotizing soft tissue infection, post operative thoracic and vascular surgery, and complex abdominal surgery at San Francisco General Hospital. The resident also receives experience in the intensive care of solid organ transplantation, patients following major oncological surgery, including liver resection, Whipple procedures, and major surgical complications referred for care by outside institutions at the UCSF/ Moffitt-Long Hospital. 

Each critical care fellow is typically on call one to two times a week.  The surgical critical care resident takes call in turn with the other residents.   Currently, each month there are two anesthesia residents, one general surgical resident, and one critical care resident.  We also have residents from the obstetrical and gynecology service rotating and the medical service in the ICU.   The medical students are on call with the residents and are supervised by the surgical critical care resident. Each week the surgical critical care resident gets one day off from their ICU responsibilities. 

During the second (trauma surgery) fellowship year, the fellow will take regular in-house call as previously described and be available when not out of town, for major trauma surgical cases.  The fellowship is designed to not interfere with the ACGME accredited program in general surgery. The fellow will rotate through various subspecialty services including neurosurgery (6 weeks), thoracic/vascular surgery (4-6 weeks), interventional radiology (2-3 weeks), and pediatric surgery. 

Goals and Objectives for Training 

The educational philosophy and program goals for the critical care fellowship are based on a multidisciplinary approach to critical care.  In the SICU there are faculty from multiple disciplines including surgery, anesthesia, medicine and neurology that work together closely.  All the ICUs function on a “semi-open basis”, that means that the Critical Care Service cares for patients in close collaboration with the primary surgical service.  This allows for close interaction and integration of the critical care residents with the parent general surgery residents.  The residents will learn the material from didactic lectures and from bedside teaching by the entire faculty.                                                                                                

The UCSF Department of Surgery considers Trauma/Critical Care to be an integral component of General Surgery.  The purpose of the postgraduate residency program is to prepare the residents to assure an academic leadership role in the fields of Trauma and Critical Care.  The critical care residents will acquire cognitive knowledge and manual skills required to care for a broad range of critical surgical illness. 

Prerequisite Training/Selection Criteria 

The applicant must have attained skill in the science and practice of surgery.  Since receiving RRC accreditation we have accepted only fully trained board eligible/certified surgeons who have successfully completed an ACGME (or equivalent) general surgery residency program.   The selection process is a rigorous process of the submission of an application with three letters of recommendation, and a full day of applicant interviews with faculty and residents at UCSF, School of Medicine. A selection committee will then decide who the best candidate is from our applicant pool. 

No foreign degrees are accepted for this fellowship program. 

How to Apply

Applications are accepted through the Surgical Critical Care Program Directors Society Application Service website. Applicant must participate in the Match

Important Dates

  • Application accepted from Feb-July
  • Interviews are scheduled between Jun-Aug 

Contact Information 

Program Director: Andre R. Campbell, M.D.
Andre.Campbell@ucsf.edu 

Program Coordinator: Wenia Lee
Wenia.Lee@ucsf.edu
Tel: 415-206-4627
Fax: 415-206-5484

UCSF at SFGH
Department of Surgery
1001 Potrero Ave, Ward 3A
San Francisco, CA 94110

Alumni

 

Name

Date Resident completed Program

Christopher Wybourn

June-15

Eric Campion

June-14

Catherine Juillard

June-13

Alicia Privette

June-12

Michael Cripps, MD

Jun-11

Dante Yeh, MD

Jun-10

Robert Izenberg, MD

Jun-09

Lisa Ferrigno, MD

Jun-08

Kristan Staudenmayer, MD

Jun-07

Victor Davis, MD

Jun-06

Mitchell Cohen, MD

Jun-05

Karim Brohi, BSc, FRCS, FRCA

Jun-04

M. Kelley Bullard, MD

Jun-03

Zindaba Kumwenda, MD

Jun-02

Rochelle Dicker, MD

Jun-01

Florence Mui, MD

Jun-00

 

 

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