Fellowship Training Programs

Shock Trauma fellows

Program Directors:

About R Adams Cowley Shock Trauma Center/UMMC

History:

     The fellowship was started by R Adams Cowley, MD as a Trauma Fellowship and is considered by many to be the premier clinical trauma training program in the U.S. In 1993, the fellowship evolved into the Surgical Critical Care Fellowship when it was accredited by the Accreditation Council for Graduate Medical Education (the parent body of the Residency Review Committee in Surgery).  The original teaching site was the R Adams Cowley Shock Trauma Center.

Mission of Training Programs:

     Our mission is to provide world-class patient care for the critically ill or injured patient while increasing the general knowledge within the disciplines of surgical critical care , trauma, and emergency general surgery through hands-on, didactic, and independent learning.

Fellowship Training:

     The fellowship programs are designed to train leaders in academic Surgical Critical Care, Acute Care Surgery, and Trauma through an intensive clinical and educational experience. The Surgical Critical Care program is an American Board of Surgery program certified via the ACGME/RRC. The Acute Care Surgery Fellowship Program is an American Association for the Surgery of Trauma verified training program. The Emergency Medicine/Surgical Critical Care fellowship program is designed to meet the American Board of Surgery training requirements. The first year is a preliminary mid-level surgical training and the 2nd year is the standard surgical critical care training year).

Year

Surgeons

Emergency Medicine

Non-Accredited Positions

1

Surgical Critical Care/ Trauma (8-positions)

Preliminary Surgical Critical Care (2 positions)

Critical Care

2

Acute Care Surgery (3 positions)

Surgical Critical Care/ Trauma (2 positions)

 

Qualified applicants should meet the following prerequisites:

  • Completion of approved general surgery residency
  • Board eligibility or certification by the American Board of Surgery
  • Established ability as a teacher of medical students and residents.

Application Process:

  • Please complete the application and submit with curriculum vitae and three letters of recommendation. The completed application file will then be reviewed for the interview process.
  • Beginning July 1, 2013 we will also begin accepting applications via ERAS.

Program Highlights

I.   Surgical Critical Care: (All years)

The Surgical Critical Care Rotations are an in-depth and diverse clinical experience at the R Adams Cowley Shock Trauma Center and the University of Maryland Medical Center.

R Adams Cowley Shock Trauma Center

  • Multi-Trauma ICU
    • Focus on the multi-system injured patient
  • NeuroTrauma ICU
    • Focus of Traumatic Brain Injury
  • Select Trauma ICU
    • Focus on the geriatric trauma patient

UMMC

  • Surgical ICU (Emergency General Surgery, General Surgery, Surgical Oncology, Vascular, Thoracic, OMFS, ENT, GYN – Onc)
  • Neuro/Neurosurgical  ICU(Neurosurgery / Spine Surgery)
  • Cardiac surgery ICU (Cardiac Surgery)

Elective ICU rotations

  • Medical ICU
  • Coronary ICU
  • Medical ICU
  • Pediatric ICU
  • Burn ICU (Bayview – Johns Hopkins)

All fellows will be receiving the following certifications:

  • BLS/ACLS
  • ATLS

Surgeons:

  • ATOM
  • ASSET
  • DMEP

Emergency Medicine:

  • DMEP

For More Information

                Surgical Critical Care Fellowship – Dr. Chiu

                Emergency Medicine/Critical Care Fellowship – Dr. Menaker

  Acute Care Emergency Surgery Fellowship -- Dr. Diaz

II.      Trauma

The R Adams Cowley Shock Trauma Center is the cornerstone of the Maryland EMS Trauma system as the primary adult resource center for trauma (PARC) for the city of Baltimore and the state of Maryland's 5.88 million citizens. It averages 8,700 annual visits to the trauma resuscitation unit where the sickest patients are transferred in from all points in the state.

The Maryland State Troopers operate the 7 helicopters stationed through out the state and operated by the Maryland State Police Aviation Command.

All Trauma patients are admitted to the dedicated “TRU – Trauma Resuscitation Unit”.

III.    Acute Care Emergency Surgery (ACES)

The ACES service is the non-trauma / emergency general surgery servicesfor the University of Maryland Medical Center which services over 1,500 consultations and admissions with over 1000 operative cases. Seventy percent of all consults are operative with 20-30% of admissions requiring ICU admissions.

IV.    Soft Tissue Surgery Service

The Soft Tissue Surgery Service provides a continuum of care to patients with the most catastrophic of injuries and chronic non-healing wounds. The team specializes in utilizing multi-disciplinary teams to manage the difficult-to-heal wounds. Adjunctive services support the wound team such as Ostomy Services, Hyperbaric Medicine and Nutritional Services.

V.      Electives

Burn Surgery

VI.    Trauma Research

A 2nd research year is optional with 50% clinical and 50% research. Fellows may opt to remain for a second fellowship year where they are provided opportunities for research through the R Adams Cowley Shock Trauma Center research program, as well as an opportunity to enroll in a Master's Degree (MPH) program through an affiliation with the Injury Prevention Department at the Johns Hopkins School of Public Health. Emergency Medical Services (EMS) and pre-hospital research opportunities are available through the National Study Center for Trauma and EMS and in cooperation with Maryland Institute for Emergency Medical Services System (MIEMSS). Additionally, a second fellowship year is available to gain more intense training in trauma patient care and management.

Obtaining emergent consultation or transferring patients to the R Adams Cowley Shock Trauma Center takes only OneCall, day or night, to 1-800-373-4111 or 410-328-1234.

This page was last updated: October 15, 2013

         
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