R Adams Cowley Shock Trauma Center Anesthesiology
Affiliated with University of Maryland — Baltimore, MD
- Trauma only
- Critical Care only
- Trauma & Critical Care
- Acute Care Surgery
- Advanced Practitioner
- Duration: 1 year
- Positions available: 3
- Salary: 58,973
- Program Director: Bianca Conti, MD
Last updated: January 01, 2018
Trauma Anesthesiology Fellowship Program
The mission of the R Adams Cowley Shock Trauma Division of Trauma Anesthesiology is to provide anesthesia expertise for the resuscitation and perioperative care of every critically injured patient at the trauma center. The Division of Trauma Anesthesiology is one of the only groups of anesthesiologists in the country with a practice focused specifically on traumatic injury, personally seeing each admission to the trauma bay on patient arrival. Our clinical practice incorporates acute pain management, regional anesthesia, intensive care medicine, echocardiography and long-term follow up care of patients after injury. Fellow rotations may also include pre-hospital ground and air retrieval, Multitrauma and Neurotrauma ICU coverage, Trauma Radiology, and Focused Assessment with Sonography in Trauma.
An anesthesiologist is present at every patient's admission to the Shock Trauma Center to assess and manage the airway, and to facilitate early pain control. Venous access, transfusion and acute resuscitation may also be initiated. An Attending Anesthesiologist is available in-house 24 hours a day for emergency airway management in the ICUs, for conscious sedation procedures, for bedside procedures on ECMO patients, and for comprehensive perioperative care in the TRU, OR, and PACU. All of the surgeons at Shock Trauma are specifically trained in trauma (e.g. surgery, orthopedics), as are the nurses and the technicians.
The Division of Trauma Anesthesiology includes 14 full-time attending anesthesiologists (5 with additional board certification in critical care, 2 cardiac anesthesiologists, the Director of Regional Anesthesia at the University of Maryland, 2 United States Air Force (USAF) anesthesiologists and 2 part-time anesthesiologists, along with 25 CRNAs, performing more than 6,000 anesthetics each year. We enjoy a collaborative practice with all specialties at the trauma center due to our singular focus: rescue of the patient from the brink of death and restoration to a meaningful, productive life.
Education and Training
In the 1980's, Shock Trauma began the first Fellowship in Trauma Anesthesia in the U.S. Our fellows are U.S. civilian and U.K. military clinicians, and the Division also trains 25 to 30 anesthesia residents each year, rotating in one-month blocks from the University of Maryland, the armed services, and visiting residents from across the country. Forty eight residents in emergency medicine and fellows in pulmonary/critical care and trauma surgery/critical care also gain their airway training through us. In addition, we are responsible for the annual training of 50 Maryland State Police flight paramedics and for 50 student nurse anesthetists. Finally, representatives of the Division also train and supervise the nurses of the Acute Pain Management Service, providing advanced pain management modalities for more than 1500 patients each year.
Anesthesiologists from the Division teach University of Maryland medical students in a “hands-on” airway management course in the third year, and again as they rotate through the STC during their anesthesia training. The exposure that paramedics, nurses, medical students, residents, fellows and the military gain at Shock Trauma to severely traumatized airways and to emergency management of the airway ensures that each patient these providers treat in the future will undergo the best possible care.
The USAF and the University of Maryland have a long standing partnership to integrate active duty anesthesiologists and CRNAs into the Division of Trauma Anesthesiology. While stationed at the USAF's Center for the Sustainment of Trauma and Readiness Skills (C-STARS), Baltimore, the active duty anesthesiologists and CRNAs are embedded with the civilian faculty. Working side-by-side with the expert civilian Anesthesia staff, the military personnel gain the critical clinical experience and academic support while learning from the world's leaders in anesthesia and resuscitation. This partnership allows the USAF to train over 300 medical personnel from bases around the world, translating into vital airway, anesthesia and resuscitation management for our injured and ill wounded warriors.
Simulation training is also an integral part of our educational program. A monthly simulation course of high risk challenging scenarios, conducted in a 10,000 square foot state-of-the-art Simulation Center, is taught by the faculty to airway and anesthesia rotators. From the control room, faculty observe participants and discuss lessons during post-simulation debrief meetings. Fellows are involved initially as participants in the simulation course and are transitioned to teaching roles to become leaders in trauma medicine.
The discovery and promulgation of new and better ways of caring for injured patients is a core tenant of the Shock Trauma Center. Research endeavors of the Division of Trauma Anesthesiology include studies of airway management techniques and protocols, anesthetic drug selection, advanced resuscitation techniques for patients in hemorrhagic shock, and non-surgical approaches to hemostasis. Ongoing IRB-approved studies that our faculty lead are investigating pre-hospital resuscitation and transport; trauma team dynamics; multiple-organ failure in damage control orthopedic patients; predictors of chronic pain in patients after orthopedic trauma; and long term physical, emotional and financial needs of patients after injury. Our anesthesiologists are critical to the management of patients with retrograde endovascular balloon occlusion of the aorta (REBOA) and those enrolled in the NIH-funded Emergency Preservation Resuscitation (EPR) trial. In the field of intensive care medicine, members of the Division have presented and published work on advanced ventilator management, continuous renal replacement therapies, transesophageal echocardiography, and extra-corporeal circulation. The Anesthesiologists and CRNAs of the Division are the acknowledged national experts on anesthesia for trauma care, are sought out for textbook chapters, review papers and research publications in the Anesthesia, Surgical, and Critical Care arenas, and serve as invited speakers at local, national, and international conferences on a regular basis.
Program started 1996
How to apply
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Qualifications: Completion of PGY-4 year in Anesthesiology Residency and board eligible
Please visit our website:
Email or mail a current curriculum vitae for an application
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Bianca Conti, MD
c/o Zena Godfrey
R Adams Cowley Shock Trauma Center
University of Maryland Medical System
22 South Greene Street
Baltimore, MD 21201-1595
About the hospital
- Beds: 110
- ICU beds: 38
- Annual ED visits: 0
- Annual trauma admissions: 7697
- Trauma faculty: 17
- Total surgical (annually): 5525
- General surgical: 0%
- Trauma: 100%
- Blunt trauma: 85%
- Penetrating trauma: 15%
22 S. Greene St.
Baltimore, MD 21201
|R Adams Cowley Shock Trauma Center Anesthesiology||Baltimore, MD|
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