SSMHealth/Saint Louis University Hospital

Affiliated with Saint Louis University — Saint Louis, MO

  • Trauma only
  • Critical Care only
  • Trauma & Critical Care
  • Acute Care Surgery
  • Advanced Practitioner
  • Duration: 1 year
  • Positions available: 2
  • Salary: $70,000-$73,000
  • Program Director: Dr. Carl Freeman, M.D.

Last updated: January 29, 2024

The Surgical Critical Care Service is a division of the Department of Surgery. It is closely aligned with the Division of Trauma and is staffed on a rotating basis with five fellowship-trained attending surgeons. The service consists of a surgical critical care fellow, two junior-level surgery residents and an emergency medicine resident. Rotations are available to senior medical students on an elective basis. In addition, we maintain a close relationship with the military C-STARS (Center for Sustainment of Trauma and Readiness Skills) Program and interface with individuals seeking additional training in trauma and ICU care prior to deployment. This includes personnel from nursing, ancillary services, primary care and the surgical specialties.

The Surgical Critical Care Service provides care for any patient in the ICU, including patients from all surgical subspecialties. The fellow is responsible for the daily operation of the service and plays an important role in the surgical education of the members of the team. The educational schedule includes a programmed lecture series on topics in critical care, joint conferences with medical intensive care fellows and attendings, joint radiology conferences and clinical correlation conferences conducted with the Department of Pathology. The board pass rate has been 100% for the past 10 years.

The primary educational focus is the complex management of the critically ill surgical patient with an emphasis on prioritization of care and multidisciplinary care coordination. Daily work rounds are conducted by the general surgery residents and directed by the surgical critical care resident. These are followed by daily attending rounds with board-certified intensivists, nurses, doctors of pharmacy, nutritionists, social workers, physical and occupational therapists. Decisions for patient care include management of cardiovascular, respiratory, neurological, nutrition and infection control. Additional education is gained in overall intensive care unit management with daily experience in the management of staffing, decisions for transition to other levels of care, infection control practices and allocation of hospital resources.

Program started 1994

How to apply  - (314) 617-3811 (phone)

Qualifications: Completion of at least 3 years of ACGME-Accredited General Surgery training.

SCC and ACS Fellowship Application Service.

Research opportunities

Our fellows are expected to participate in administrative and research aspects of surgical critical care. The resident is a member of the administrative committee of the Trauma/General Surgery ICU and also attends the monthly meeting of the Special Care Committee of the medical staff. Funding is provided for the resident to attend at least one outside course or symposium on ICU administration, particularly those held in conjunction with the annual meeting of the Society of Critical Care Medicine. Finally, the resident is expected to develop and complete at least one clinical research project during the residency. If desired, more in-depth training in basic or clinical research is available through an optional second year of research training.

It is expected that, at the completion of this fellowship, the resident will be capable of providing care to the critically ill patient and be able to assume an active leadership role as a medical director of an intensive care unit.

About the hospital

  • Beds: 356
  • ICU beds: 80
  • Trauma faculty: 7

Fellowship procedures

  • General surgical: 20%
  • Trauma: 80%
  • Blunt trauma: 60%
  • Penetrating trauma: 40%


1201 S. Grand Blvd.
Saint Louis, MO 63104


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