East Carolina University/ECUHealth Medical Center

Affiliated with East Carolina University — Greenville, NC

  • Trauma only
  • Critical Care only
  • Trauma & Critical Care
  • Acute Care Surgery
  • Advanced Practitioner
  • Duration: 2 years
  • Positions available: 2
  • Salary: 1st year: 70,000 - 75,000; 2nd year: 100,000
  • Program Director: Nicole M. Garcia, M.D., F.A.C.S.

Last updated: December 19, 2022


East Carolina University/ECUHealth Medical Center (ECUHMC) offers both ACGME accredited Surgical Critical Care and AAST accredited Acute Care Surgery fellowships. Training takes place at ECUHMC, the 900+-bed flagship tertiary care teaching hospital of East Carolina University. ECUHMC is a state of North Carolina accredited, and American College of Surgeons verified, level I trauma center, and is one of the busiest tertiary care academic medical centers in the country. The trauma center at ECUHMC admits approximately 2,800 patients annually, and the trauma and surgical intensive care unit evaluates over 1,500 patients annually. As the only tertiary care center serving the entirety of Eastern North Carolina and the Outer Banks, ECUHMC is unique in its volume, breadth and complexity of trauma and surgical critical illness.

Nine months of the SCC year take place in the 24-bed trauma/surgical ICU as well as the 8-bed neurosurgical ICU. Electives are available in pediatric, cardiothoracic, and medical critical care, as well as burns and trauma. Within ACGME guidelines, we make a concerted effort to get fellows into the operating room during the SCC year. The strengths of the SCC year are multiple, and include the volume and complexity of tertiary care surgical pathology encountered in a rural and under-served region. In addition, the fellowship offers graded autonomy, allowing fellows to "run" a multidisciplinary trauma and surgical intensive care unit. The true strength of the fellowship lies in the teaching faculty, 9 fellowship trained faculty, each having been formally recognized for teaching excellence.

The unique feature of the ACS year relates to the lack of competing residents and fellows on the majority of rotations, including orthopedics and neurosurgery. Mandatory rotations include trauma, emergency general surgery, neurosurgery, orthopedic surgery, vascular and interventional surgery, as well as thoracic. Electives are available in burns, pediatric surgery, urology and international trauma. The year includes intensive experience in trauma and emergency general surgery, with fellows serving as the attending on those services, as well as a special focus on trauma systems and acute care surgery leadership.

The clear and simple goal of our fellowships is to train the next generation of leaders in acute care surgery. Completion of the SCC year is required to enter the ACS fellowship. The application process includes submission of curriculum vitae and three letters of recommendation, one of which should be from the department chair or program director. Interviews are conducted from May 1st through August 15th. We participate in the National Resident Matching Program.

East Carolina University is an equal opportunity and affirmative action employer and seeks to create an environment that fosters the recruitment and retention of a more diverse student body, faculty, staff and administration. We encourage qualified applicants from women, minorities, veterans, individuals with a disability, and historically underrepresented groups. All qualified applicants will receive consideration for employment without regard to their race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, disability, political affiliation, or veteran status.

For more information, please visit our website at: https://surgery.ecu.edu/fellowship/critical-acute/.

Program started 2004

How to apply

garcian16@ecu.edu  - (252) 847-4299 (phone) , (252) 847-8208 (fax)

Qualifications: For the Surgical Critical Care Fellowship: Completion of at least three years in an ACGME accredited allopathic general surgery residency. For the Acute Care Surgery Fellowship: Completion of general surgery residency and an ACGME accredited SCC Fellowship.

Apply online: https://safas-sccpds.fluidreview.com/

Nicole M Garcia MD, FACS,
Clinical Associate Professor of Surgery
Program Director, Surgical Critical Care and Acute Care Surgery Fellowships
The Brody School of Medicine
East Carolina University
600 Moye Boulevard
Greenville, NC 27858-4354

Research opportunities

Research is an important component of both years, and fellows will have ample opportunity to contribute and publish. The division of acute care surgery has multiple ongoing projects, including AAST and WTA multi-institutional trials, basic science projects, as well as prospective clinical studies. Our division includes a funded research nurse and statistician. Fellows are funded to attend meetings at which they are presenting.

About the hospital

  • Beds: 900
  • ICU beds: 32
  • Annual ED visits: 120000
  • Annual trauma admissions: 2800
  • Trauma faculty: 9

Fellowship procedures

  • Total surgical (annually): 1200
  • General surgical: 77%
  • Trauma: 33%
  • Blunt trauma: 80%
  • Penetrating trauma: 20%


600 Moye Boulevard
Greenville, NC 27834

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