Community Regional Medical Center

Affiliated with University of California: San Francisco-Fresno Medical Education Program — Fresno, CA

  • Trauma only
  • Critical Care only
  • Trauma & Critical Care
  • Acute Care Surgery
  • Advanced Practitioner
  • Duration: 2 years
  • Positions available: 1
  • Salary: PGY6-$68,964 - 7PGY $71,257
  • Program Director: Krista L. Kaups, M.D., MSc, F.A.C.S.

Last updated: February 10, 2019


We will begin accepting applications for the 2020-2021 appointment April 1st, 2020, start date will be August 1, 2020.

Our two year Acute Care Surgery Fellowship program is based out of the Community Regional Medical Center in Fresno California, the only Level 1 Trauma Center in the region, serving a patient population of approximately 3.9 million, and is the tertiary surgery referral center for the region. Community Regional Medical Center is a 680-bed hospital, with 78 ICU beds. The Trauma Service is very active, admitting more than 4,800 patients annually with approximately 10-20% of the patients requiring ICU admission, 35% are severely injured (injury severity score >16). This fellowship encompasses trauma and non-trauma surgical emergencies, as well as surgical critical care. The Acute Care Surgery Fellowship training will provide a comprehensive emergent surgical and critical care to trauma and non-trauma conditions in virtually any body region or organ system. Through this integrated educational experience in training the fellows will learn to become an academic leader in this emerging discipline. The goal of the Fellowship is to enhance skills in the management of critically ill and injured patients. For the patient with traumatic injury, management begins with initial evaluation and resuscitation and operative management and continues until discharge. The Fellows are involved in comprehensive critical care management issues, such as multidisciplinary committees and protocol development.

As a PGY-6 the fellowship focuses on surgical critical care in an ACGME/RRC approved training program, rotational experience includes trauma, cardiovascular, burns, medicine, pediatric, and general surgical critical care. The broad experience gained through a diverse faculty and programmatic elements prepares the fellows for board examinations and success in their careers.
As a PGY-7 Acute Care Fellow the educational training focus will acquire a comprehensive knowledge of critical care, trauma, emergency general surgery, advanced operative skills, and procedural techniques in thoracic and vascular surgery, specific rotations on thoracic surgery, vascular surgery, transplant/hepatobiliary surgery, orthopedics, and neurosurgery will expand the general knowledge base and specific technical skills of the fellows. Acute Care Surgery rotations incorporate elective general, thoracic and vascular surgery cases, surgical critical care, and emergent trauma and non-trauma cases.

Fresno is centrally located, with an approximate three hour drive to San Francisco, Los Angeles, Monterey and central coast region around Morro Bay. There are many recreational opportunities in the area, with three world renowned national parks, Yosemite, Sequoias and Kings Canyon, within an hour and half driving distance. As the fifth largest city in the state of California, Fresno is one of 15 cities in the county which marks a perfect destination to enjoy big city amenities with small town charm.

Program started 2008

How to apply  - (559) 459-3722 (phone)

Qualifications: Minimum Employment Requirements
To be eligible for an appointment contract for residency training with “The University of California” all current or expected trainees must possess one of the following for the duration of all anticipated years of training:

be a United States citizen
be in possession of a green card
be in possession of an EAD (work permit)
possess an ECFMG –sponsored J-1 visa

The University does not sponsor H-1B visas. Please contact individual programs regarding their policy on sponsoring H-1B visas.

California Medical License-
The State of California requires housestaff who meet the following criteria to have a license in order to continue training, before start date:

US Graduate- must possess a license by the 1st day of the 25th month of (all) US ACGME Accredited Post Graduate Training
Foreign/International Graduate- must possess a license by the 1st day of the 37th month of (all) US ACGME Accredited Post Graduate Training

Additional Information for Foreign Medical Graduates
The State of California requires that graduates of schools outside the U.S. or Canada obtain a “Postgraduate Training Authorization” letter authorizing residency training in California. The letter is valid for entry into a training program for one year. The expected start date for residency training must be before the letter expires (one year from issue date).

You must be in possession of an ECFMG (Educational Commission for Foreign Medical Graduates) certificate in order to commence residency training in the United States. Please visit the ECFMG website at for additional information on how to obtain certification.

Rebecca Niznak
Surgery Fellowship Coordinator
Community Regional Medical Center
2823 North Fresno St.
Dept. of Surgery 1st Floor
Fresno, California 93721
Office: (559) 459-3722

Research opportunities

Focused Based Research
The fellows have ready access to the CRMC trauma registry, containing data for nearly 30,000 patients, with support to develop specific research queries, to include a PhD research coordinator as support staff, provided by the surgery department.

About the hospital

  • Beds: 681
  • ICU beds: 78
  • Annual ED visits: 120000
  • Annual trauma admissions: 4800
  • Trauma faculty: 10

Fellowship procedures

  • Total surgical (annually): 5322
  • General surgical: 80%
  • Trauma: 20%
  • Blunt trauma: 15%
  • Penetrating trauma: 4%


2823 N. Fresno Street
Fresno, CA 93721


This information is provided by the party posting the listing and is solely responsible for its content. EAST is not responsible for the accuracy of the listing.

Eastern Association for the Surgery of Trauma

633 N. Saint Clair Street, Suite 2400 Chicago, IL 60611-3295 (312) 202-5508 phone (312) 202-5064 fax
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