UT Southwestern / Parkland Memorial Hospital

Affiliated with University of Texas - Southwestern — Dallas, TX

  • Trauma only
  • Critical Care only
  • Trauma & Critical Care
  • Acute Care Surgery
  • Advanced Practitioner
  • Duration: 1 or 2 years
  • Positions available: 6
  • Salary: (track-dependent)
  • Program Director: Linda Dultz, MD, MPH, FACS

Last updated: May 19, 2021


Purpose

1.To provide extended post-surgical training in trauma surgery and surgical critical care.

2.To satisfy the American Board of Surgery requirements for obtaining certification of Added Qualifications in Surgical Critical Care.

Three fellowship tracks are available:

TRACK 1. An ACGME-approved one year experience consisting of the following: 6 months Parkland Memorial Hospital/Clements University Hospital SICU. The fellow will be primarily responsible for a spectrum of critically ill surgical patients. Service lines within the SICUs include transplant, vascular, surgical oncology, ENT, plastics, thoracic, urology, ob/gyn, trauma and EGS. All patient management will occur under the direct supervision of an attending physician. 2 months Parkland Memorial Hospital trauma/EGS service. The fellow will formally rotate on one of the Parkland Memorial Hospital trauma/EGS services where he/she will function at the level of chief resident. All patient management will occur under the direct supervision of an attending physician. The fellow will actively take part in trauma resuscitations and the operative management of traumatic and emergent general surgical conditions. These busy services each average 70 cases per month. 4 months critical care electives. The fellow will be given a choice between burns, CV-ICU, ECMO, pediatric ICU, medical ICU, transplant, anesthesia, pulmonary, or an additional month on the Parkland trauma/EGS service. During any of these elective choices, the fellow will be functioning under the direct supervision of an attending physician.

TRACK 2. This is a two-year track. The first year will be identical to track 1. At the completion of the first year of training, the fellow's designation will be changed to that of Clinical Instructor and the trainee will assume a junior faculty position for the remaining 12 months of his/her commitment. Institutional privileges will be granted and the Clinical Instructor will function at the level of a junior attending with complete autonomy for a defined period of 12 months. A senior faculty member will function as a source of around-the-clock backup should technical or judgmental assistance be desired on the part of the Clinical Instructor. The Clinical Instructor will rotate between staffing the Parkland trauma/EGS services (including attending level in-house trauma call), the Parkland SICU, the Clements SICU, and spending up to 3 months on electives. During the elective months, the Clinical Instructor will be supervised by an attending physician from the respective sub-specialty service. Electives include transplant, surgical oncology, vascular, ECMO and burns. A prerequisite for matching into this track is that the fellow be eligible for Texas licensure.

Track 3. This is an ACGME approved 1-year position that encompasses the management of burn patients, surgical critical care and reconstructive surgery. After successful completion of the program, the fellow will meet the requirements to sit for the ABS Surgical Critical Care boards and will receive a burn certificate. 6 months on the Burn ICU service, 4 months of SICU, and 2 months of electives (MICU, PICU, CCU, CV-ICU, Anesthesia).

General Description of the Fellowship

The large majority of the fellow's clinical responsibilities will be in the surgical intensive care units at Parkland Memorial Hospital and Clements University Hospital. The fellow will be directly supervised by faculty in all the surgical intensive care units. The critical care fellowship emphasizes clinical care. Upon completion of the fellowship, the fellow should have succinct knowledge of cardiovascular and pulmonary physiology and pathophysiology, ventilatory care, as well as cardiovascular monitoring and interpretation. The fellow will be competent in the management of multisystem trauma patients, recognition and treatment of major postoperative problems in surgical patients, and an appreciation of the critical care management of specialty patients including neurosurgical and cardiothoracic. A distinct effort has been made to increase the operative experience to the most permissible under ACGME requirements.

Program started 1986

How to apply

linda.dultz@utsouthwestern.edu  - (214) 648-5457 (phone)

Qualifications: The Fellowship Selection Process: A fellowship candidate must meet the following criteria: (1) Have completed training and holds an M.D. or equivalent degree (2) Is board eligible or board certified in General Surgery. Selection is based on interviews with UTSW faculty. Requirements for Application: (1) Completed application (2) 3 letters of recommendation (3) Enrollment in match.

Surgical critical care and Acute care surgery Fellowship Application Service: www.safas-sccpds.fluidreview.com

Research opportunities

Opportunities for research exist in basic science, clinical trials and outcomes. The division is funded by the National Institutes of Health, the Department of Defense and the American College of Surgeons. Eligible candidates can work on various projects involving trauma simulation and AI, trauma video review, geriatric trauma, nutritional support, traumatic brain injury, injury prevention, wound healing, tissue regeneration, burn resuscitation and burn reconstruction outcomes.

About the hospital

  • Beds: 884
  • ICU beds: 40
  • Annual ED visits: 250000
  • Annual trauma admissions: 2000
  • Trauma faculty: 9

Fellowship procedures

  • Total surgical (annually): 4000
  • General surgical: 80%
  • Trauma: 20%
  • Blunt trauma: 80%
  • Penetrating trauma: 20%

Location

5323 Harry Hines Blvd.
Dallas, TX 75390-9158

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