Surgical Critical Care Fellowship Program

The one-year ACGME-accredited surgical critical care fellowship training program at Atrium Health Navicent began in 2010 with one fellowship position. The program expanded to two fellowship positions in 2013.

SCC fellows are always closely supervised with one-on-one interaction with the attending in the ICU. This includes daily rounds and bedside procedures.

The fellows will rotate each month through different intensive care units. All units run at near full capacity with a very high acuity level. There is an average daily census of more than 50 mechanically ventilated patients. In addition to mechanical ventilation many of the patients require hemodynamic monitoring, vasoactive drug support and continuous renal replacement therapy or standard hemodialysis. The clinical experience for the fellow if board based with core rotations in Surgical Trauma ICU (6 months), Cardiovascular ICU-A (1 month), Cardiovascular ICU-B (1 month), Neuro ICU (2 months), Nephrology (2 wks), Infectious Disease (2 wks), Palliative Care (2 wks), and Advanced Echocardiography (2 wks).

The fellow is expected to complete the Critical Care of the Surgical Patient weekly curriculum and will meet regularly with PD to track progress. This curriculum is provided and consists of weekly lessons and quizzes starting August 1st through July 31st.

The fellow is expected to participate in all lectures and assigned Sim Lab sessions. This is protected time for the fellows as attendance is mandatory.

The fellows are to participate in a research project and give a minimum of one lecture at grand rounds or M&M.

The fellows receive an educational stipend of $1,500 per year for the purchase of books, journals, or the attendance to educational conferences such as the Society of Critical Care Medicine, etc.

There are goals and objectives based on the six core competencies for each unit. These are further broken down into knowledge, skills, and abilities in the principal components of Cardiovascular Physiology, Pathophysiology and Therapy, Renal Failure, Respiratory Disorders, Pharmacology, Gastrointestinal Disorders, Endocrine Disorders, Ethics and Palliative Care, Hematologic Disorders, Infectious Diseases, Monitoring and Bioengineering, Neurology, Nutrition, Pediatrics, and Trauma. The fellow is responsible for maintaining a portfolio and this will be reviewed with the program director.

A Message from the Surgical Critical Care Program Director

Surgical Critical Care Services at Atrium Health Navicent continues its commitment to clinical outcomes research, quality improvement initiatives for ICU protocol development, and providing administrative leadership for transitioning to dedicated intensivist staffing in Navicent's Adult Critical Care Units. We continue to onboard excellent intensivist faculty to support this multidisciplinary department.

In the academic year of 2019-2020, the Navicent Critical Care Department faced the coronavirus disease 2019 (COVID-19) pandemic, as did hospitals across our nation. Our department worked collaboratively with our partners across the enterprise system to provide high level care to patients admitted to the ICU. Our team participated in Institutional Grand Rounds regarding our critical care experience with COVID-19 patients. Similarly, our faculty is scheduled to participate in a COVID-19 panel discussion for the Georgia Chapter of the American College of Surgeons Annual Meeting. Additionally, our Critical Care team published in the Journal of Trauma and Acute Care Surgery a case series of our early outcomes with utilization of tissue plasminogen activator in COVID-19 associated respiratory distress. We also look forward to participating in the multisite Society of Critical Care Medicine VIRUS COVID-19 Registry.

Contact

Mailing Addres
777 Hemlock Street, MSC #103
Macon, GA 31201-2102