Department of Surgery

Curriculum

Master
Content

Fellows participate in all phases of surgical critical care. This program focuses heavily on a clinical experience within an approved general surgery residency program. The program directors oversee fellows' academic, clinical, and research experiences.

Fellows are expected to participate in the didactic curriculum, which consists of an online curriculum, didactic conferences, simulation center sessions, assigned readings, and critical care journal club. Fellows will complete the assigned online curriculum according to schedule and attend weekly Core Conference. Fellows will also attend additional didactic conferences, such as the Interdisciplinary Critical Care Conferences and simulation center sessions, and will be excused from clinical duties during the didactic conferences and simulation center sessions. Fellows will also participate in journal club conference, which is contained in the weekly core conference. Journal club presentations should include a structured critical appraisal of the selected literature.

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Monthly Didactic Schedule

Content

The fellow is expected to attend and participate in the following:

  • Core Critical Care Conference every Thursday
  • Weekly online curriculum
  • Interdisciplinary Critical Care Conference: Intro to ICU (weekly, July-Aug)
  • Interdisciplinary Critical Care Conference (monthly, Sept-June)
  • Multidisciplinary Workshops (e.g., difficult airway, ultrasound)
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Ben Taub Hospital Surgical Intensive Care Unit

Content

The trauma and surgical ICU at Ben Taub is a 30-bed intensive care unit that admits patients over 16 years of age. The majority of the patients admitted to the TSICU (Trauma/Surgical Intensive Care) are trauma and emergency general surgery patients but also include cardiac surgery, thoracic surgery, vascular surgery, plastic surgery, surgical oncology, urology, orthopedics, ENT, OB-GYN and OMFS patients.

The TSICU rotation follows all patients admitted to the TSICU. The TSICU team is led by a board certified Surgical Critical Care specialist. All TSICU attending physicians are on faculty at Baylor. The team consists of a board certified critical care attending (either surgery or anesthesia), a critical care fellow, PGY-2 fellows, and interns. The team may also include third and fourth-year medical students. Fellow night coverage is present.

The critical care fellow is expected to lead the clinical team and engage in educational efforts.

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Texas Children’s Hospital Surgical Intensive Care Unit

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The Pediatric Surgical Intensive Care Unit (SICU) at Texas Children’s Hospital a 12-bed, cohorted unit that serves as the primary site for the pre and postoperative management of the most complex, critically ill pediatric surgical patients. The primary patient population includes but is not limited to: liver and kidney transplantation, neuromuscular spine reconstructions, complex poly trauma, complex general and thoracic procedures, complex surgical oncologic resections, complex head and neck procedures including laryngotracheal reconstruction and maxillofacial tumor resections, and complex free-flap reconstructions. The SICU is located directly above Legacy Tower’s six technologically-advanced operating rooms for neurosurgery, orthopedics, plastic surgery, transplant and pediatric surgery – one with intraoperative MRI. Additionally, there is an on floor simulation suite with scheduled weekly trauma simulations.

The SICU team led by an intensivist, and the team consists of front line providers and supervisory critical care fellows. The adult SCC fellow will serve as the front line provider for up to six patients and will also have the opportunity to participate in the care of surgical patients housed in the other cohorts as well as patients on ECMO. The pediatric focus SCC fellow will initially serve as a front line provider and then transition to the supervisory fellow role over the course of their ICU experience.

Legacy Tower’s 84 PICU beds are divided into several units including: surgical, neurologic, advanced respiratory, general intensive care, oncology/bone marrow transplant, and transitional. The transitional unit serves to meet the needs of complex, technology dependent children. Legacy Tower also serves as the home for Texas Children’s Heart Center® and includes an additional 48 cardiac intensive care beds divided into neonatal, heart failure, and congenital heart surgery cohorts as well as four cardiac catheterization labs including integrated MRI scanner and four cardiovascular operating rooms.

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Baylor St. Luke’s Surgical Intensive Care Unit

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The Surgical ICU at Baylor-St. Luke’s Medical Center is a 12-bed intensive care unit that admits patients under 18 years of age. The majority of the patients admitted are general surgery and surgical subspecialty patients including vascular, surgical oncology, urology, orthopedics, ENT, gynecology and abdominal transplant patients. The SICU rotation follows all patients admitted to the SICU and acts as a co-management service using a collaborative model of care delivery. The SICU team is led by a board-certified Surgical Critical Care specialist. All SICU attending physicians are on faculty at Baylor College of Medicine.

The team consists of a board certified critical care attending, a surgical critical care fellow, a PGY-1 day general surgery resident, a night general surgery resident, a day nurse practitioner and a night nurse practitioner. The team may also include third and forth year medical students. The surgical critical care fellow is expected to perform as a junior attending. Fellows are educated on the core competencies through exposure at daily SICU rounds, weekly lectures, Grand Rounds and weekly Morbidity and Mortality conference and Multidisciplinary Case Conference.

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Baylor St. Luke’s Thoracic Intensive Care Unit

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The Thoracic ICU at Baylor St. Luke’s Medical Center is a 12-bed intensive care unit that admits patients >18 years of age who are in the perioperative phase of thoracic surgery. The majority of the patients admitted are thoracic surgery patients, including oncologic, vascular, and general thoracic surgery. The TICU service follows all patients admitted to the TICU and acts as a co-management service using a collaborative model of care delivery. The TICU team is led by a board-certified Surgical Critical Care specialist. All TICU attending physicians are on faculty at Baylor College of Medicine.

The team consists of a board certified critical care attending, a surgical critical care fellow, and a PGY-1 day general surgery resident. The surgical critical care fellow is expected to perform as a junior attending. Fellows are educated on the core competencies through exposure at daily TICU rounds, weekly lectures, Grand Rounds and weekly Morbidity and Mortality conference and Multidisciplinary Case Conference. Additional exposure to patients with ventricular assist devices and extra-corporeal life support may be obtained.