Surgical Critical Care Fellowship | | Loyola Medicine

Surgical Critical Care Fellowship

Program Structure

The Surgical Critical Care (SCC) fellowship is integrated into the general surgical residency at several levels. The SCC fellow serves in a “junior attending” capacity in the SICU. The fellow supervises residents at the 1st, 2nd and 4th year levels of residency. Regular responsibilities include daily rounds, didactic lectures, with performance and supervision of procedures. Each SCC fellow is an integral member of the Critical Care team, providing continuity of care, and an important interface between the critically ill patient and members of the operating team. Additionally, the SCC fellow has the opportunity to obtain mastery of the organizational and administrative aspects of a critical care unit, and the ethical, economic and legal issues that pertain to critical care. At the completion of the program, the SCC fellow will understand the administration of an intensive care unit, be able to establish policies and procedures for that unit, and will also be facile in the implementation of a performance improvement program.

The structure of the critical care program at LUMC is such that the SCC fellow has primary responsibilities in the ICUs. The operative experience primarily occurs during the five nights of trauma call per month. The SCC fellow will also be involved in ICU-based procedures in a supervisory role, as well as with critically ill trauma patients who may require re-exploration.

Level I Trauma Center

The Loyola University Medical Center has been verified by the American College of Surgeons (ACS) as a Level I Trauma Center, the only ACS verified trauma center in the State of Illinois. The verification is valid for a three-year duration. This additional accolade supplements the state of Illinois designation as a Level I Trauma Center, delivering the highest standards of care to injured patients.

Research Emphasis

The strong research interests of the faculty are supported by the Burn and Shock Trauma Institute (BSTI). The BSTI is a multidisciplinary research entity dedicated to the prevention and treatment of injury and its consequences. Its research efforts further complement the emphasis on critical care and teaching. The focal point of the Institute’s activities is a state-of-the-art research facility, with 12 independent research laboratories. A hallmark of the Institute is the strong coupling of several basic science disciplines with clinical applications. This linkage is emphasized in the development of joint projects between clinicians and basic scientists, resulting in translational research, taking the bench top to the bedside. This collaborative environment is further enhanced through intramural bridge grants between laboratories, a weekly research forum, and an NIH-funded Trauma Training Grant. Additionally, the Institute is the home of the Loyola Injury Prevention Program, which develops and conducts community based injury prevention programs.

Rotations

The main ICU is the Surgical Intensive Care unit at LUMC, a 16-bed ICU and 8-bed step-down unit which runs at 97% occupancy. The mix of patients is approximately 40% multi-system trauma patients and 60% general surgery patients, with occasional orthopaedic and gynecological emergencies. The SCC fellow spends at least seven months in this ICU. The ICU resident and team co-manage the patients in the SICU with the primary service. All comprehensive critical care issues are managed by the ICU team and SCC fellow, while the routine general surgery issues such as wound management, etc. are managed by the primary team. A collaborative effort is given towards issues such as nutritional support and antimicrobial therapy.

The Hines VA surgical intensive care unit is an 8-bed unit with both cardiothoracic and general surgical patients. The SCC fellow spends 2 months in this ICU. The Hines VA ICU works with a similar collaborative care model to the LUMC ICU.

The Burn Unit at Loyola is a 10-bed ICU dedicated to the management of critically burned patients. This unit runs at greater than 95% occupancy. This rotation is an optional one or two month rotation for the fellow, depending on the level of interest. The SCC fellow functions in a supervisory and teaching role to the mid and junior level residents in the Burn Unit.

The SCC fellow also has the opportunity to do elective rotations in the cardiothoracic unit, a multidisciplinary unit staffed by both surgical and anesthesia intensivists, in the pediatric ICU staffed by pediatric intensivists or in the medical ICU staffed by medical intensivists.

Faculty Leadership

       

Hieu Ton-That, MD -  Associate Professor of Surgery, Program Director - Surgical Critical Care Fellowship

Richard Gonzalez, MD - Professor of Surgery, Division Director of the Trauma, Surgical Critical Care and Burns Division

Anthony Baldea,  MD - Assistant Professor of Surgery, Director of Burn Center

Michael Anstadt, MD - Assistant Professor of Surgery, Associate Program Director General Surgery Residency Program

Purvi Patel, MD - Assistant Professor of Surgery 

 

Application Process

Please note that each candidate must have satisfactorily completed an ACGME-accredited General Surgery residency and be eligible for examination by the American Board of Surgery. Applications will be accepted from June through late September each year.  Minimal application contents for consideration include:

  • 3 letters of recommendation
  • personal statement
  • ABSITE scores
  • USMLE or ECFMG scores

All candidates must be registered through the National Resident Matching Program. Personal interviews are conducted in July, August of each year. The deadline for applications is September 30th and the Match results become available at the end of October or early in November. More information about training in the Surgical Critical Care Program can be found at the American Board of Surgery website.

In addition, the fellow must be able to obtain a permanent medical license in the State of Illinois and be legally able to accept employment. For those requiring a visa to work, Loyola University is able to accept J-1 visa sponsorship only. For those selected to interview, a day-long visit is scheduled at which time the candidate will meet with the Program Director, Division Director, Surgical Critical Care faculty, and other members of the Surgical Critical Care team including nurses, pharmacists, social workers, dieticians, etc. A rank order list of fellowship candidates is determined by the Program Director with input from others taking into consideration the letters of support, personal interview, career goals, and credentials and experience of the candidate. This list is then submitted to the NRMP and the results are announced in October. If a position remains after the Match, the process continues. The final selection of a fellow is determined by the Program Director with input from others.

For fellowship application please use link below:

http://www.safas-sccpds.fluidreview.com/

 

Benefits

For a list of your benefit options, please refer to the Housestaff Benefits booklet

You will have 30 days from your hire date to elect benefits. Please note that you are responsible for making your benefits election in Workday in order to ensure coverage during your training period at Loyola. All trainees are entitled to the benefits outlined in the 2019-2020 Benefits Addendum which is part of the GME Agreement.

You may add, change or drop coverage ONLY during the annual open enrollment period, which is held once a year in the fall unless you have a loss of coverage or a change in family status. Changes in family status include marriage, divorce, birth, adoption or death. A change in coverage status due to loss of coverage or a change in family status must be made within 30 days of the event through the Human Resources office. 

Retirement

All Loyola employees are automatically enrolled in a retirement plan. If you would like to opt-out of this 2% payroll deduction, you must contact Transamerica Retirement Consulting within 30 days of your start date.

COBRA Information

Please see the information about continuation of benefits from Human Resources and register for continuation of benefits.

Short and long-term disability

Disability insurance is offered by The Hartford Group. Click here for information about continuing your group life and accidental death & dismemberment insurance after you complete training. 

Salary

2019-2020 stipend levels:

PGY 1    $59,010

PGY2     $61,984

PGY3     $63,960

PGY4     $67,184

PGY5     $69,264

PGY6     $73,216

PGY7     $75,400

PGY8+   $76,003

Fellowship and Residency Education Coordinator
Natasha Jones
natajones@lumc.edu
708-327-3041 office