Critical Care - Resuscitation Fellowship
The goal of the fellowship is to produce academic leaders in the areas of critical care, trauma, and resuscitation medicine. Under the guidance of a strong multidisciplinary faculty, the fellow will become more familiar with cutting edge techniques of critical care and resuscitation medicine including methods of mechanical ventilation and extracorporeal support of failing lungs, kidneys and hearts. This is especially true in application of these techniques into the early phase of emergency department care. The fellow will learn to manage the severely brain-injured patient, and the critically ill surgical patient. The global critical care management of the polytrauma patient will be a focal point of his fellowship experience. Experience will be gained in the management of single and multiple transplant recipients as well as patients after cardiac surgery.
Additionally, the fellow will manage the full spectrum of critically ill medical and surgical patients at a tertiary care medical center. The fellow will have full responsibility as the trauma team leader, gaining a broad range of experience in the management of blunt and penetrating trauma, and the use of FAST (Focused Assessment with Sonography for Trauma). The fellow will have timely support by trauma surgery staff for all operative cases. Administratively, the fellow will be expected to grasp the art and science of trauma team administration and to achieve a working understanding of the major issues in trauma care such as, resource allocation, costs and ethical dilemmas.
Fellows with an interest in research will have the option for a second fellowship year with protected time for research as well as pursuing a Master of Science Degree in Health Evaluation Sciences from the Pennsylvania State University. Significant research opportunities exist in critical care and resuscitation medicine. Emergency Medical Services (EMS) and pre-hospital research opportunities are abundant with the hospital owned and operated ground and aeromedical critical care transport service. Additionally, a second fellowship year is available to gain more intense training in patient care and management.
Applicants must be graduates of an Accredited ACGME Residency Program in Emergency Medicine.
The fellowship is a one (or two in the case of degree seeking candidates) year program involving patient care, research, and education. The first year of the fellowship includes the following clinical rotations: Surgical and Trauma Critical Care Unit, Neurosciences Critical Care Unit, Medical Critical Care Unit, Heart and Vascular Critical Care Unit. The fellow will have significant flexibility in scheduling rotations. Two months of elective rotations will be available in the first year which can include: Burns Critical Care, Radiology, Anesthesiology, Infectious Diseases, Nephrology, Trans-esophageal Echocardiography, Pediatric Critical Care and Emergency Medical Services. All electives are arranged and approved with the fellow's future career goals in mind.
The fellow will become proficient in:
- The evaluation of critically-ill and injured patients
- The initiation of appropriate and complete diagnostic and treatment plans
- The development and implementation of patient care plans
- Providing leadership which facilitates the interaction within the entire team of caregivers and with the patients and their families
Fellows will be expected to become proficient in the medical management, pre-operative assessment, and post-operative management of medical and trauma patients.
Fellows will be expected to become clinically proficient in:
- Patient assessment
- Ventilator management
- Techniques of vascular access and monitoring
- Direction of the trauma and critical care team
Fellows will gain the didactic knowledge required to adequately care for the critically ill medical and polytrauma patient. They will be able to define and defend their patient management plans.
Fellows will be expected to:
- Participate in the education of rotating residents and medical students and evaluate their performance.
- Present cases to the faculty and staff at a monthly formal Morbidity and Mortality conference. Additionally, the fellow is expected to present cases of interest to visiting Professors.
- Attend monthly journal club meetings led by the faculty.
- Attend weekly didactic sessions.
- Certify, or renew their certification, in ATLS, ACLS, BLS, PALS
- Participate in a course on moderate sedation and complete the requisite number of cases.
- Complete a one-day course on the proper use of Focused Assessment with Sonography for Trauma.
- Obtain didactic knowledge.
Fellows will be provided a research mentor from among the faculty. Research mentors are assigned based on mutual areas of interest. Near the end of the year, fellows will be provided the opportunity to present their research to the faculty.
Syed Sameer Ali, MD FAAEM
Critical Care Fellow from 7/1/2008 until 6/30/2010
Currently employed at Ben Taub General Hospital, Houston, Texas
Stewart McCarver, MD
Critical Care Fellow from 7/1/2009 until 6/30/2010
Currently employed at Landstuhl US Military Hospital in Germany
Confidential Inquiries to:
Thomas E. Terndrup, MD, FACEP, University Distinguished Professor and Chair, Department of Emergency Medicine, Associate Dean for Clinical Research
Penn State University College of Medicine
500 University Drive, PO Box 850
Hershey, PA 17033-0850
Telephone: 717- 531-8955