Clinical Trauma/Burn Fellowships

Trauma Surgery and Surgical Critical Care

Trauma Surgical Critical Care Fellowship: One Year

The one-year Trauma / Surgical Critical Care (SCC) Fellowship program is primarily located at Harborview Medical Center, the only Level 1 Trauma Center serving the entire state of Washington, and a regional resource for the 4-state Northwest region comprising 25% of the landmass of the United States. During an average fellowship year, Harborview admits over 2,600 patients to the Surgical Critical Care service. The large and disparate catchment area, high volumes, and extreme acuity of Harborview’s patient population provides a unique and intensive educational opportunity for those seeking to further their knowledge of surgical disease. The overall goal of the fellowship program is for the trainee to optimize their proficiency in: critical care decision-making; specific organ system management; ICU administration; education; outcome assessment; evaluation of new technology and treatment techniques; and interacting with patients, families, and the entire multi-disciplinary health care team. This goal will be achieved by ensuring fellows demonstrate the intellectual and practical means to care for critically ill patients, with a depth of understanding in the following: shock and resuscitation; support of failing organs; infectious disease; nutrition and metabolic support; endocrinopathies; hematology and transfusion; perioperative ICU care; disorders of thermal regulation; ethics; evidence-based medicine; administration and teaching; and research and technical advance assessment.

While primarily located at Harborview Medical Center, all Trauma SCC fellows will also spend: one month at Seattle’s Veteran’s Administration Hospital, working on issues specific to their patient population; one month at Seattle Children’s Hospital, gaining experience with the Neonatal ICU and usage of ECMO; and one month at the University of Washington Medical Center in the Cardio-Thoracic ICU, dealing with complex disease states, organ support technologies, and organ transplantation. Additionally, fellows will have the option of elective rotations that include: Anesthesia; the Medical ICU; additional Neonatal ICU; Interventional Radiology; Palliative Care; Pre-Hospital Emergency Medicine; ECHO training; working with the Medical Examiner’s Office to gain additional anatomic and physiologic experience via patients that do not make it through to the ICU; or, if a fellow chooses, they can design their own Elective rotation to meet their specific educational needs. Fellows will provide supportive care in the evaluation and initial resuscitation and care of the critically ill in the Emergency Department, and function as a “Junior Attending” in the operative care of these challenging patients, as well as provide instruction to residents and students on the service. Fellows completing training will be competent and eligible for certification through the American Board of Surgery in Surgical Critical Care.

General information

In the fellowship program, individuals become involved in the development of Trauma Systems, and Quality Assurance and Improvement programs of trauma system care, and are expected to develop or progress research projects during the year. During their time at Harborview, each fellow can expect to be in charge of approximately 15-20 patients per day, and have access to 11 Board Certified Surgical Critical Care Specialists, and four Burn Attending Surgeons, including a Plastic Surgeon specializing in Burn Reconstruction. Approved by the RRC for application for certification in Surgical Critical Care from the American Board of Surgery, this program enables trainees to pursue careers as Trauma program and/or Critical Care Directors.

Per our guidelines, a candidate may only apply to either Trauma or Burn. We do not accept applications to both Trauma and Burn programs from one candidate.

Applications are accepted, in the year prior to the start of the fellowship year, through the Surgical critical care and Acute care surgery Fellowship Application Service (SAFAS) via the Surgical Critical Care Program Directors Society website at https://safas-sccpds.fluidreview.com/. While there is no hard deadline after which applications will no longer be accepted, the program reviews all completed applications in early May, and invites qualified applicants to interview. After scheduling those interviews, the program continues to review and invite applicants on an ongoing basis until all interview spots have been filled. Thus, applicants who complete their applications after the initial review in early May end up competing for fewer remaining interview spots. In order to be considered, applicants must submit; an updated CV, their complete ABSITE scores, 3 Letters of Recommendation, and a Personal Statement describing their career goals and intent. Applicants are matched through the NRMP matching system, which can be found at http://www.nrmp.org/fellowships/surgical-critical-care-match/.

Contact Information

Contact information can be found on the Trauma, Burn and Critical Care Education Contacts page.

Burn Surgery and Surgical Critical Care

Burn Surgical Critical Care Fellowship: One Year

There are two available positions in this track, which combines Clinical Burn training and Surgical Critical Care training, to be completed in one year. This is a fully accredited ACGME one-year program. Graduating fellows in this track will be eligible for the Surgical Critical Care certificate examination offered by the American Board of Surgery. Located at Harborview Medical Center, the Burn Surgical Critical Care Fellows participate in a wide range of experiences in the Acute and long-term care of Burn patients. This includes overseeing the management of acutely burned patients, as well as planning the surgical strategy for these patients. The Clinical Burn SCC Fellows participate in the excision and grafting of acutely burned patients. In addition, there is a wealth of experience in our scar management and burn reconstruction program, as well as an invaluable clinic/outpatient experience. Clinical Burn SCC fellows conduct several weekly clinics under the supervision of an Attending physician. This experience provides exposure to new consultations, recently discharged, and established patients, as well as management of remote patients via telehealth. While primarily designed as a Clinical Burn Fellowship, the Burn SCC Fellows will also rotate through the Trauma/Surgical ICU, the Pediatric ICU, the Neuro-ICU, and the Medical ICU, as well as completing a rotation in Echocardiography, to gain a broad Surgical Critical Care experience. Burn SCC Fellows are mentored by four Burn Attending Surgeons, including a Plastic Surgeon specializing in burn reconstruction, and have access to 11 Board Certified Surgical Critical Care Specialists at Harborview. There is also ample opportunity for performing Basic Research and Clinical Research, with several large clinical trials being conducted at Harborview at any given time.

General information

Per our guidelines, a candidate may only apply to either Trauma or Burn. We do not accept applications to both Trauma and Burn programs from one candidate. Applications are accepted, in the year prior to the start of the fellowship year, through the Surgical critical care and Acute care surgery Fellowship Application Service (SAFAS) via the Surgical Critical Care Program Directors Society website at https://safas-sccpds.fluidreview.com/. While there is no hard deadline after which applications will no longer be accepted, the program reviews all completed applications in early May, and invites qualified applicants to interview. This burn critical care track does not participate in the NRMP matching system and will offer fellowship positions on a rolling basis. The program will continue to evaluate applications until both fellowship positions are filled. In order to be considered, applicants must submit; an updated CV, their complete ABSITE and USMLE scores, 3 Letters of Recommendation, and a Personal Statement describing their career goals and intent.

Contact Information

Contact information can be found on the Trauma, Burn and Critical Care Education Contacts page.