Surgical Critical Care Fellowship

The University of Florida Surgical Critical Care Fellowship offers a dynamic 12-month, multidisciplinary training program by a team of critical care specialists at UF Health Shands Hospital, which is a Level I trauma center and tertiary surgical referral center serving north and central Florida, as well as southern Georgia.


Ambulance leaving the trauma bay

120 combined critical care beds include the trauma ICU (TICU), surgical ICU (SICU), neuro ICU (NICU) and burn ICU (BICU). In collaboration with the surgical services, the critical care teams manage 3,500 critically ill patients across trauma surgery, burn surgery, emergency general surgery, surgical oncology, pancreas-biliary surgery, bariatric surgery, neurosurgery, orthopedics, obstetrics and gynecology, vascular surgery, otolaryngology, urology, plastic surgery and transplantation surgery. Primary learning objectives include, but are not limited to, advanced airway management, critical care ultrasonography (ex. FAST, TTE, TEE, ultrasound guided procedures), bedside procedures such as percutaneous tracheostomy, tube thoracostomy, vascular access, trauma and postoperative resuscitation, as well as sepsis, ARDS, and renal failure management.

The fundamental mission of the Surgical Critical Care Fellowship is to train highly skilled, knowledgeable and compassionate surgical critical care specialists, evidenced by 100% of graduates becoming board-certified within 2 years of program completion. Graduates will be well-rounded with a strong academic foundation as evidenced by 100% fellow participation in clinical or basic science research during the course of their training. Fellows will also demonstrate an understanding of the greater health care system with 100% of fellows participating in at least 1 Quality Assurance/Patient Safety project during training.

Clinical Experience

Surgical critical care fellows are required to complete 9 months of critical care training, with 5 months being spent in the TICU and SICU.  One month each in the Burn ICU, Cardiothoracic ICU, Neuro ICU, Thoracic/Vascular ICU. The electives available are vast, including, but not limited to trauma surgery, burn surgery, cardiothoracic ICU, medical ICU, pediatric ICU, neonatal ICU, VA SICU/CTICU, research, nutrition, ultrasound/echocardiography, airway, transplant, gerontology and advance radiology. All call duties are almost exclusively in-house 12-hour shifts. Trauma and critical care call duties are not combined, although there is the ability to take trauma and general surgery call throughout the entire academic year. Surgical critical care fellows are expected to actively participate in fellowship education, as well as protocol implementation and construction. ATLS and ATLS instructor classes are offered and surgical critical care fellows are encouraged, but not required, to enroll in these classes.

If desired, a distinct second year of trauma fellowship can be tailored to the specific trainee interests and can include a faculty appointment, robust trauma and emergency surgery clinical experience, research and/or a master’s program in public health or medical education. The University of Florida and UF Health Shands Trauma Center was approved as an official fellowship training site for Acute Care Surgery by the American Association for the surgery of Trauma in 2014. Learn about our program: Acute Care Surgery Fellowship.

UF’s College of Medicine also offers critical care medicine fellowship programs in anesthesiology, emergency medicine and pulmonary medicine. Surgical critical care residents work in a multidisciplinary fashion with attendings and residents/fellows from all disciplines, allowing for a robust, comprehensive approach to their critical care education.

Research

UF Sepsis and Critical Illness Research Center_4C

The Department of Surgery acute care team has a robust research presence at the University of Florida. Multiple faculty members have active research programs within the Department of Surgery’s Laboratory of Inflammation Biology and Surgical Science which focuses on the role of innate cellular immunity and inflammatory mediators in the host response to severe trauma, burn injury, and sepsis. The team, under the direction of principle investigator Fred Moore, MD, was recently awarded a National Institutes of Health P50 center grant to establish the UF Sepsis and Critical Illness Research Center to study the persistent inflammation, immunosuppression and catabolism syndrome (PICS) following sepsis in surgical intensive care unit patients. Trainees with interest in a career in academic medicine are encouraged to pursue a faculty-mentored research project during their fellowship. Faculty expertise and potential research projects span a broad spectrum of research approaches from basic laboratory and translational research, to clinical and outcomes research. Individual research projects, additional research time, and/or master’s programs in public health or medical education can be designed to tailor to the trainees’ interests and career goals.

Application & Requirements

Four positions are available each academic year. Surgical critical care trainees must be board-eligible in general surgery, urology, neurosurgery or obstetrics and gynecology. The program is approved by the Residency Review Committee for Surgery through the Accreditation Council for Graduate Medical Education and participates in the National Resident Matching Program. Upon completion of the fellowship, the fellow will be eligible to take the surgical critical care board exam.

Interested applicants will need to click on the link below in order to submit an application:

Program Director:

Alicia M. Mohr, MD, FACS, FCCM
University of Florida Health Sciences Center
1600 S.W. Archer Road
Gainesville, FL  32610-0108

Faculty

Scott C. Brakenridge, M.D., M.S.C.S., F.A.C.S.
Assistant Professor, Acute Care Surgery

Torben K. Becker, M.D., Ph.D., F.A.W.M.
Emergency Medicine

Azra Bihorac, M.D., F.A.S.N., F.C.C.M.
Associate Professor, Anesthesiology

Joshua Carson, M.D., F.A.C.S.
Assistant Professor, Acute Care Surgery

Chasen Croft, M.D., F.A.C.S.
Assistant Professor, Acute Care Surgery

Ian Driscoll, M.D., F.A.C.S.
Associate Professor, Acute Care Surgery

Philip A. Efron, M.D., F.A.C.S., F.C.C.M.
Associate Professor, Acute Care Surgery

Marie-Carmelle Elie, M.D., FACEP, F.C.C.M., R.D.M.S.
Associate Professor, Emergency Medicine

Sean Kiley, M.D.
Assistant Professor, Anesthesiology

Meir Meerkov, M.D.
Assistant Professor, Acute Care Surgery

Alicia M. Mohr, M.D., F.A.C.S., F.C.C.M.
Professor and Chief, Acute Care Surgery
Program Director, Acute Care Surgery Fellowship and Surgical Critical Care Residency

Frederick A. Moore, M.D., F.A.C.S., M.C.C.M.
Professor, Acute Care Surgery

David W. Mozingo, M.D., F.A.C.S.
Professor, Acute Care Surgery
Director, UF Health Burn Center

Martin Rosenthal, M.D., F.A.C.S.
Assistant Professor, Acute Care Surgery

Rohit Patel, M.D., F.A.C.S.
Assistant Professor, Emergency Medicine and Anesthesiology Critical Care

R. Steven Smith, M.D., R.D.M.S., F.A.C.S.
Professor, Acute Care Surgery

Erin Vanzant, M.D.
Assistant Professor, Acute Care Surgery

Michael Walters, M.D., F.A.C.S.
Assistant Professor, Acute Care Surgery

 

Past Fellows

year fellows current/last position
2019-2020 Matheus Falasa, MD University of Florida (Surgery Resident)
Tyler Loftus, MD University of Florida (Surgery Resident)
Travis Murphy, MD University of Florida (Surgery Resident)
Olga Zayko, MD State University of New York Downstate (Surgery Resident)
2018-2019 Maria Alfaro, MD Kern Medical Center, CA (Surgery Resident)
John Davis, MD University of Virginia (Surgery Resident)
Zachary Hothem, DO Beaumont, Michigan (Surgery Resident)
Joshua Yeykal, DO Grayling, Michigan (General Surgeon)
Tiffany Anderson, MD University of Florida (Surgery resident)
2017-2018 Maryann Mbaka, MD University of South Carolina (Surgery resident)

SCC Residency Listings

Surgical Critical Care Resources


Surgical critical care is an ever-expanding field characterized by advanced technology, patient care and education. At UF Health, in pursuing our mission for better patient care, we aim to improve education both at our institution and others through spreading education resources.