Surgical Critical Care Fellowship
The University of Texas Health Science Center at Houston (UTHSCH) is one of only two ACS-verified level 1-trauma centers serving Houston, Texas, the fourth largest city in the United States. The trauma center and main teaching institution is located at Memorial Hermann Hospital, an 800-bed facility within Texas Medical City. It is home of Life Flight aero-medical services and the John S. Dunn Helistop, the busiest heliport in the United States for its size. UTHSC admits well over 5,000 trauma patients annually with the most severely injured cared for in the 25-bed Shock-Trauma ICU (STICU).
The fellowship was initiated in 1994 and currently supports three (3) Surgical Critical Care Fellows (with a request to ACGME to expand to six), three (3) research fellows, and one to two Clinical Trauma Fellows. The Acute Care Surgery Division has eleven (11) faculty members. We offer multiple fellowship opportunities ranging from purely clinical to those with a research emphasis. One-year fellowship positions in (1) Surgical Critical Care, (2) Clinical Trauma or (2) Trauma Research are available. In addition, two-year positions are available in (1) Surgical Critical Care and Clinical Trauma, (2) Surgical Critical Care and Trauma Research, and (3) Two-year Trauma Research (T32).
The majority of the Surgical Critical Care year is spent in the STICU, allowing exposure to a wide variety of severely injured patients, often with multiple co-morbid conditions. Additionally, the STICU serves as the highest level of care for critically ill patients from general surgery services, head and neck surgery, and obstetrics and gynecology. The STICU has approximately 975 admissions annually. Other rotations such as the medical ICU, cardiovascular ICU, Neuro-trauma ICU, Burn ICU and Pediatric ICU enhance exposure to a wide variety of patient populations and ICU practices. The Clinical Trauma Fellowship is individualized to each applicant and is focused on developing their future practice whether it will be in academics or a private setting. The year is also customized to address specific deficits that the candidate feels that he/she might have with respect to operative, non-operative, and interventional management.
Critical reviews of research and the medical literature form an integral part of the daily ICU bedside teaching rounds and didactic conferences. Each Monday both administrative and research issues are addressed at the Trauma/Critical Care Faculty Meeting. In addition, changes in practice and proposed research topics are discussed in detail at the monthly Practice Management Guidelines meeting. Recently implemented Surgical Critical Care Conference and the Trauma Operative Conference deliver Grand Rounds-quality lectures by the institution’s (and visiting) Faculty that are aimed specifically at “fellow-level” education (PGY-6 and above). The SCC resident is expected to deliver at least one Grand Rounds lecture throughout the year. The SCC resident is also encouraged to participate in ongoing projects and to develop their own research interests. Research time is made available on an individual basis to those residents who wish to further their own scientific investigations.
Bryan Alan Cotton, MD, MPH
Associate Professor of Surgery,
Division of Acute Care Surgery
Department of Surgery, The University of Texas Medical School at Houston
Physician Scientist in Coagulation Research
Center for Translational Injury Research (CeTIR)
The University of Texas Health Science Center
6410 Fannin Suite 1100.20
Houston, TX, 77030
Tel: (713) 500-7354
Fax: (713) 521-7135
Coordinator: Deanna Congdon
Location & Contact
6431 Fannin Street
Houston, Texas 77030