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Surgical Critical Care Fellowship

About the
Surgical Critical Care Fellowship

The mission of the Fellowship is to provide the clinical, educational, and administrative environment and resources to allow fellows to develop advanced proficiency in the management of critically ill surgical patients, to develop the qualifications necessary to supervise surgical critical care units, and to conduct scholarly activities in surgical critical care. The fellowship provides a broad based clinical experience and training in adult surgical critical care allowing qualification for board certification in surgical critical care.


Program Accreditation and Directors

ACGME # 4422531027
Adult track: 2 slots, available through NRMP match, program code 1295442F0.
Pediatric track: 1 slot, not through match.


The primary clinical training is based in the adult surgical intensive care units of three Detroit Medical Center hospitals:
  • Harper University Hospital (HUH) – approx. 12 – 18 patient census, focused on general surgery, cardiothoracic surgery (including ECMO), vascular surgery, and other surgical subspecialties. Includes cancer patients in the ICU of Karmanos Cancer Institute.
  • Detroit Receiving Hospital (DRH) – approx. 12 – 15 patient census, focused on trauma and acute care general surgery, and critically-ill burn patients.
  • Sinai-Grace Hospital (SGH) – approx. 12 – 18 patient census, focused on trauma, acute care general surgery, neurosurgery, and cardiothoracic surgery.
Faculty support at the sites include:
  • HUH – two surgical critical care faculty and three anesthesia critical care faculty, each discipline covers 50% of the time.
  • DRH – five surgical critical care faculty
  • SGH – three surgical critical care faculty
Elective experiences (2 months) in echocardiography (required elective, TTE and TEE), neuro ICU, MICU, pediatric SICU, hyperbaric therapy, interventional radiology, anesthesiology (airway management, intra-op hemodynamic monitoring), and nephrology are available. A limited direct operative experience of trauma and critically ill patients is available for burn patients only. Opportunities for research and scholarly activities are available and encouraged.

Month 1 – SICU, Harper Hospital
Month 2 – Echocardiography, Harper Hospital (required elective)
Month 3 – SICU, Detroit Receiving Hospital
Month 4 – SICU, Harper Hospital
Month 5 – SICU, Detroit Receiving Hospital
Month 6 – SICU, Harper Hospital
Month 7 – SICU, Sinai-Grace Hospital
Month 8 – SICU, Harper Hospital
Month 9 – SICU, Sinai-Grace Hospital
Month 10 – SICU, Harper Hospital
Month 11 – Neuro ICU, Detroit Receiving Hospital
Month 12 – Elective

On call –
HUH: Two nights per month with weekends off.
DRH: No call, some weekend rounding.
SGH: No call or weekend rounding.

The curriculum is based on the ACGME program requirements for fellowship education in surgical critical care. A full didactic program of lectures, selected readings, journal club and M&M conference is offered.

FCCS and ultrasound courses offered.

Independent reading and study is required in the following:

  • Critical Care of the Surgical Patient – Decker
  • Critical Care textbook of choice
  • Adult Multiprofessional Critical Care Review, SCCM
  • Self-Assessment in Multiprofessional Critical Care, SCCM

Salary: $60,755 (PGY4), $64,455 (PGY6) (2021-22 salaries)
Educational allowance: $2500 (in addition to salary, as expense reimbursement)
Meal cards: $600
Attendance at annual Society of Critical Care Medicine Clinical Congress (Jan/Feb, must be covered by educational allowance, additional funds available as well)
Vacation – 3 weeks
Fellowship starting date – August 1, 2022 (can accommodate July 1 for post-PGY3 general surgery residents in training)
Moonlighting allowed (permanent license required)


Applicants should be board certified or eligible in General Surgery or enrolled and having completed three years in an accredited general surgery residency. To apply, forward a personal statement, curriculum vitae, references and three letters of recommendation (including from current or most recent Program Director). Applications should be submitted through the SAFAS site ( (Applications for the Pediatric Track should be directed to Dr. Lydia Donoghue—details below.)

Surgical Critical Care Fellowship (Adult Track) Program Overview - 2022

Fellowship Directors