The Division of Acute Care Surgery at McGovern Medical School covers all Trauma, Surgical Critical Care, and Emergency General Surgery for Memorial Hermann -Texas Medical Center (TMC). Memorial Hermann-TMC is the busiest level 1 trauma center in the US, according to the National Trauma Data Bank (NTDB).  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. McGovern Medical School admits well over 5,000 trauma patients annually with the most severely injured cared for in the 25-bed Shock-Trauma ICU (STICU).  The team performs over 600 non-orthopedic operations each year (>300 laparotomies and numerous thoracic, extremity, and neck cases). Our busy Emergency General Surgery service cares for a wide referral basis as well as in-house emergencies and our Shock-Trauma ICU cares for >1000 patients a year, with the fellow directing the care of these patients under the mentorship and guidance of the board-certified SCC faculty.

Our SCC and our Acute Care Surgery fellowships are accredited (by the ACGME and AAST, respectively).

The fellows do trauma, EGS and ICU cases.  While not the focus of the training program, fellows have the opportunity to perform elective gallbladders, abdominal wall reconstructions, and other general surgical procedures through the Trauma and EGS clinics. Previous ACS Fellows have logged over 400 cases during the two years with us. This year’s ACS fellow logged over 100 MAJOR trauma cases (not trachs, PEGS, take backs, or washouts, but real cases) in his first three months.

Finally, our fellows take Trauma and/or EGS attending call during the two years. When and how the fellows take call independently is through a graduated system of responsibility and is based on their clinical decision-making, confidence and surgical skills assessed by the Faculty throughout the year.

TRAINING PATHS

2 year Trauma and Surgical Critical Care Fellowship

  • Year One: Trauma and Acute Care Surgery. There are rotations in Trauma, Emergency General Surgery, HPB/transplant, Interventional Radiology and Cardiovascular. This includes experience in complex abdominal wall reconstruction, EMS/prehospital trauma systems, and research months. If needed or requested, additional vascular and thoracic experience is also available.
  • Year Two: Traditional Critical Care. Within these 12 months, a fellow typically spends 4 to 6 months in the Shock-Trauma ICU and 1 month each in the Burn ICU, MICU, Advanced Airway with Anesthesia, Advanced Trauma/Critical Care Ultrasound and Mentored-Research months. Elective rotations include: additional Burn ICU, Pre-hospital/Trauma Systems, PICU, Transplant/Surgical ICU, and CVICU or CCU. Fellows will become proficient in IVC filters, bronchoscopy, endoscopy, percutaneous tracheostomy, transesophageal echocardiography for resuscitation, and other ICU procedures.

1 year Surgical Critical Care Fellowship

  • Critical care year as described above.

1 year Clinical Trauma Fellowship (Accredited by The Texas Medical Board)

  • One year fellowship that 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.