Riverside University Heath Systems
Date Posted: March 9, 2022
Surgical Critical Care Fellowship
fellowshipThe Riverside University Health Systems Medical Center (RUHSMC), an ACS-COT verified Level I trauma center and Riverside county-designated safety net hospital, is home to the RUHS/University of California Riverside surgical critical care fellowship. RUHSMC is dedicated to the mission of providing acute care and critical care services for individuals of all backgrounds. We maintain a tradition of caring for the underserved and a commitment to improving the wellbeing of our culturally and socioeconomically diverse population. The Department of Surgery hosts a comprehensive range of services to treat a wide range of high-acuity pathophysiology: not limited to trauma, vascular, oncologic, gastrointestinal, plastic, and minimally invasive surgery. RUHSMC is home to academic programs with dedicated residencies in general surgery, emergency medicine, internal medicine, radiology, neurosurgery, orthopedics, neurology, pediatrics, and psychiatry. Fellows, residents, and students from Loma Linda University and the University of California, Riverside also rotate on site to expand their educational experience. Our 439-bed hospital has 12 operating rooms for inpatient services and an additional 6 operating rooms dedicated to elective operative services in our new outpatient building. Fellows have opportunities to follow patients throughout their entire course of care, from the emergency room and trauma bay to the acute care ward, surgical ICU and operating room. The surgical ICU has 12 dedicated beds and supports the trauma, neurosurgery, emergency general surgery, and subspecialty surgical services. Fellows work closely with our accomplished critical care faculty to obtain experience in the evaluation of both trauma and emergency general surgery patients, the operative management of critically ill individuals, and the delivery of exceptional and compassionate surgical critical care. We foster professional growth through scheduled didactics, interdisciplinary education rounds, committee participation, and direct patient care. Our program enables fellows to serve as leaders and administrators of busy surgical intensive care units and prepares them to be robust contributors to the surgical critical care field. Our rotations deliver diverse critical care experiences, exploring the high acuity and complex pathology seen in our own community and our neighboring institutions. Fellows will be exposed during a one-month rotation to our medical ICU, which is overseen by Pulmonary Critical Care board certified specialists. During this rotation, fellows obtain further skills in airway management, transvenous pacing, and interventional pulmonology. Additional opportunities include rotations at the Loma Linda University Medical Center and Children's Hospital, an 825 bed Level I Trauma Center for San Bernardino County. There, fellows care for patients in the cardiac/vascular ICU and the neurocritical care unit, gaining experience with CABG, transplant, valvular heart disease, thoracic, vascular, neurosurgical and neurointensive patients. A rotation at Arrowhead Regional Medical Center, home to the Edward G. Hirschman Burn Center, provides experience in burn resuscitation and surgical burn care and management for patients from across the counties of Riverside, San Bernardino, Inyo, and Mono. Fellows maintain and foster surgical decision-making and operative skills on our trauma and acute care surgical services at RUHSMC. Our busy Level I trauma center sees more than 3500 activations annually. Our emergency general surgery rotation occurs on a busy and high acuity service with a diversity of general surgery cases and advanced pathology. The faculty of the surgical critical care fellowship foster education and research opportunities for fellows to better our local community and to academically contribute on a national and international level. Fellows are supported to perform scholarly activity and are encouraged to participate with the hospital’s research institute, the Comparative Effectiveness and Clinical Outcomes Research Center (CECORC). CECORC serves as the hub of institutional research for RUHS with a dedicated full-time support staff of statisticians, trial coordinators and research personnel to facilitate faculty and trainee research endeavors. RUHS has a dedicated on-site Institutional Review Board to review and support medical center projects.