Brian Kenney, MD, MPH
Pediatric Surgical Critical Care Fellowship
Pediatric Surgical Critical Care is an ACGME-accredited one year surgical subspecialty fellowship program which trains surgeons to: (1) manage the complex medical and surgical problems in critically ill pediatric surgical patients, (2) supervise a critical care unit, and (3) conduct scholarly activities. Patients range in age from the extremely premature neonate to adolescent and adult patients. The Surgical Critical Care (SCC) Fellow manages trauma, thermal injury, ECMO, and critically-ill surgical patients before and after their operative procedures.
The Surgical Critical Care Fellow benefits from the large volume of surgical patients at Children’s Hospital with greater than 3600 general surgery operations per year. The Surgical Critical Care Fellow attends to the majority of the approximately 325 surgical and trauma patients who are cared for in the Pediatric Intensive Care Unit on an annual basis. In addition, the fellow is involved with the surgical patients in the Neonatal Intensive Care Unit.
The Surgical Critical Care Fellow is a key physician in the care of patients at one of the largest pediatric Trauma Centers in the United States. The Fellow is the Trauma Team leader for all the Level I traumas during the daytime. Children’s Hospital also has fellowships in Pediatric Critical Care, Neonatology and Pediatric Surgery. Together these programs create a unique community of fellows that promotes peer-to-peer education and research.
The Surgical Critical Care Fellow is expected to complete three research projects for publication including one for presentation. Most of these research projects involve clinical epidemiology or health services research backed by strong biostatistics resources. The fellow also has the opportunity for basic science research. The fellows have significant exposure to general surgical problems both in the Intensive Care Unit and Emergency Departments but also from operative experience gained while on-call for the general surgery service.
Given the advanced nature of the program, the Program Director works with the SCC Fellow to tailor the experiences to his/her specific needs and interests within the overall framework of the curriculum. Most residents spend one month in the Neonatal Intensive Care Unit, two weeks with the Department of Anesthesiology and one month in the adult SICU at The Ohio State University Medical Center.
Dr. Brian Kenney is the Director of the Pediatric Surgical Critical Care Fellowship and Surgical Director of the PICU. The SCC Fellow will work closely with several individuals (Dr. Jonathan I. Groner, Trauma Medical Director, Dr. Renata Fabia, Director, Pediatric Burn Program, Dr. Nadeem Khan, Medical Director of the PICU, Dr. Steven Teich, Surgical Director of the NICU, and Dr. Edward Shepherd, Medical Director of the NICU) to learn the administrative responsibilities of directing an Intensive Care Unit, including performance improvement, establishment of policies and procedures, design of training programs, and efficient management of resources available to the ICU.
The SCC Fellow should be able to: (1) establish and administer an Intensive Care Unit that provides critical care to neonates, infants, children, and adolescents from all surgical sub-specialties and (2) teach and conduct research in pediatric surgical critical care. Upon successful completion of the pediatric surgical critical care residency, the graduate is eligible for the examination in Surgical Critical Care administered by the American Board of Surgery.