The Pediatric Surgical Critical Care Fellowship is an ACGME-accredited, one-year surgical subspecialty fellowship program.
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 3,600 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 Nationwide Children’s Hospital (NCH) surgical critical care fellowship program attracts general surgery residents PGY3 and above with most candidates looking to pursue a career in pediatric surgery and enhancing their training in this field. The educational component allows the fellow to develop advanced training in the management of critically-ill surgical patients at NCH and The Ohio State University (OSU) and prepares them to independently function as a board-certified subspecialist. The fellow is exposed to advanced training in all aspects of surgical critical care and clinical research techniques applicable in the critical care setting. Candidates choose the NCH program due to the pediatric focus, high clinical volume and diverse faculty. The faculty have varied backgrounds and expertise and are at different stages in their careers. The hospital and especially the intensive care units exhibit multi-disciplinary collaboration with a multitude of health care providers. With 16 surgical faculty members, the fellow has multiple opportunities to engage in IRB-approved research projects, allowing them to publish and present their scholarly activities in peer-reviewed journals and at national conferences. A major focus of the surgical critical care experience is due to the accreditation of both an American College of Surgeons Level 1 Pediatric Trauma Center and American Burn Association Pediatric Burn Center. NCH is one of very few institutions that hold dual accreditations.
Upon completion, the fellow will have acquired the knowledge, skills, and an enthusiasm for life-long learning, teaching and practice of the surgical critical care subspecialty.
What You Need To Know
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.
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.
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. Karen Diefenbach, Director of Minimally Invasive Surgery, 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.
Application & Selection
For more information regarding fellowship application and selection, please contact Program Coordinator Cathy Rings.
Nationwide Children’s Hospital Surgical Services is one of the largest children’s surgical programs in the world. Under the umbrella of a unified program, 11 surgical departments share a common mission, philosophy and approach to patient care.Learn More