Cuidados críticos quirúrgicos, traumatismos y quemaduras

Program Aims and Objectives

• To effectively manage the surgical critical care needs of a culturally diverse, medically underserved patient population.
• Train surgeons to be confident independently managing a surgical critical care unit.
• Produce surgeons proficient in the critical care management of surgical emergencies, burns and trauma.

Patient Care

• Perform clinical exams, create treatment plans, and resuscitate critically ill patients.
• Manage shock, sepsis, post-operative care, and ICU infections.
• Treat pain, delirium, respiratory failure, endocrine, GI, renal issues, and malnutrition.
• Demonstrate proficiency in ICU procedures, including intubation, bronchoscopy, renal therapies, and nutrition management.

Medical Knowledge

• Apply sepsis guidelines, ventilator management, and post-operative cardiac care.
• Manage hemodynamics, arrhythmias, critical medications, and ICU infections.
• Understand and manage endocrine, renal, and coagulopathic disorders.

Practice-Based Learning

• Utilize evidence-based resources, critical care texts, and journals.
• Demonstrate self-directed learning and educate residents, students, and team members.

Interpersonal and Communication Skills

• Communicate effectively with healthcare teams, patients, and families.
• Maintain ethical behavior, accurate documentation, and cultural sensitivity.

Professionalism

• Uphold high standards of professionalism, including ethical behavior and patient privacy.
• Adhere to ACGME duty-hour requirements and ensure timely, accurate documentation.

Systems-Based Practice

• Triage critically ill patients, lead multidisciplinary rounds, and follow ICU protocols.
• Contribute to quality improvement processes and promote cost-effective care.

Documentation

• Maintain an updated ACGME SCC Case/Procedure Log.

Evaluations 

• Acquisition of critical care cognitive skills will be assessed by the SCC Fellow’s active participation in patient care, teaching rounds, daily conferences, and weekly board review.  These skills will be evaluated in an end of rotation assessment
• Feedback: The SCC Fellow and the Program Director will meet for review of the SCC Fellow’s performance and include a review of the goals and objectives covered during the rotation

In-service Testing 

• Each year in late February and early March the SCC Fellows will participate in the Society of Critical Care Medicine’s Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP).  This proctored exam is typically administered by the Program Director in the SCC Fellow’s Office.  The SCC Fellows will receive a report of their test performance from the Society of Critical Care Medicine

• Comprehensive Trauma Care:
  • Injury mechanisms, triage, stabilization, and resuscitation.
  • Trauma-related critical care, convalescence, and psychological recovery.
• Surgical Skills:
  • Mastery of operative trauma techniques and rescue surgery.
• Critical Thinking:
  • Decision-making and creative solutions in unique clinical circumstances.
• Multidisciplinary Collaboration:
  • Working across specialties to optimize care.
• Leadership and Education:
  • Skills in teaching, mentoring, and systems-based leadership.
• Research and Outcomes:
  • Scholarly activity, quality improvement, and national presentations.