About The GW SCC Fellowship

The George Washington University Hospital has a longstanding tradition of excellence in critical care. APACHE was first described at GWUH by Drs. Knaus and Zimmerman. Most recently, the initial study validating the efficacy of Angiotensin II as a resuscitative agent was performed at GW along with studies on biomarkers of acute renal failure. Such a deep history of research and academic achievement has allowed for the creation of a robust learning environment for persons interested in pursuing critical care. GW Hospital is also an ACS verified Level 1 trauma center as well as a comprehensive stroke center. Given our location in the center of Washington DC, we see a wide breadth of disease ranging from urban trauma to severe malaria infection from people returning from their travel abroad.

The GW Surgical Critical Care Fellowship is a 1-year multidisciplinary program that is unique in that it exposes the ICU fellow to all aspects of critical care, ranging from trauma/ surgical to advanced cardiothoracic including ECMO and VAD and medical diseases. Flanked by a cadre of residents from all departments as well as a multidisciplinary group of attending intensivists, the fellow serves as the nexus for all decision making thereby giving them an immersive experience in team management, patient triage, creation of plans of care, and procedures. The goal of the program is to graduate an intensive care trained surgeon who can care for a broad spectrum of critical illness with specific specialty training in surgical, trauma, neuro critical care and ECMO.

The attending group in the ICU consists of critical care board certified surgeons, anesthesiologists, internists, and emergency physicians. This diverse group of attendings allows the fellow to learn differential approaches to the critically ill patient and allows for a wide breadth of knowledge upon completion of the fellowship.

The GW ICUs are spread over 4 floors for a total of 59 beds, each of which has a separate focus and provides the fellow a different patient population from which to learn and gain experience. ICU 6 serves as the fellow’s home base as it is the neuro- and trauma ICU. ICU 4 serves as the medical/surgical ICU while ICU 5 has been designated our COVID ICU. ICU 2 is the 11 bed cardiovascular ICU; all ECMO and VAD patients are admitted here.

Fellows rotate through all ICUs but spend most of their time ICUs 4 and 6. The fellow also spends 2 months on the trauma service, working as a junior attending surgeon. There is an attending assigned to all services upon which the fellow rotates, thereby giving the fellow the ability to seek guidance and to learn while also allowing appropriate autonomy to render patient care. The fellows are also offered elective time of a variety of surgical services as well as palliative care, geriatric medicine, nutrition, and echocardiography.