Surgical Critical Care Residency

The Surgical Critical Care Residency is an accredited one-year program designed to provide the trainee with in-depth knowledge of Surgical Critical Care. Completion of this residency qualifies the individual for the examination offered by the American Board of Surgery for the Certificate of Added Qualifications in Surgical Critical Care. Individuals applying to this program need a minimum of three clinical years in a surgical training program, but preference is given to individuals who have completed or are completing their surgical residency training.

The primary educational focus is the complex management of the critically ill surgical patient with an emphasis on prioritization of care and multidisciplinary care coordination. Daily work rounds are conducted by the General Surgery Residents and directed by the Surgical Critical Care Resident. These are followed by daily attending rounds with board-certified intensivists, nurses, doctors of pharmacy, nutritionists, social workers, physical and occupational therapy. Decisions for patient care include management of cardiovascular, respiratory, neurological, nutrition and infection control. Additional education is gained in overall Intensive Care Unit management with daily experience in the management of staffing, decisions for transition to other levels of care, infection control practices and allocation of hospital resources.

The program is based at Saint Louis University Hospital (SLUH). Saint Louis University Hospital is a Level I trauma center and tertiary care referral center. In addition, it is the regional Center for Skull Based Surgery and has an active solid Organ Transplantation program. The trainee spends ten months in the Surgical Intensive Care Units at this institution. Saint Louis University is in compliance with the directives of the ACGME and the work hour requirements. The Surgical Critical Care fellow is in house for 72 hours per week and has 1 day off/weekend. Daily responsibilities include directing the Surgical Critical Care Service, providing 24-hour coverage for all critically ill patients in the Trauma/General Surgery ICU and for selected patients in the Cardiovascular Surgery ICU and Transplant/Neurosurgery ICU. The training program also includes two elective months, which may include rotations in the Medical Surgical ICU at Mercy Hospital St. Louis, the Burn Unit at Mercy Hospital, or in the Pediatric ICU at SSM Cardinal Glennon Children's Medical Center. The two elective months may also be dedicated to clinical research activities. Other arrangements may be considered on an individual basis.

Teaching rounds are supplemented by didactic materials, including lectures and directed reading. The Surgical Critical Care resident is responsible for selecting topics and speakers for the weekly Surgical Critical Care Conference. He or she will present at least once at Surgical Grand Rounds and will attend and provide commentary regarding critical care decision making at the weekly Trauma and General Surgery Morbidity and Mortality conferences.

In addition to these educational components, the resident is expected to participate in administrative and research aspects of surgical critical care. The resident is a member of the administrative committee of the Trauma/General Surgery ICU and also attends the monthly meeting of the Special Care Committee of the medical staff. Funding is provided for the resident to attend at least one outside course or symposium on ICU administration, particularly those held in conjunction with the annual meeting of the Society of Critical Care Medicine. Finally, the resident is expected to develop and complete at least one clinical research project during the residency. If desired, more in-depth training in basic or clinical research is available through an optional second year of research training.

It is expected that, at the completion of this fellowship, the resident will be capable of providing care to the critically ill patient and be able to assume an active leadership role as a Medical Director of an Intensive Care Unit.

Conference Schedule:
Trauma ICU Conference- Monday at 2:30 p.m.
Surgical Critical Care Conference- Tuesday at 5:00 p.m.
Surgical Grand Rounds- Wednesday at 7:00 a.m.
General Surgical M&M- Wednesday at 8:00 a.m.
Trauma M&M -- 2nd Monday at 1:30 p.m.
Trauma Infection control- 4th Monday at 1:30pm


Catherine M. Wittgen, M.D.
Carl M. Freeman, M.D.
Kevin R. Mahoney, M.D.
Daniel L. Naughton, M.D.
Jane E. Tenquist, M.D.
Jamie Rand, M.D.
Matthew Pieper, M.D.

Program Coordinator
Keith Williams
314-577-8317 Ext 2

Previous trainees:
Corydon W. Siffring, MD.1991-1992
Patrick M. Bailey, M.D.1993-1994
Bhargav M. Mistry, M.D.1994-1995
Jeffrey H. Levine, M.D.1995-1996
Burt B. Katubig, M.D.1996-1997
Chiras P. Patel, M.D.1997-1998
Tauqir X. Ahmed, M.D.1999-2000
Gregory R. Strauther, M.D.2000-2001
Jeffrey A. Bailey, M.D.2001-2002
Saifullah Shaikh, M.D.2002-2003
Darrell E. Alley, M.D.2004-2005
Carl M. Freeman, M.D.2005-2006
Daniel L. Naughton, M.D.2006-2007
Kari F. Jerge, M.D.2009-2010
Alison J. Witte, M.D.2010-2011
Jarett K. Howe, M.D.2011-2012
Jamie M. Rand, M.D.2012-2013
Jennifer Sanford, M.D. 2013-2014
Matthew Pieper, M.D.2014-2015
Mark McMellan, M.D.2015-2016

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