Acute Care Surgery
Acute Care Surgery Fellowship
The Wake Forest Acute Care Surgery fellowship is one of a limited number of training programs in the country accredited by the American Association for the Surgery of Trauma (AAST). The AAST is the only organization that accredits Acute Care Surgery fellowships. The accreditation process promotes the highest quality education and insures that the fellowship maintains these high standards.
Program Goals and Objectives
1. The first year of the Acute Care Surgery (ACS) Fellowship is dedicated to the training of Surgical Critical Care. Specific goals and objectives are described in the section on Surgical Critical Care.
2. Second year fellows receive training in Trauma Surgery and Emergency General Surgery that allow them to become leaders at local and national levels. Training in advanced injury management is supported by a busy Level 1 trauma center which admits approximately 3,000 patients each year from all of Western North Carolina. Fellows oversee initial assessments and resuscitations as well as provide operative management.
3. While continuing to obtain the traditional advanced training in trauma, the ACS fellow also receives additional education in emergency general surgery as well as fields such as thoracic surgery, vascular surgery, orthopaedics, neurosurgery, hepatobiliary surgery, and interventional radiology. During this year, the ACS fellow assumes a leadership role on the busy trauma and emergency surgical services. Intensive Care Unit and Trauma Center administration is also taught and research endeavors are encouraged and highly supported.
4. Approximately 1600 patients are cared for on the emergency general surgery service. Between trauma and emergency general surgery cases, the ACS service supports a combined operative load of approximately 2000 cases per year.
5. The responsibilities of the ACS fellow expand throughout the training program to a level similar to junior faculty allowing the fellow 's skills to grow in a mentored environment. Fellows take trauma and emergency general surgery call at the faculty level during which all evaluation and treatment decisions as well as operative interventions are provided by the fellow who is overseeing a full complement of house officers. During call, senior oversight is available to the fellow as needed to provide education in the setting of more challenging situations.
6. ACS fellows are provided research opportunities and involvement in national organizations/meetings is supported and highly encouraged.