The Acute Care Surgery Fellowship offers primary training at Vidant Medical Center, the 865-bed tertiary care teaching hospital of the Brody School of Medicine at East Carolina University. VMC is an American College of Surgeons Level I trauma center serving a 30-county primarily rural catchment area. The state-of-the-art trauma center evaluates 3,000 injured patients annually, with trauma service admissions of approximately 2,000 patients. As the only tertiary care medical center in the entirety of Eastern North Carolina and the Outer Banks, VMC/ECU cares for a high volume and breadth of complex trauma and surgical critical illness.
The Division of Acute Care Surgery has functioned as a true acute care model for over a decade. The ACS service, with a mean census of 50 – 80 patients, consists of trauma, surgical critical care, and emergency general surgery components. The ACS Fellowship consists of 12 months of surgical critical care followed by a second year of acute care surgery. The ACS format includes 10 months of mandatory rotations in trauma, emergency surgery, vascular/interventional, advanced hepatobiliary, thoracic, and neurological and orthopedic surgery. Elective rotations in pediatric surgical critical illness, burns, and transplant/urology are available.
A unique feature of the program is the focused mentorship and teaching. The faculty to fellow ratio is 8 to 1. Subspecialty rotations, including neurosurgery, orthopedics, urology, and interventional radiology, do not have residency programs. In the absence of other surgical fellowships or subspecialty residents, the ACS fellow will be the sole learner on the majority of rotations. For rotations on services covered by general surgery residents, ample case volume and complexity are available for all learners.