Pediatric Surgery

Name of Host Institution: Cincinnati Children’s Hospital Medical Center

Program Specialty / Subspecialty: Pediatric Trauma Fellowship Training Program

Program Mailing Address:
Cincinnati Children’s Hospital Medical Center
MLC 2023
3333 Burnet Ave.
Cincinnati, OH 45229-3039

Program Phone Number: 513-636-7365

Program Fax Number: 513-636-7657

Program Email: rebeccah.brown@cchmc.org

Program Codirectors: Rebeccah Brown, MD, and Richard Falcone, MD

Alternate Program Contact: Julie Ludwig, residency coordinator, julie.ludwig@cchmc.org

History

This program was approved by the Graduate Medical Education Committee in January 2007. The first trainee began in July 2007.

Duration

One year.

Prerequisite Training / Selection Criteria

Ideally, the trainee will have completed a residency in general surgery and therefore be a candidate eligible for a pediatric surgical training program. It is also possible that such an individual will have completed a general pediatric surgical training program and now desires specialty training in pediatric trauma. Consideration may also be given to individuals in an accredited general surgery residency program (PGY-4 or above) who wish to gain additional training in pediatric trauma in preparation for either a pediatric surgical training program or adult trauma or critical care fellowship after completion of general surgery residency.

Goals and Objectives

We have established a pediatric trauma training program in which individuals participate in the broad clinical and academic experience available within the Division of Trauma Services at Cincinnati Children’s. This position could be filled by a general-surgery-trained individual who comes for a one-year pediatric trauma experience and would serve as the pediatric trauma fellow, or by a trained pediatric surgeon who desires additional pediatric trauma experience.

The goal of this position is to enable the trainee to gain expertise in pediatric trauma, enhancing an opportunity to apply for a more formal general pediatric surgery or trauma fellowship, or if he or she has completed training in pediatric general surgery, will enhance their expertise in pediatric trauma in anticipation of a subspecialization in this area.

Program Certifications

None at this time.

Teaching Staff

Pediatric Surgery – Rebeccah Brown, Richard Falcone, Victor Garcia and Daniel von Allmen
The training program directors, Brown and Falcone, will coordinate all aspects of the fellowship training program. The surgical faculty will supervise the fellow on all operative cases as well as on inpatient and outpatient care.

Facilities

All training is conducted at Cincinnati Children’s Hospital Medical Center, a private medical center providing 523 registered inpatient beds. The hospital is one of the largest children’s care facilities in the United States in several categories: number of beds, number of emergency room visits and number of operative procedures.

During the training period, this individual will be expected to participate in the pediatric trauma educational programs, outpatient and inpatient care and routine and complex surgical procedures. The trainee will also be involved in clinical research projects. The trainee may also participate in shared general pediatric surgery clinical and educational experiences with our current pediatric surgery trainees when deemed to be beneficial.

The goal of this fellowship position is to enable the trainee to gain expertise in the diagnosis, medical and operative management of a wide spectrum of pediatric trauma. This experience will expand the pool of specialists who will be able to care for these patients. In addition, this experience will permit the practitioner to enhance expertise in the treatment of pediatric trauma in anticipation of a subspecialization in this area.

The ultimate responsibility for care of the patients is the attending surgeon. No patient is admitted to the hospital, undergoes a procedure or procures a consultation without the attending surgeon being made fully aware and assuming full responsibility. The fellows will make bedside rounds with the attendings on a daily basis to go over patient progress, make management decisions and raise any concerns. Attendings will be notified promptly of all new pediatric trauma admissions and make bedside rounds on these patients with the trauma fellow within 24 hours of admission. There will be extensive and frequent communication both at the bedside and in the department regarding patient management decisions. Trauma fellows will also respond to all daytime and on-call trauma alerts and stats and communicate their findings and management decisions directly to the trauma attending.

Daily

Bedside rounds

Weekly

UC Surgical Grand Rounds
Pediatric Surgery Grand Rounds
Pediatric Surgery / Radiology Conference
Pediatric Surgery Morbidity and Mortality Conference
Textbook Chapter Review

Monthly

Trauma Case Review
Trauma Morbidity and Mortality Conference
Trauma PI Committee

Fellows are evaluated every three months by the program director, and a summary evaluation is conducted at the conclusion of the fellowship. In addition, the subspecialty residents are expected to provide formal evaluations of the individual faculty members, the program of learning and the program resources on an annual basis. This information is collated and presented to the faculty in an anonymous fashion.