Trauma Fellowship Overview

THE INSTITUTION

Barnes-Jewish Hospital is ranked among the top U.S. hospitals and is a nationally certified Level I Trauma Center with over 3,000 trauma admissions per year. At 1100 beds this makes it the largest in a multi-state region. Barnes-Jewish Hospital is a tertiary referral center with a broad catchment area and a significant scope of influence.  The Charles F. Knight Emergency & Trauma Center (Adult) at Barnes-Jewish Hospital occupies the ground floor of a multistory building with surgical suites, radiology, laboratory and essential services located on upper floors. The Trauma Center receives 95,000 ED visits annually. The rooftop helipad allows for integration and efficiency of care. Our patient base arrives from the entire state of Missouri and parts of every bordering state: Iowa, Illinois, Kentucky, Tennessee, Arkansas, Oklahoma, Kansas, and Nebraska.

The Surgical Intensive Care Unit (SICU) is a closed ICU that comprises 36 beds allocated to an array of critically ill or injured surgical patients requiring pre-operative stabilization, post-operative intensive care after elective or emergency surgery, or critical care following complications of surgical illnesses. Patients admitted to the SICU arrive from all of the surgical subspecialties, thus providing a broad base of experiences. Our intensivists hail from the disciplines of Anesthesiology, Surgery, and Emergency Medicine; and are consistently ranked among the top teaching faculty in the department of Anesthesiology.

SECTION OF TRAUMA ANESTHESIOLOGY

The Section of Trauma Anesthesiology consists of 11 full or part-time trauma anesthesiologists who specialize in the care of critically ill and injured patients. The trauma anesthesiology faculty have expertise in a variety of areas to include cardiac anesthesia, critical care, and military medicine. A member of the anesthesia team is present for level-one trauma admissions to the emergency department. Barnes-Jewish Hospital maintains a dedicated trauma operating room staffed by an attending anesthesiologist with a CRNA or Resident/Fellow Physician.

FELLOWSHIP DESCRIPTION

The fellow in trauma anesthesiology will have 16 clinical shifts per month, each a 12-hour shift. The fellowship will consist of 7 months of OR anesthesia with the trauma service, focusing on patient care, supervision of residents in anesthesiology, and management of the OR case flow. The four months of elective rotations during the fellowship include 2 months of ICU (SICU/Neuro ICU), trauma radiology, Echo for the trauma anesthesiologist, advanced regional anesthesia for extremity trauma, and blood bank/transfusion medicine. It is expected that the trauma fellow will have obtained ATLS certification at both the provider and instructor level and will be eligible to obtain basic echocardiography certification.  Additionally, the fellow will participate in departmental grand rounds and trauma service lectures and conferences.