There are six important Surgical Critical Care educational
conferences, summarized below. All conferences, except the ICU
Lecture Series, are attended by the Surgical Critical Care
faculty. Conference time is protected, and attendance is
Critical Care Core Conference:
A monthly conference, moderated by the SCC fellow and an
attending, focused on basic science and pathophysiology, as well
as clinical aspects of fundamental critical care topics. The
fellow prepares a 10-minute informal discussion on one or two of
the most pertinent topics of the session. A set of questions is
provided for each session, covering the corresponding topics to
the assigned textbook chapters.
ICU Lecture Series:
A daily lecture series, consisting of presentations by SCC and
MICU faculty, as well as specialists. The first half of each
month focuses on mechanical ventilation and sepsis, while the
second half of each month rotates on a two-three month schedule
of other critical care topics (for example, acute abdomen,
bleeding/hemostasis, pulmonary artery catheters, etc.) Fellows
receive a syllabus, which includes lecture outlines and three
supporting randomized controlled clinical trials or landmark
papers for each lecture. A 25 question exam is administered at
the end of each month. A 70 percent passing score is mandatory.
Journal Club is held monthly. A fellow and a Critical Care
attending act as the moderators. The fellow chooses two to three
articles to be discussed on a single topic. Copies of the
articles are distributed to the faculty and other fellows one
week in advance. The fellow moderator reviews his discussion
with the attending prior to the actual Journal Club meeting. The
fellow concisely presents the study purpose, methods and results;
he or she then discusses and critiques the study. When
applicable, pertinent clinical guidelines are reviewed.
Lunch and Learn Lecture Series:
A weekly lecture series delivered by visiting and local experts,
SCC faculty and fellows on a variety of cutting-edge critical
care topics. Fellows are expected to present four lectures per
year. The topics include basic science to bedside fundamentals.
Morbidity and Mortality:
A monthly conference attended by students, residents, fellows and
attending physicians. Service statistics and trends are
presented, followed by presentation by fellows of two interesting
morbidity cases with literature review. All unexpected outcomes
and mortalities are referred to Practice Committee.
A monthly forum for discussion of unexpected outcomes and deaths.
The fellows attend the conference, but cases are presented and
primarily discussed by the faculty. When applicable, pertinent
clinical guidelines are reviewed.
Surgical Critical Care fellows attend the weekly Trauma Mortality
and Morbidity Meeting as well as the Department of Surgery
Mortality and Morbidity Conference and Surgical Grand Rounds.
Daily Educational Rounds
The eventual goal for fellows' involvement in rounds is to have
them independently lead the multidisciplinary team, with
concurrent or later supervision by the Critical Care attending.
We adhere to a policy of graded responsibility in a context of
appropriate supervision. Initially, fellows will function as
part of the team, providing care to a number of assigned
patients, and reporting to the attending on rounds. As the
fellow gains skill, he/she will begin to lead the rounds on all
patients, assigning individual patients to other trainees.
Eventually, if he/she demonstrates the ability, he/she will lead
Director: Christine Trankiem, MD
Applications and inquiries can be submitted by Email:
Address: 110 Irving St. NW
Washington, D.C. 20010