The ACGME-accredited Anesthesia Critical Care Program at UTMB, the oldest medical school in Texas, has an extraordinary faculty that promotes collegial and patient-centered care. Our program, whose alumni are practicing nationwide, has been accredited since 1995. Fellows embarking on a career in academics or in private practice benefit from the comprehensive and innovative training program we offer.
One such innovative feature is our multidisciplinary journal club, in which fellows from accredited Surgical and Pulmonary Critical Care programs present contemporary articles and promote interdisciplinary education. In addition to the more traditional Anesthesiology applicant, we also have Maternal-Fetal-Medicine fellows, and we are receptive to the ABA plan to include emergency medicine physicians, all of whom would be eligible to attain board certification.
During the year-long program, fellows manage patients from a wide variety of clinical, surgical, and medical sub specialties including transplant, trauma, neurosurgery and neurology, cardiothoracic, vascular, and ob/gyn, among others. Fellows have the opportunity to work with professionals at the highest level of training in this multidisciplinary environment. In addition, UTMB is designated as a Level I Trauma center; our nursing team boasts Magnet status; we have an exceptional Respiratory Therapy program; and our fellows collaborate closely with PharmD fellows, nutritionists, primary teams, etc. in our semi-open ICU setting. Further, we encourage the use of ultrasound and the most up-to-date monitoring devices in the management of the unit, and we foster a familiarity with vascular devices, such as ECMO, LVAD, IABP, etc. in our CT ICU. Finally, we place primary emphasis on evidence-based practices.
Similar to the majority of the other 51 accredited critical care programs, we plan to participate in the San Francisco Match, as the AASSPD will likely adopt this matching program in July of 2014. The common application used by a majority of the programs can be found on the SOCCA website. Our program is accredited for two fellows and, on occasion, may accommodate off-cycle applicants.
The first MOCA-certified simulation center is on campus and is available to fellows throughout the 12-month training program. The simulation center will be working on developing critical care scenarios to enhance education and hands-on training for many critical care devices, such as LVAD, IABP, ECMO, ventilators, etc. To further enhance education and cooperative learning we offer a weekly departmental M&M in both surgery and anesthesiology. Our educational curriculum also offers a research elective in which fellows have the opportunity to participate in one of the following:
- Dr. Prough's research has been funded by the National Institutes of Health, the Department of Defense, the Moody Foundation, and other sources. He is currently the Co-Principal Investigator of the Moody Project for Translational Brain Injury Research, which is focused on using experimental models to identify potential treatments for patients with acute and chronic traumatic brain injury. Other ongoing research projects involve the development of optoacoustic technology, which he co-invented, to provide continuous, noninvasive measure of blood oxygenation in newborn infants, fetuses during labor and traumatic brain injury victims. He is currently studying a novel technology, which recently received the Sheikh Zayed Prize for Pediatric Device Innovation, for identifying the precise position of endotracheal tubes in patients without using chest radiographs. His publications include original research on responses of the cerebral circulation to traumatic brain injury and hemorrhagic shock, cerebral circulation during cardiopulmonary bypass, and innovations in noninvasive monitoring. He has published more than 100 book chapters, over 250 original peer-reviewed articles, and made more than 500 presentations at conferences and other professional meetings.
- The investigational intensive care unit, funded by NIH and DOD, headed by Perenlei Enkhbaatar, MD, PhD, is a 24/7 ICU for Translational Research Studies, where state-of-the-art medical techniques and novel treatment strategies are developed for the critically ill patient.
- The molecular pharmacology laboratory, headed by Dr. Csaba Szabo. This laboratory, funded by the NIH, JDRF and the ADA, focuses on the molecular pathogenesis of critical illness, with special emphasis on vascular dysfunction and cellular metabolic failure and employs state-of-the-art tools of cell biology, molecular biology, molecular pharmacology and cell-based screening.
- Resuscitation Research Laboratory, directed by George Kramer, Ph.D., funded by NIH, U.S. Army, Office of Naval Research and industry, conducts clinical, animal and engineering efforts into smart "decision support" and autonomous care resuscitation systems for trauma and critical care. www.utmb.edu/rrl