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The Acute Care Surgery Fellowship at Johns Hopkins has evolved to train surgeons to meet the increasingly recognized need for emergency surgical treatment nationwide. The one-year fellowship is typically completed following completion of the Johns Hopkins multidisciplinary fellowship in surgical critical care (although this is not mandatory), and requires board certification or board eligibility in general surgery. Fellows function at the level of clinical instructor at Johns Hopkins Hospital, in the role of a junior faculty member with full admitting and surgical privileges.
The Acute Care Surgery fellowship is designed to provide a broad clinical exposure to many aspects of emergency surgery. Fellows take in-house attending trauma call at the Level I adult trauma center. The trauma population gives an extensive exposure to operative trauma management, as approximately 30% of cases seen are due to a penetrating mechanism. Additionally, fellows take emergency general surgery call and treat a wide variety of emergent and routine general surgery diseases. There are numerous opportunities for elective general surgery cases as well as bedside ICU procedures. Elective rotations are offered based each fellow’s individualized need and may include: thoracic surgery, vascular surgery, transplant surgery, burn surgery, radiology (interventional and/or diagnostic), orthopedics, and/or neurosurgery.
The Division of Cardiothoracic Surgery offers a three year training program in cardiothoracic surgery following completion of a surgical residency. The first year as a junior cardiac surgery fellow is evenly divided between Red and Blue cardiac surgery services. During the second year, six months are dedicated to the general thoracic surgery service and six months are spent as an elective experience locally in thoracic, cardac, or endovascular surgery. The third year of the residency is spent as a chief resident in cardiac surgery and is divided between Red and Blue cardiac surgery services.
The thoracic and second year fellows during the elective rotation are included with the two junior cardiac fellows in an in-house call rotation which averages one night in four. These four residents are responsible for all pre- and postoperative care of patients on their night on-call. The chief residents alternate call from home for emergency cases, including transplants.
The Johns Hopkins Hospital has a long history of training academic surgeons, both in general and cardiothoracic surgery. Hopkins cardiac surgery has been directed by leaders in the field, including Alfred Blalock, Vincent Gott, Bruce Reitz, William Baumgartner, and now Duke Cameron. The Division strives to maintain this heritage by fostering clinical expertise, scientific inquiry, and intellectual development, the essence of an academic surgeon. To accomplish this goal, the training program in cardiothoracic surgery provides a wealth of clinical and operative experience in a collegial atmosphere, a diverse house staff and faculty interested in teaching, and a wide variety of clinical and basic research experiences.
The Surgical Critical Care Residency Training Program is a one-year fellowship open to surgeons who have completed the Johns Hopkins or another approved General Surgery Training Program. Fellows completing this program are eligible for a Certificate of Special Qualification in Surgical Critical Care.
The Pediatric Surgery Training Program offers intensive and broad exposure to the practice of pediatric surgery over a two-year period. During the first year, the fellow rotates for six months at Johns Hopkins Hospital and for six months at the University of Maryland Hospital to provide experience with clinical populations of two large university services. The second year is spent at Johns Hopkins. An optional third year of research training also is offered. Candidates for the program are selected through the Pediatric Surgery Resident Matching Program.
The combined Johns Hopkins Medical Institutions represent one of the world’s largest private non-profit medical centers. The medical institutions consist of the Johns Hopkins Hospital, The Sidney Kimmel Comprehensive Cancer Center, and the Bloomberg School of Public Health; all of which are located on the same campus in East Baltimore. The Johns Hopkins Hospital is a 1,000-bed tertiary/quaternary care facility with 45 operating rooms, 40,000 annual admissions and 26,000 operations per year. More than 5,000 cancer cases are seen per year at Johns Hopkins, of which more than 70% are treated surgically. The Sidney Kimmel Comprehensive Cancer Center has more than 100 faculty members dedicated to caring for cancer patients.
The Johns Hopkins Surgical Oncology program is an ACGME approved, two-year, post-residency fellowship. Two fellows per year are accepted into the program. Each fellow is designated to one of two tracks, depending on the interest of the applicant; 1) General/Research and 2) Hepatopancreaticobiliary (HPB). Qualified applicants are interviewed, ranked, and accepted through the national match, with applicants able to apply for each track via a distinct match designation. . The first year for both fellows is composed of core rotations. Specifically, the trainee rotates clinically on three gastrointestinal/HPB oncology (16 weeks), colorectal (4 weeks), breast (4 weeks), melanoma/sarcoma (4 weeks), head and neck (4 weeks), thoracic (4 weeks), endocrine surgery (4 weeks), medical oncology (4 weeks), and radiation oncology (4 weeks) services. For the General/Research fellow, the second year is designed as an elective year in order to optimally accommodate the specific research interests of the trainee and provide additional clinical experience in specific surgical areas. The HPB-designated fellow devotes the second year to a clinical focus in this field. Both fellows will be offered core training in clinical cancer research and will be expected to participate in, design, and conduct clinical research during their training. The didactic educational program offers a variety of weekly conferences for the fellows to attend and participate in during their training. The entire program is designed to generate a highly selected group of surgical oncologists who will provide academic leadership for the 21st century.
The two-year Transplantation Fellowship is open to surgeons who have completed the Johns Hopkins or another approved General Surgery Training Program. Fellows completing this program will have experience in adult renal, pancreatic and hepatic transplantation, as well as pediatric renal and hepatic transplantation.
The Johns Hopkins Multi-Organ Transplant Fellowship is an ASTS-certified 2-year program for liver and kidney transplant training and we accept 1 fellow each year. We are the only pediatric liver and kidney program in Maryland and these procedures are performed by our adult faculty and fellows. Our faculty is made up of highly experienced, prominent figures in American transplantation. What sets us apart from other programs is the vast expanse of clinically diverse patients that are referred to the Johns Hopkins Comprehensive Transplant Center from around the world because of the reputation of our faculty and hospital.
We have a broad and balanced portfolio of transplant, hepatobiliary, and general surgeries which includes both standard procedures and exotic cases. In 2014, we performed 259 adult and pediatric kidney transplants, 86 adult and pediatric liver transplants (including 10 from live donors), 91 laparoscopic live donor nephrectomies, and 55 hepatobiliary procedures. An attending and a fellow perform the vast majority of cases with the fellow on the primary surgeon’s side of the table and this begins early in the fellowship. We do have residents on the service and they participate in some of the 250 kidney transplants we perform each year.
Last year (2014) our fellow reported, as operative surgeon, the following cases to the ASTS: 239 kidney transplants, 45 liver transplants, 12 pancreas transplants, 58 laparoscopic donor nephrectomies, 30 deceased donor procurements, and 49 general surgery procedures.
The fellow does 4-month rotations on the kidney and liver service. During the first year of the fellowship, there is a month spent on the tissue typing and pathology services during which the fellow will not have clinical duties. In the second year, the fellow will have the opportunity to spend 6 weeks on either a clinical elective abroad or a research rotation. Additionally, every other Friday will be set aside for the fellow to participate in clinical research. Our faculty publishes more than 40 peer-reviewed articles each year and there are ample opportunities to participate in established clinical research projects.
CV and letters of support should be emailed (preferred) or mailed to Ms. Cinda Grisbach, Ross 765, 720 Rutland Avenue, Baltimore, MD 21205 or firstname.lastname@example.org. Applicants must also be registered on the NRMP website. For any questions, please call 410-614-8297.
The Vascular Surgery and Endovascular Therapy Fellowship qualifies our graduates to sit for the Certifying Examination in Vascular Surgery as administered by the American Board of Surgery. This two-year clinical tract provides comprehensive experience in the diagnosis and management of the broad spectrum of circulatory disorders, including arterial, venous and lymphatic disease; as well as a high volume of thoracoabdominal and complex open aortic/visceral segment reconstructions and lower extremity tibial/pedal bypasses. The Fellow will participate in the outpatient evaluation and follow up of patients, receive ample training in our IAC-accredited Vascular Laboratory, manage the vascular surgery inpatient and outpatient services, participate in clinical research projects, and present findings at regional and national meetings. This fellowship is available to individuals who have completed five years of general surgical training. To learn more, visit the Vascular Surgery and Endovascular Therapy Fellowship pages.