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Summary
Carilion Clinic is a large tertiary/quaternary referral hospital including Level 1 trauma designation from the Commonwealth of Virginia as well as trauma designation from the American College of Surgeons. Carilion Clinic’s mission is to improve the health of the communities we serve. The Surgical Critical Care (SCC) fellowship includes a focus on clinical care and education to multidisciplinary providers and a broad-based surgical critical care environment with unique characteristics that include both rural and urban trauma, neurocritical care and diverse general surgery. Upon completion of the SCC fellowship, it is expected that each fellow will be able to provide autonomous surgical/medical care to critically ill patients in a mixed critical care unit or a specialized neurotrauma or surgical critical care unit. Candidates will provide quality care in a competent, safe and professional manner throughout the remainder of their health care career.
About the Residency or Fellowship
Mission Goals Strengths

The primary mission of the Virginia Tech Carilion Surgical Critical Care fellowship is to provide fellows with the training to become leaders in academic surgical critical care through an intensive mentored clinical experience; didactic and Socratic educational programs; and an iterative, mentored growth in academic, administrative and educational skill sets. Fellows will attain knowledge and expertise to satisfy the six core competencies outlined by the ACGME; obtain a Certificate of Added Qualifications in Surgical Critical Care; manage the most complex trauma, critically ill and emergent general surgery patients; and become academically and administratively successful in their careers.

Message From Leadership

With seven dedicated, board-certified Surgical Critical Care acute care surgeons, one board-certified Surgical Critical Care cardiothoracic surgeon and a board-certified Surgical Critical surgeon and chair of the Department of Surgery, our fellowship is poised to provide an excellent clinically based program. The breadth of pathology, collaborative relationshipsspecifically with Emergency Medicine and Pulmonary/Critical Careand multidisciplinary interdepartmental didactics, this SCC fellowship has the ability to prepare any candidate for any Surgical Critical Care practice.

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Dr. Collier
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Bryan R. Collier, D.O., Surgical Critical Care Program Director

Dept Spec Program Size
2 Fellows
Dept Spec Academic Affiliation
Virginia Tech Carilion School of Medicine
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Overview

Carilion Roanoke Memorial Hospital (CRMH), a full-service tertiary/quaternary care academic health center located in Roanoke, Va., is the flagship institution of Carilion Clinic. The Surgical Critical Care fellowship program is supported by the Level I ACS and commonwealth of Virginia verified Trauma program as a longstanding ACGME-accredited General Surgery residency program housing five categorical positions per year. Over 10 years, this hospital and its associated education programs have evolved into a much more academic program while keeping their mission of clinical care to the community foremost. A large and growing critically ill surgical patient population is captured through a large catchment area, the busiest Emergency Department in Virginia, a mature Level I Trauma Center, a well-developed Emergency General Surgery service, diverse surgical subspecialties and an ECMO program. In addition, the SCC fellowship program has excellent collaboration with the Emergency Department and the Pulmonary/Critical Care programs for both patient care and postgraduate education.

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How to Apply
Admission Requirements

Admission Requirements: Applicants for the Surgical Critical Care fellowship must meet the following requirements:

  • Completion of at least 3 clinical years in an ACGME-accredited graduate medical education program in one of the following specialties:
    • Anesthesiology
    • Emergency Medicine – must also have successfully completed 1 preparatory year as an advanced preliminary resident in Surgery at Virginia Tech Carilion
    • Neurological Surgery
    • Obstetrics and Gynecology
    • Orthopaedic Surgery
    • Otolaryngology
    • Plastic Surgery
    • General Surgery
    • Thoracic Surgery
    • Vascular Surgery
    • Urology

Submitted applications will be thoroughly reviewed and acknowledged through the National Residency Match Program (NRMP). The program director may also contact the applicant by phone initially. Invitation to interview in person will be based on program needs and the individual’s qualifications and references. In addition to the requisite eligibility criteria, selection for the program will be based on favorable interviews with existing faculty and fellows, and favorable completion of the applicant's current program.

Candidates will interview with the program director and faculty within the Department of Surgery. The rank order list submitted to the NRMP is based on faculty consensus of the standardized evaluation.

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Curriculum
Elective Tables
All Intensive Care Units Ultrasound Research Palliative Care
Didactic Sessions

Held every Tuesday from 1-2 p.m. The current didactic sessions are: 

  • Bundles/rounding tools
  • ICU multidisciplinary teams
  • PAD
  • SAH
  • TBI
  • ETOH withdrawal
  • US in the ICU
  • Shock; resuscitation
  • ABG interpretation
  • MI/HTN in the SICU
  • Hemodynamic monitoring
  • Arrythmias
  • Respiratory failure/airway/basic vent
  • Severe hypoxia/advanced vent/ECMO
  • Surgical and Critical Care nutrition
  • IAH; acute kidney injury
  • Fluid/sodium disorders
  • Dialysis
  • OB critical care
  • Transfusions/MTP/reversal
  • ROTEM
  • Hematology/anemia/cytosis/penias
  • Coagulopathy
  • ICU infections; antimicrobial therapy
  • Sepsis
  • Intra-abdominal sepsis
  • Necrotizing soft tissue infection
  • Severe pancreatitis
  • Toxicology; OB ICU
  • Hyperglycemia
  • ICU endocrinopathies
  • ICU prophylaxis
  • Ethics
  • Palliative care/withdrawal of support
Schedule and Tracks
Schedule Blocks
Schedule Tables
Rotation Definitions: SCC – Surgical Critical Care MICU – Medical Intensive Care Trauma – Trauma Surgery CTICU – Cardiot
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Fellow 1 SCC CTICU SCC MICU SCC CTICU SCC PLT SCC ELE SCC Trauma SCC
Fellow 2 SCC SCC MICU SCC CTICU SCC CTICU SCC PLT SCC ELE SCC Trauma
Residency Life
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Graduates
Graduates Intro
Check out our graduates!
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Graduation
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Graduate Group
Graduate Group Title
2021
Graduate Group Title
2020
Research
Research Intro

The core faculty have ongoing projects in the field of Trauma and Surgical Critical Care. Fellows have the opportunity and are highly encouraged to identify a faculty research mentor and either become involved with any ongoing studies or initiate an independent project. Fellows should begin a research endeavor that will likely last beyond graduation.

Research Year Collection
Publications