The R Adams Cowley Shock Trauma Center in Baltimore, Maryland built is the world’s first free-standing trauma facility. "Shock Trauma” is affiliated with the University of Maryland School of Medicine and is the primary adult trauma referral center (PARC) for the entire State of Maryland, with capabilities exceeding a Level 1 trauma center designation. World renowned for pioneering trauma care and resuscitation, Shock Trauma is considered the leader in treatment, education, and research for traumatic injuries and emergency medical services.
The Shock Trauma Center is an eight story building with a capacity of up to 110 patient beds. This includes 12 trauma bays (capable of accommodating 24 patients) in the admitting area or “Trauma Resuscitation Unit”, 36 critical care beds, 36 intermediate care beds, and 12 PACU beds. The rest of the building houses a trauma stat laboratory, pharmacy, multi-chamber hyperbaric facility, 2 dedicated CT scanners, angiography suite, and a rooftop heliport capable of receiving multiple aircraft simultaneously. We see approximately 7,000 admissions a year, of which 6,500 are trauma patients admitted directly from the scene of injury. Half of these patients will be seriously injured and will go to the OR within 24 hours. We do approximately 8,000 OR cases per year, of which 45% are scheduled, 45% are unscheduled and urgent, and 10% are emergent.
The Division of Trauma Anesthesiology consists of 13 full time trauma anesthesiologists dedicated to the care of critically ill and injured patients. An attending anesthesiologist is present for every admission to the trauma center and plays a critical role in the initial management of the patient. There are six dedicated trauma operating rooms staffed by attendings, CRNAs, and resident/fellow physicians. In addition, we are a military training center that assists in pre-deployment training of health care providers.
Clinical duties for the anesthesiology fellow consist of up to 17 12-hour clinical shifts per month. There is 7-9 months of clinical OR and Trauma Resuscitation Unit (Admitting Area) time for patient care, supervision of CRNAs and residents, as well as learning to manage the flow of patients throughout the peri-operative period. Elective time (3-5 months) includes opportunities in regional anesthesia, echocardiography, critical care, pre-hospital care, acute pain, trauma radiology, hyperbaric medicine, and research. Other duties include participation in divisional and institutional lecture programs and seminars, bedside teaching of residents, SRNAs, paramedics, and medical students, and participation in clinical research projects. Furthermore, the anesthesiology fellow will have the opportunity to complete the Advanced Trauma Life Support (ATLS) provider/Instructor course. The fellowship is a one year non-ACGME program and upon completion, the fellow will receive a certificate from the department chairman and from the division.
Our program in trauma is exciting and fast paced, with the opportunity to become an expert in the field of trauma/critical care. You will excel in the management of difficult traumatic airways, complicated critical patients, and novel techniques of resuscitation. We are proud to be an enjoyable, motivated group of anesthesiologists that encourage creativity, hard work, dedication, and overall education.
Your file is complete when we receive:
All documents (items 1-6) should be submitted and received in full.
All Letters of Recommendation should be sent directly from the respective writer, unless the LORs are in a sealed envelope with their signature across the back.
Applications and LORs can be sent by postal mail or courier to:
Dr. Bianca Conti, Trauma Anesthesiology Fellowship Program Director
c/o Residency & Fellowship Program Coordinator
Department of Anesthesiology
University of Maryland Medical Center
22 South Greene Street, Suite S11C00
Baltimore, Maryland 21201
Electronic submissions should be should be sent to: firstname.lastname@example.org
For more information, please view the Division of Trauma Anesthesiology webpage.