Surgical Critical Care Fellowship

The University of South Alabama is one of three Level 1 trauma centers in the state of Alabama  and also serves as one of three Level 1 trauma centers of the state of Mississippi. The Acute Care  Surgery Services is quite active, admitting over 1,400 trauma patients annually with an 80% blunt trauma and 20% penetrating trauma ratio. The Acute Care Surgery Service is responsible for all surgical admissions and consults through the emergency room.

The Surgical Critical Care Fellowship received its initial accreditation from the Accreditation Council on Graduate Medical Education in January 2013 and began training our first fellow in July 2013. The goal of the fellowship is to provide an intensive one-year experience in surgical critical care that trains surgeons to have a leadership role in the care of critically ill patients. The educational philosophy is not only to teach the care of the critically ill surgical patient, but also the integration of care through multiple practitioners in the interdisciplinary process.

The critical care fellow will be directly involved in all phases of care of critically ill surgical patients. The focus of the clinical experience will center around the 16 bed combined STICU with rotations in the 8 bed burn unit, 8 bed neuro intensive care unit, and 8 bed medical intensive care unit. The case mix of the STICU includes approximately 50% trauma patients, 25% neurosurgery patients and 25% general surgery patients. In addition, subspecialty admissions in other surgical subspecialties are admitted to the STICU. Initial resuscitation management of trauma patients is a unique and integral part of the training offered in this surgical critical care fellowship.

Broad opportunities are available for clinical research as well as basic science research. The surgical critical care fellow rounds daily with attending staff and attends weekly conferences that include trauma/critical care, critical care journal club, critical care lecture, grand rounds, and morbidity and mortality conference. Nine months of the one-year fellowship will be spent managing patients in the surgical-trauma intensive care unit, burn intensive care unit or neuro intensive care unit with two months of electives, and one month is allocated toward vacation.

What sets USA apart from other Surgical Critical Care Fellowships is the size of our program. We have a small surgery department and a small hospital, so it is easy to get to know everyone, including the consulting services we work with on a daily basis. This also allows us to have good working relationships with all of the services in the hospital. This small size also allows for more autonomy for the fellow. During the fellowship, we treat our fellow more as junior faculty instead of a PGY6. Lastly, the fellowship is customizable within ACGME standards and can be tailored towards the fellow's future goals.

On behalf of the entire faculty, we appreciate your interest in USA Health University Hospital.

 

  • Christopher Kinnard, M.D. 
  • Christopher Kinnard, M.D.
    Fellowship Program Director
    Assistant Professor
    Trauma and Acute Care
  • Nathan Polite, D.O., FACS, FACOS 
  • Nathan Polite, D.O., FACS, FACOS
    Assistant Program Director
    Assistant Professor
    Trauma and Acute Care

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▼   Clinical Training

The University of South Alabama Surgical Critical Care Fellowship Program was developed with the Surgical-Trauma Intensive Care Unit as the primary area of focus. The rotation schedule includes Nine months of the one-year fellowship will be spent managing patients in the surgical-trauma intensive care unit, burn intensive care unit or neuro intensive care unit with two months of electives. However, the actual number of months spent in the units may be individualized to meet the educational needs of the fellow. While on the STICU Critical Care Service, the fellow will have consulting responsibility for all surgical patients admitted to the STICU. 

It is expected that while on the STICU critical care service, the fellow will round daily with the general surgery residents and use this opportunity to create plans of care for each patient under his/her care in the STICU. A similar process will occur for patients on the neurosurgery service and other specialty surgical services admitting to STICU. Rounds on this service will be conducted by a faculty member with both team and one-on-one interactions occurring on a daily basis. The fellow’s responsibility is to be knowledgeable about every patient on the STICU service and be prepared with a treatment plan for each of these patients.

The surgical critical care fellow may spend at least a one-month rotation in the MICU at the USA Health University Hospital. The MICU is a multi-disciplinary unit that receives all critically ill medical patients for the hospital. The surgical critical care fellow will round daily with the MICU critical care attending staff and will be directly under their supervision while in the MICU. The fellow’s responsibility is to be knowledgeable about every patient on the MICU service and have a treatment plan for each of these patients.

The surgical critical care fellow may spend at least a one-month rotation in the Burn Unit at USA Health University Hospital. The surgical critical care fellow will be involved in all aspects of critical care in the burn unit. As part of the burn team, the fellow will be involved in the initial resuscitation and management of burn patients. The fellow’s responsibility is to be knowledgeable about every patient on the Burn Service and be prepared with have a treatment plan for each of these patients.

▼   Vision, Mission and Program Aims

Vision

To create a culture of well-rounded Surgical Critical Care Physicians, who strive to excel in our field for the betterment of the patients we serve.

Mission

In accordance with our sponsoring institution's mission to "help people lead longer, better lives," the principle goal of the University of South Alabama Surgical Critical Care Fellowship is to create a family of faculty with the fellow. We work together to provide the best care to critical patients in a healthy and educational working environment that fosters a diverse group of intelligent physicians, excellent critical care surgeons, and tremendous humanitarians capable of becoming surgical critical care leaders in this region and beyond. 

Program Aims

  • Tailor fellowship training to prepare fellows for providing outstanding critical care to patients in a variety of clinical settings from major trauma centers to community hospitals.
  • Train the future leaders in surgical critical care that will advance the science of medicine and promote evidence-based medicine in the region and community in which they serve.
  • Provide a healthy work environment.
▼   Current Fellow

Ashley McMann, M.D.Ashley McMann, M.D.

Hometown: New Orleans, LA

College: Louisiana State University

Medical School: Louisiana State University School of Medicine in New Orleans

Email: ahmcmann@health.southalabama.edu

Bio: Dr. Ashley McMann is a native of New Orleans, LA. She graduated from Louisiana State University with a Bachelor of Science degree in Biological Sciences and minors in Psychiatry and Chemistry. She spent the summer of 2011 in Juneau, Alaska as a student researcher studying marine biology-- focusing on the Nucella predatory snail as an indicator species of the Pacific Northwest intertidal zones. Dr. McMann attended medical school at LSU- New Orleans. She served as secretary and team leader for a medical mission trip to Guatemala coordinating medical care with local physicians in the mountain villages surrounding Tecpan. In 2016, Dr. McMann matched as a categorical resident at Ochsner Medical Center in New Orleans, LA. During residency, she was able to continue her interest in global health with One World Surgery in Tegucigalpa, Honduras. 

In 2021, Dr. McMann matched into Surgical Critical Care fellowship at the University of South Alabama. 

Dr. McMann is married to her husband, Casey. They have a one-year-old son, Shea, and an 80-lb. Rhodesian ridgeback mutt, Nala. In her free time, she enjoys hiking, road trips, pottery, cooking, gardening and yoga.

What does Dr. McMann like most about being a fellow at the University of South Alabama? 

"South is a community of surgeons who truly care about one another like family. They have created a unique and inclusive learning environment that is truly focused on education and research for the betterment of their patients. I am grateful for the opportunity to learn from the staff and work alongside the residents over the course of my trauma/critical care fellowship year."

▼   Application Process

The Surgical Critical Care Fellowship Program participates in the National Resident Matching Program (NRMP). All applicants are considered and appointments are made subject to the rules and regulations of the NRMP.

Interested applicants may apply through the SCC and ACS Fellowship Application Service of the Surgical Critical Care Program Directors Society (SAFAS).     

Applicant qualifications include:

  1. Completion of approved general surgery residency
  2. Alabama license (or eligibility) and Board eligible or certified by the American Board of Surgery

For further information about the fellowship or application process, please contact Ms. Tyronda Rogers at (251) 471-7992 or via email at tmrogers@health.southalabama.edu.

▼   Contact Information

Mailing Address:
USA Health University Hospital
Surgical Critical Care Fellowship
2451 University Hospital Dr., Mastin 709
Mobile, AL 36617

 

Christopher Kinnard, M.D.

Christopher Kinnard, M.D.
Assistant Professor of Surgery
Surgical Critical Care Program Director
USA Health University Hospital
Telephone: (251) 471-7992
Fax: (251) 471-7022
ckinnard@health.southalabama.edu

 

Tyronda Rogers

Tyronda Rogers
SCC Fellowship Coordinator
University of South Alabama
Division of Trauma and Surgical Critical Care
USA Health University Hospital
Phone: (251) 471-7992
Fax: (251) 471-7022
tmrogers@health.southalabama.edu

 

Cynthia Dennis

Cynthia Dennis
SCC Fellowship Coordinator 
University of South Alabama
Division of Trauma and Surgical Critical Care
USA Health University Hospital
Phone: (251) 445-8230
Fax: (251) 471-7022
cdennis@health.southalabama.edu