Surgical Critical Care Fellowship

Sidney B. Brevard, M.DThe 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 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 and one month is allocated toward vacation.  Moonlighting opportunities are available.

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

Sidney B. Brevard, M.D., M.P.H., F.A.C.S.
Professor
Surgical Critical Care Program Director
STICU Medical Director

 

▼   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 a total of ten months in the STICU and one-month block times each in the MICU and Burn Unit. However, the actual number of months spent on the MICU and BICU 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 the 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.

▼   Current Fellow

Thomas Capasso, M.D.Thomas Capasso, M.D.

Hometown: Parkland, Florida
College: Florida State University
Medical School: Florida International University
Email: tcapasso@health.southalabama.edu 

Dr. Thomas Capasso graduated from Florida State University with a degree in biology. At FSU, he served as a biology lab instructor and acted as the Finance Chair, and subsequently as overall Director, of FSU’s long-running, record-breaking “Dance Marathon” fundraiser, which is now in its 25th year. Dr. Capasso then obtained his master's degree in Medical Sciences from Boston University, where his thesis research focused on HIV transmission and where he served as an immunology tutor. After graduate school, Dr. Capasso earned his M.D. from the Herbert Wertheim College of Medicine at Florida International University in Miami, Florida, where he was elected vice-president of the Medical Student Council and vice-president of the Class of 2014.

Following medical school, Dr. Capasso matched into a categorical position in general surgery at Mount Sinai Medical Center in Miami Beach, Florida. Early on and throughout his tenure during residency, Dr. Capasso's leadership and work ethic were recognized by his colleagues and the hospital staff, as he was awarded the Donald Minervini M.D. “Intern of the Year” Award and the Leon Manheimer Resident in General Surgery Award. After graduating from residency, Dr. Capasso decided to pursue further training in surgical critical care with the goal of becoming a trauma surgeon and is thrilled to be a fellow at USA. Outside of the O.R., Dr. Capasso is a newlywed to his wife, Christina, with whom he enjoys cooking, traveling, and hiking.

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

“The collegiate atmosphere among the residents and staff drew me to the program. The breadth of the critical care and educational experience was what cemented this program as special”

▼   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. Dorothy Dickinson at (251) 471-7992 or via email at dpettway@health.southalabama.edu.

▼   Contact Information

Sidney B. Brevard, M.D., M.P.H., F.A.C.S.
Professor
Program Director, Surgical Critical Care Fellowship
STICU Medical Director
Division of Trauma and Surgical Critical Care
USA Health University Hospital
2451 University Hospital Drive, Mastin 711, Mobile, AL 36617
Telephone: (251) 471-7992
Fax: (251) 471-7022
sbrevard@health.southalabama.edu  

Ms. Dorothy Dickinson
SCC Fellowship Coordinator
University of South Alabama
Division of Trauma and Surgical Critical Care
2451 University Hospital Drive, Mastin 711, Mobile, AL  36617
Phone: (251) 471-7992
Fax: (251) 471-7022
dpettway@health.southalabama.edu