Harborview Medical Center: Harborview (HMC) is the primary site for both the Trauma-Surgical Critical Care and Burn-Surgical Critical Care fellowships. The 413-bed hospital is the only Level 1 adult and pediatric trauma center and verified burn center serving the entire state of Washington and WAMI region (Wyoming, Alaska, Montana and Idaho). This catchment area comprising 25% of the landmass of the United States. During 2018, HMC admitted over 6900 patients to its 89 critical care beds spread over six intensive care units. The Trauma-Surgery ICU is the primary ICU for the Surgical Critical Care fellowship and admits approximately 2500 patients per year. Annually, the trauma service at HMC evaluates approximately 5500 patients per year and the burn surgery service evaluates over 1,000 injured patients. The large and disparate catchment area, high volumes, and extreme acuity of Harborview’s patient population provides a unique and intensive educational opportunity for those seeking to further their knowledge of surgical disease. While at HMC, fellows will be active in the management of patients with active resuscitation needs to include those with multi-organ failure and the need for extracorporeal membrane oxygenation (ECMO).
University of Washington Medical Center: This 570-bed hospital represents the primary site for the Cardiovascular-Surgical Critical Care fellowship and is a rotation site for both the Trauma and cardiothoracic tracks. Fellows rotate in the busy Cardio-Thoracic ICU learning advanced techniques of resuscitation, heart failure care, mechanical assist devices, and extracorporeal membrane oxygenation (ECMO). The University of Washington Medical Center has been consistently ranked the #1 hospital in Washington as ranked by U.S. News and World Report.
Seattle Children’s Hospital: Seattle Children’s is a 403-bed hospital and serves as a rotation site for the fellowship. A one-month rotation occurs in the pediatric ICU with the goal of gaining experience with pediatric critical care and the usage of ECMO.
Veterans Affairs Puget Sound Health Care System: The surgical ICU of the 291-bed VA serves as a one-month rotation site for the Trauma and Cardiovascular fellowships. This environment commonly cares for complex gastrointestinal and vascular patients.
Airlift Northwest and King County Medic One: A one-month pre-hospital emergency medicine rotation exists for all fellows. Airlift Northwest operates from six bases including Juneau AK managing both rotary and fixed-wing aircraft. Airlift averages over 850 flights per year, 25% fixed wing, for trauma or burns, with an average distance of 340 miles. For over 40 years, Medic One has served as the advanced life support pre-hospital EMS providers for King County.