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Physician Assistant Postgraduate Surgical Critical Care Residency Program Message from Program Director Introduction & Philosophy Program At A Glance Curriculum Critical Care Lectures Faculty Application Procedure TOP Message from Program Director Program Director, Frank Rizzuto Winthrop University Hospital, a 593 bed teaching hospital affiliated with Stony Brook University School of Medicine, is pleased to offer the well qualified Physician Assistant a post-graduate residency opportunity in the growing field of surgical critical care. The twelve month, rigorous program has been designed to provide the Physician Assistant the advanced knowledge and technical skills necessary to provide an evidence based approach to the management and care of patients with critical illness and injury. Critical care medicine is practiced using a multidisciplinary team approach consisting of board certified Critical Care Intensivists, Attending Physicians and a well seasoned team of Physician Assistants in the fields of Cardiothoracic, General and Neurosurgery. Combined with the knowledge and experience of Critical Care Nurses, Respiratory and Physical Therapists, Dieticians and Social Workers, the educational experience will be truly interdisciplinary and well-rounded. Didactic lectures will set the foundation for broad based learning and clinical insight, while hands-on procedural training will provide the technical skills necessary to practice with competence and confidence in the field of surgical critical care. The standards of care embedded at Winthrop University Hospital are unsurpassed. Practicing “good” medicine is much more than the day to day clinical management of patients. Entrenched within the twelve months of residency, the moral obligation we have to our patients and to their families will be re-enforced. Respect, compassion, a patient’s right to privacy and a cognizance of cultural sensitivity are paramount to and an integral part of the healing process. The goal of this Residency program is to train the Physician Assistant to be an extraordinary practitioner in the field of surgical critical care medicine. It is through the interface of didactic learning, intense clinical training, ethical awareness, and a strong dedication to the Physician Assistant profession that this can be accomplished. TOP Introduction & Philosophy In response to a projected shortage of critical care clinicians as stated by the Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS) and fostered by the exemplary model of the Physician/PA critical care team which has been applied successfully in critical care settings across the nation, and in particular, at Winthrop University Hospital, a postgraduate Critical Care Residency is being offered to a select candidate who meets the competitive application criteria and who is able to meet the physical and cerebral demands of a critical care environment. The program will enhance the fundamental concepts of critical care medicine learned in a PA Program and further foster ones knowledge of patient care, evidence based medical knowledge, research principles, systems based medicine, and communication among the healthcare team, patients and their families. TOP Program At A Glance The resident will spend equal amounts of time as part of the Surgical Critical Care, Neurosurgery and Cardiothoracic teams, participating in patient rounds, invasive and operative procedures and patient care conferences. Patients on each of these units are managed 24/7 by physician/PA teams whom you will regularly interact with. The faculty consists of renowned and well respected Critical Care Intensivists, Neurosurgeons, Neurologists, Cardiothoracic Surgeons, Cardiologists and PA’s. The PA resident will be involved in all phases of patient care including emergency department evaluation, admission orders & notes, pre, intra and post-operative care. In order to maximize the clinical experience the resident will be working rotating hours to a maximum average of 60 hours/week. TOP Curriculum Interfaced with rotations and clinical practice in the Surgical ICU, Neuro ICU and the Cardiothoracic Service will be lectures and case studies specific to each area and the overall management of the critical care patient. The format will include internet based presentations and traditional lectures. TOP Critical Care Lectures Introduction: History of Critical Care at Winthrop University Hospital (WUH) Approach to the critical care patient The critical care “team approach” Proper documentation Research in the SICU (All PA Residents MUST complete at least 2 articles for publication during their residency) Literature searches Case studies Clinical research Establishing a research agenda The IRB Neurology Topics: Sedation in the ICU Mental Status Evaluation/Delirium Brain Death Criteria Strokes Head Injuries Penetrating Non-penetrating Herniation Seizures Clinical Sub-clinical Pharmacotherapeutics Cardiovascular Topics Hemodynamic Monitoring Shock and its Management Arrhythmias Acute Myocardial Infarction STEMI NSTEMI Respiratory Topics Respiratory Failure ARDS ALI Lung Protection Strategies Neuromuscular Causes of Respiratory Failure Ventilator Management Ventilator Modes Intubation Liberation from Ventilation Nitric Oxide Gastrointestinal Topics GI Prophylaxis GI Bleeding and Management Surgical Nutrition Enteral Parenteral Genitourinary Topics Renal Failure ARF CRF Modalities of Treatment of Renal Failure Hematology Topics Anemia/Blood Transfusion Strategies DVT Prophylaxis HIT DIC Infectious Disease Topics Catheter Sepsis Abdominal Infections Pneumonia VAP Endocrine Topics Sick Euthyroid Syndrome Thyroid Storm Adrenal Insufficiency Diabetes Mellitus and Glucose Control in the ICU Miscellaneous Lectures: Multi Organ Dysfunction Syndrome Abdominal Compartment Syndrome Preoperative and Postoperative Assessment of the Surgical Patient OB/GYN Critical Care TOP Faculty Program Director:   Frank Rizzuto, RPA-C Program Director Medical Directors: Scott Schubach, MD Chair, Department of Thoracic & Cardiovascular Surgery John Mc Nelis, MD Vice Chair, Department of Surgery, Chief, SICU Michael Brisman, MD Chief, Neurosurgery Elizabeth Wirkowski, MD Chief, Neurosurgical ICU   Core Faculty: Adel Hanna, MD, Surgical Critical Care Attending Ruth Spector, MD, Surgical Critical Care Attending JoAnn Montecalvo, RPA-C, Director TCV PA’s Kim Prinzivalli, RPA-C, Co-Chief Neurosurgery PA Service Colleen Christiansen, RPA-C, Co-Chief Neurosurgery PA Service Nancy Echausse, RPA-C, Senior Neurosurgical PA TOP Physician Assistant Surgical Critical Care Residency Program Application Procedure Application Form Letter of Recommendation

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