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The Stony Brook Emergency Medicine Fellowship in Resuscitation and Emergency Critical Care (RECC) was designed to provide emergency physicians (EP) with advanced training in resuscitative medicine with a particular emphasis on critical care medicine in the emergency department (ED). The volume of critically ill patients presenting to the ED is increasing rapidly. Continued growth will further stress an already strained U.S. health care system. Numerous studies have demonstrated an association with worsened outcomes for critically ill patients boarding in the ED. To address the increasing volume and complexity of critically ill patients presenting to EDs nationwide, resuscitation and emergency critical care fellowships were developed, with Stony Brook being the first of its kind. RECC programs teach a general approach to the management of the undifferentiated critically ill patient, advanced management of critically ill patients by disease presentation, and ongoing supportive care of the critically ill patient boarding in the ED, especially for the first 24 hours of care. The result is critical care training beyond that of a typical emergency medicine residency with a focus on the unique features and challenges of caring for critically ill patients in the ED not normally found in critical care fellowships. Graduates from RECC fellowships are well suited to practicing in any ED practice model and may be especially well prepared for EDs that distinguish acuity between zones (e.g., resuscitative care units, ED-based intensive care units). In addition to further developing clinical acumen, RECC fellowships provide graduates with a niche in EM education, research, and administration. Our program is a 1-year fellowship and has a strong clinical emphasis. Our trainees will rotate through the NCCU, MICU consult team, and Ultrasound Divisions at Stony Brook Hospital. They also can pursue time in our CTICU. In addition, they will spend a month in the ICUs at Shock Trauma Center in Baltimore, Maryland. The majority of the time will be spent in the Stony Brook RACCU (Resuscitation and Critical Care Unit). Stony Brook University Hospital is the major academic affiliate hospital for the Renaissance School of Medicine at Stony Brook University on Long Island. As the major referral hospital for Suffolk County, we see a tremendous case mix of complex medical, surgical, trauma/burn, and surgical subspecialty critical care. We are a Level 1 Regional Trauma and Burn Center, Comprehensive Stroke Center, and Cardiac Care Center with Cardiac Catheterization and ECMO capabilities. Additionally, we have an active research program with extensive focus on cardiac arrest and resuscitation, advanced ultrasound modalities, emergency airway management, and neuro-interventional therapies. If interested, please contact Program Director Brian Wright, MD. |
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