I appreciate the article on Critical Care fellowship training for EM physicians but want to make a few points. SCC fellowship is actually a 1-year program by ACGME regulations. For EM graduates, the Surgical Critical Care (SCC) board certification pathway requires a preparatory year as an advanced preliminary surgical resident before starting the one-year SCC fellowship at the same institution. The initial year of training before entering into the actual 1-year SCC fellowship may vary (types of rotations in surgery or ICU areas, responsibility assigned, etc.) based on individual training site. This aspect of SCC training should be considered when thinking about the four potential pathways for EM residents.
Sincerely,
Joseph Shiber, MD, FACP, FACEP, FNCS, FCCM
UF-COM Jacksonville
Departments of EM, Neurology, and Surgery
One Response to “Surgical Critical Care Fellowships Add Value, Flexibility to Emergency Medicine Careers”
August 25, 2025
Joseph R ShiberDr. Wheeler and ACEP Now Editor,
I appreciate the article on Critical Care fellowship training for EM physicians but want to make a few points. SCC fellowship is actually a 1-year program by ACGME regulations. For EM graduates, the Surgical Critical Care (SCC) board certification pathway requires a preparatory year as an advanced preliminary surgical resident before starting the one-year SCC fellowship at the same institution. The initial year of training before entering into the actual 1-year SCC fellowship may vary (types of rotations in surgery or ICU areas, responsibility assigned, etc.) based on individual training site. This aspect of SCC training should be considered when thinking about the four potential pathways for EM residents.
Sincerely,
Joseph Shiber, MD, FACP, FACEP, FNCS, FCCM
UF-COM Jacksonville
Departments of EM, Neurology, and Surgery