TTUHSC Surgery Burn Fellowship
OVERALL EDUCATIONAL GOALS
At the end of the fellowship, the successful fellow will be able to competently manage
any burn victim, take care of major acute and chronic wounds and have understanding
of how to run a burn/wound unit and conduct research within the field.
Management of Burn and Skin Loss Diseases
The fellow will be proficient in initial resuscitation and high level intensive care
needed in the severely burned patient population. The fellow will be familiar with
the highest level technology used in modern day intensive care. The fellow will be
technically adept in managing burn patients from acute management, intermediate excision
and grafting and management of chronic burn healing issues. The fellow will have strong
knowledge and experience in managing patients with non thermal related skin loss issues
such as chemical burns, Steven Johnson’s syndrome and other skin related diseases
requiring burn and wound unit admission and care. He or she will gain valuable experience
in special anatomic areas of burn and skin loss such as face, hand and genital involvement.
Chronic Wound Management
The fellow will gain strong experience in outpatient management and after care of
this patient population. The fellow will have full understanding of the medical management
of these wounds including nutrition, blood flow, infection, diabetes and other reasons
for non or slow healing wounds. The fellow will gain valuable exposure to advanced
medical treatment of these wounds including new drugs used for local treatment, advanced
dressing methods and cleaning of the wounds, negative pressure wound management, hyperbaric
oxygen and other means of medical treatment. The fellow will become proficient in
surgical management of these wounds including advanced debridement, skin grafts, various
flap covering of these wounds including advanced flaps, complex tissue flaps and free
flaps. The fellow will have good knowledge of skin and wound anatomy, pathophysiology
and the processes involved with skin grafts and wound healing. At the end of the fellowship,
the successful fellow will be able to competently manage chronic and complex wounds.
The fellow will gain strong experience in management of acute and chronic wounds including
those related to complex deep tissue infections, arterial venous compromise, tissue
loss due to trauma, and non-healing wounds due to other causes.
The fellow will gain insight and experience into how a burn and wound care unit operates
including administrative structure, national verifications, relationship with institutional
and hospital officials and leadership needed to successfully run such a unit.
The fellow will be introduced to appropriate billing and coding for this patient population.
The fellow will get full understanding of the importance of multidisciplinary care
and will gain experience in running multidisciplinary meetings and creating protocols
for other disciplines involved in the care of these patients.
The fellow will be introduced to the medical/legal issues associated with this patient
Research and Practice Improvement Participation
The fellow will participate in advanced research both clinical and bench and will
be taught how to navigate the medical literature and how to conduct research in this
area. The fellow will learn how to present research projects in the form of abstracts,
posters or presentations.
The fellow will have full knowledge of the most commonly used national and local guidelines,
protocols and other best practices. The fellow will participate in practice improvement
projects resulting in new protocols, standing orders or treatment algorithms.
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