Pediatric Surgical Critical Care Fellowship

The Pediatric Surgical Critical Care Fellowship prepares graduates to become leaders in the specialty as part of an accelerated 1-year program combining pediatric and adult surgical ICU training.

Program Overview

We accept 3 fellows a year into our 1-year ACGME-approved fellowship. This program is designed for applicants who have completed their General Surgery residency and seek further training in the post-operative management of the critically ill pediatric surgery patient. At the end of the program, trainees are eligible to take the Surgical Critical Care Certifying Examination through the American Board of Surgery.

Our fellowship program, one of only a dozen in the country, offers:

  • Learn from surgeons in the ICU: In most institutions, pediatricians manage surgical ICU patients. At Michigan Medicine, surgeons manage that care, providing pediatric surgery critical care fellows with a unique training experience as they learn from faculty who are trained in both .
  • Diverse case mix: As a fellow, you will spend 8 months taking care of pediatric surgery patients in the Neonatal and Pediatric Intensive Care Units at CS Mott Children’s Hospital. You will also spent 3 months taking care of adults at the University of Michigan Surgical, Cardiovascular and Trauma/Burn Intensive Care Units. These rotations expose our fellows to a broad casemix of patients as they learn from our nationally recognized faculty. Michigan Medicine has particular strengths in ECMO, adult ICU critical care, trauma burn, and cardiovascular ICU care.
  • Excellent career outcomes: We have a 100 percent board pass rate and previous fellows have gone on to become pediatric surgeons with clinical expertise as directors of surgical critical care or ECMO at their institutions.

As a fellow, you will spend 8 months at CS Mott Children’s Hospital, Michigan Medicine’s nationally ranked children’s facility, home to neonatal and a pediatric intensive care units (NICU and PICU).

You will gain experience in the pre-, peri- and postoperative management of complex pediatric surgery patients from the neonatal period and into young adulthood. Common diagnoses in these patients include necrotizing enterocolitis, gastroschisis, congenital diaphragmatic hernia and esophageal atresia with tracheoesophageal fistula. The multiply-injured child is a common admission to the PICU as we are a referral center for the state of Michigan. You will become proficient in the management of mechanical ventilation, fluids and electrolytes and parenteral nutrition in the neonate and pediatric patient. You will also have the opportunity become adept at ECMO management in the neonatal, pediatric and adult populations.

Your remaining 3 months are spent at University Hospital caring for critically ill and injured adults, learning fluid and electrolyte balance, blood gas interpretation, respiratory therapy, and hyperalimentation in this population.


Fellows attend all regular conferences within the Section of Pediatric Surgery as well as the Surgical Critical Care core lecture series and journal club.

Applications for the SCC Fellowship should be submitted to the Surgical Critical Care Program Directors Society. 

Submit an application →


Contact the Office of Surgery Education with any questions.