DHR Health

Surgical Critical Care Fellowship Program

¡Bienvenidos! Welcome to the Doctor's Hospital at Renaissance Surgical Critical Care Fellowship Website!

The Surgical Critical Care Fellowship, along with Doctor's Hospital at Renaissance, strives to provide an atmosphere conducive to learning and committed to training competent, board-certified, critical care physicians to provide care in the Rio Grande Valley region of Texas. Our aim is to provide fellows with the best education, which will help them complete their training and mold them into caring and confident critical care physicians who will uphold the high moral standards of their profession. As a fellowship program, we encourage the development of interdisciplinary clinical, research, and teaching programs between divisions and departments and extending to other industries.

The overall goal of the Surgical Critical Care Fellowship is to provide comprehensive critical care training to physicians already trained with at least three years of anesthesiology, emergency medicine, neurological surgery, obstetrics and gynecology, orthopedic surgery, otolaryngology, surgery, thoracic surgery, vascular surgery, or urology. This is accomplished through an organized combination of clinical work, didactics, and supervisory responsibilities. Upon completion of this program, each fellow will be eligible for certification with added qualifications in surgical critical care, as issued by the American Board of Surgery.

The Rio Grande Valley (RGV) region is the southernmost area in Texas. It has a current population of 1.4 million; over 90% are Hispanic, 38% of households are below the federal poverty line, and 37% of the population does not possess health insurance, the highest in all of the metro U.S. Caring for patients in such an under-served area provides some interesting challenges. At the same time, it is considered one of America’s fastest growing regions. Our hospital, DHR Health, opened its doors in 2003 and is the largest academic medical campus in South Texas. We are home to the region’s first General Surgery Residency Program, the first ACS-verified Level 1 Trauma Center, and the first Organ Transplant Center.

 

We are pleased that you are interested in our unique program! If your mission aligns with ours, you wish to be part of caring for the underserved community along the Rio Grande River, and you welcome the opportunity to train at a rapidly expanding, progressive academic facility in a true bilingual community, we’d love to hear from you!

 

Jeffrey J. Skubic, DO, MSc, FACS

Program Director Surgical Critical Care Fellowship

Trauma Medical Director DHR Health

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Mission and Program Aims

Mission Statement:
The Surgical Critical Care Fellowship along with DHR Health strives to provide an atmosphere that is conducive for learning and committed to training competent, board certified critical care physicians to provide care in the Rio Grande Valley area of Texas. Our aim is to provide fellows with the best education that will help them complete their training and mold them into caring and confident critical care surgeons who will uphold the high moral standards of their profession. As a fellowship program, we encourage the development of interdisciplinary clinical, research, and teaching programs between divisions, departments, and, extending to other industries.

Program Aims:
The major educational goal of the Surgical Critical Care Fellowship at DHR Health is to train strong fellows who will be successful in achieving board certification in surgical critical care. Our aims are to graduate surgical intensivists who are highly competent to practice in a variety of health care settings, from academic to community based institutions with the skills to provide comprehensive acute care surgery expertise, as well as to provide fellows with the experience necessary to participate, advise and lead patient safety and quality initiatives that will contribute to the care of the patients and their community as a whole. The overall goal of the surgical critical care fellowship is to provide comprehensive critical care training to physicians trained in general surgery. This is accomplished through an organized combination of clinical work, didactics and supervisory responsibilities. Upon completion of this program, each fellow will be eligible for certification of added qualifications in surgical critical care as issued by the American Board of Surgery. Additional goals include: 1) Gaining additional knowledge, technical skills and personal attributes required to function as independent, competent providers of surgical critical care, 2) Learning to administer the operations of a critical care unit, 3) Becoming more knowledgeable educators of the multiple members of a critical care unit, including training future members, and 4) Gaining experience in critical care research. The objectives of this program involve: 1) Gaining empiric experience in the delivery of surgical critical care to severely injured and critically ill patients. This includes competence in the application of advanced technology, geared toward optimization of care for the physiologic derangements seen in critically ill patients. 2) Being exposed to a structured program of didactic education following a specific curriculum oriented toward an in-depth review of the pathophysiology of all aspects of critical care disease processes. 3) Being exposed to onsite instruction in the process of administration and management of critical care units and, particularly, as it relates to application of resources, maintenance of regulatory compliance and full implementation of programs of quality monitoring and cost containment. This includes interfacing with the hospital administration through participation on multidisciplinary committees. 4) Participating actively in educating members of the critical care team through a combination of organized courses (ATLS, PALS etc.), formal lectures and daily patient encounters. 5) Participating actively in the comprehensive investigation and basic science research programs at the DHR Health campus.

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Application and Interview Process

The Graduate Medical Education residency programs at Doctors Hospital at Renaissance accept applications through the internet-based SAFAS program.

Documentation submitted through SAFAS must include:
  • Completed Application Form
  • Recent Photograph
  • CV and Personal Statement
  • USMLE/COMLEX Scores
  • ABSITE Scores
  • Three Letters of Recommendation

Criteria for all applying candidates:
  • Clinical education must be completed in an ACGME-accredited residency program, an AOA-approved residency program, a program with ACGME International (ACGME-I) Advanced Specialty Accreditation, or a Royal College of Physicians and Surgeons of Canada (RCPSC)-accredited or College of Family Physicians of Canada (CFPC)-accredited residency program located in Canada.
  • Must have completed at least three clinical years in a residency program in one of the following specialties: anesthesiology, emergency medicine, neurological surgery, obstetrics and gynecology, orthopaedic surgery, otolaryngology, plastic surgery, surgery, thoracic surgery, vascular surgery, or urology.
  • Graduates of medical schools outside of the U.S. and Canada must hold a current valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG). 
  • Meet requirements for J-1 Visa sponsorship (if applicable)

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Contact Us

Genesis Cavazos

Program Coordinator
1000 E Dove Ave. Ste. 201
McAllen, TX 78504

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Our Curriculum

Learn more regarding our Surgical Critical Care Fellowship Program below.

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Benefits & Stipend

Vacation and Sick Leave – ALL Residents receive fifteen (15) days of paid vacation and twelve (12) days of sick leave per year. Vacation and sick days do not carry over from year to year.

All residents are eligible for up to twelve (12) weeks of leave for birth or adoption of a child, personal illness, or that of a qualified family member. In accordance with the ACGME Institutional Requirements (IV.H.1.a) the first 6 weeks of the first approved leave will be paid at 100% of their salary and will ensure the continuation of health and disability insurance benefits for residents/fellows and their eligible dependents during any approved medical, parental or caregiver leave(s) of absence. Residents will be provided with a minimum of one week of paid time off reserved for use outside of the first six weeks of the first approved medical, parental, or caregiver leave(s) of absence taken.

Orientation Stipends: Incoming residents will receive $150 per day for estimated 10 days before July 1st for orientation.

Educational / Travel Allowance: In addition to basic salary, each resident is entitled to reimbursement for items that support and advance their education and training, including travel when presenting at a conference or meeting. All reimbursements must be approved by the Program Director and DIO.

PGY1 residents receive a $1,000 allowance for approved expenses.

PGY2 to PGY6 residents receive a $2,000 allowance per year for approved expenses.

Examples of Approved Items
  • Medical Textbooks (paper or electronic)
  • Journal Subscriptions (paper or electronic)
  • Conference Registration
  • Question Banks
  • Medical apps (individual use only)
  • Medical Society Memberships outside of House Staff Benefits
  • Board Prep Materials
  • Travel Expenses

Examples of NON-Approved Items
  • Reimbursement of full licensure
  • Step 3 exam fees
  • Device or Equipment
  • Operating Systems

USMLE Step 3: Each resident is eligible for reimbursement for their USLME Step 3 exam if taken and passed in their PGY-1 year or first year of residency at Company.

Texas Physician-in-Training Permit (PIT): Incoming residents will be reimbursed for their PIT License application fee.

Lab Coats and Scrubs: Residents/Fellows are issued two lab coats and two sets of scrubs during their first year of training unless otherwise specified by the training program. One additional lab coat and one set of scrubs will be given to each resident at the beginning of the second year unless otherwise specified by the training program.

Professional Membership Dues: Membership Dues for all residents in the Texas Medical Association and Hidalgo/Cameron County Medical Society are provided. Additional membership may be specified by your training program.

Certification: Residents will receive reimbursement for required certifications, such as BLS, ACS, and ATLS.

Additional Resident Benefits Include:

Medical Insurance and Prescription Drug Coverage: Company offers each resident medical insurance coverage. Residents have the option to add their spouse and/or children. Residents will be responsible for deductibles and co-pays.

Dental and Vision Insurance: Dental and vision insurance is available for both residents and their families. This is an optional coverage and each resident is responsible for the cost.

Health Care and Dependent Care FSA: Residents may enroll in the flexible spending accounts (FSAs). FSAs allow you to set money aside from your earnings before taxes are withheld to put into an account used to pay out-of-pocket health care expenses with the Health Care Reimbursement Account (HCRA) or qualifying dependent daycare expenses.

Basic Group Term Life (GTL): Residents are provided Basic GTL in the amount of 1x their salary at no cost and without Evidence of Insurability (EOI). Additional Voluntary GTL insurance is available with or without Basic GTL.

Disability Insurance: Residents are offered long-term disability insurance at no cost. Short-term disability can be purchased as an optional insurance.

Professional Liability Insurance: Residents are covered under the Company professional liability policy at no cost.

Voluntary Accidental Death and Dismemberment: Basic accidental death and dismemberment insurance (AD&D) is part of the Company’s benefit package at no cost. Residents may choose to enroll themselves and eligible dependents in optional Voluntary AD&D Insurance.

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Diversity, Equity and Inclusion

DHR Health is an Equal Opportunity Employer (EOE) that embraces diversity, equity and inclusion. We know that diverse and inclusive teams have a positive impact, by generating varied perspectives and in turn better ideas to solve complex problems. We are committed to building a team with a variety of backgrounds, skills and views, by ensuring fair treatment, access, opportunity, and advancement for all residents, faculty, and staff. We strive to identify and eliminate barriers that have prevented the full participation of some groups, due to race, ethnicity, language, culture, religion, gender, sexual orientation, gender identity or expression, socioeconomic status, physical or mental disability, and others.

We appreciate the unique abilities and perspectives of our diverse workforce and community. By creating an environment where faculty, physicians, residents, fellows, and staff can be their true selves at work without fear of judgment, we aim to foster creativity, raise productivity, and improve organizational performance. We believe that all our faculty, physicians, residents/fellows, and staff play the critical role in the overall success of the organization and the vision we have for our community. We create a sense of belonging at the workplace, where employees are appreciated for their unique contributions, recognized for their accomplishments, supported in their career goals, and have a sense of connection to how they are positively impacting their community.

Through community partnerships, we generate transformation within our institution as a means of advocating for better care for our patients, creating a more diverse physician workforce, and serving our community. We strive to promote social justice by advocating for equitable health care, without regard to race, gender, sexual orientation, social status, or ability to pay. We are committed to an organizational culture that will connect our residents and fellows to the organization; encourage collaboration, flexibility and fairness; and leverage diversity throughout the organization, so that all residents and fellows will be able to participate and contribute to their full potential.

DHR Health recruits resident/fellow applicants underrepresented in medicine (UIM) for advancement of diversity, equity, and inclusion. The DHR Health GME Diversity Committee is included in all planning phases of faculty and resident/fellow recruitment, selection, and retention and includes hospital leaders, GME representatives, and residents/fellows.

DHR Health Surgical Critical Care

Residents

Fellow Life

Our Commitment to Wellness

  • Counseling services provided to residents and faculty are available Monday-Friday from 8am - 8pm and on weekends from 9am - 6pm. Call 956-362-2732 to set up an appointment.
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Our Community

The Rio Grande Valley is a region in deep South Texas, beautifully rich in culture.

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