The Surgical Critical Care Fellowship is an ACGME/RRC accredited training program, offered through the University of San Francisco Fresno, department of General Surgery Program. This is a one-year Fellowship is based at Community Regional Medical Center (CRMC) in Fresno.

Surgical Intensive Care Unit
Trauma Intensive Care Unit
Burn Unit
Medical Intensive Care Unit
Pediatric Critical Care Unit (Children Hospital Central California)



Community Regional Medical Center (CRMC) is the only Level I Trauma Center serving California’s Central Valley with a population of 2 million.   CRMC is 1 of only 13 Level I Trauma Centers in the state of California. The trauma service is very active, admitting more than 4,800 trauma patients per year (80% blunt, 20% penetrating), one of the busiest in California with approximately 20% of these requiring ICU admission.  CRMC is a 650 bed facility and also contains the regions only comprehensive burns center as well as 66 ICU beds. 

Children’s Hospital Central California (CHCC) Pediatric Intensive Care Unit cares for more than 1,000 children and their families each year. The unit is one of the largest in the country based on bed capacity the severity adjusted mortality rate Children’s PICU is ranked in the best 10% in the country.

The goal of the Fellowship is to enhance skills in the management of critically ill and injured patients. For the patient with traumatic injury, management begins with initial evaluation and resuscitation and operative management and continues until discharge. The Fellow is involved in comprehensive critical care management issues, such as multidisciplinary committees and protocol development. A second year to allow for further research pursuits or MPH (via California State University, Fresno) is also available.

Research opportunities: 
Although the clinical care and didactic instruction are the backbone of this experience, the Fellow concurrently participates in research and administrative activities. The Fellow is expected to take advantage of the wealth of clinical and trauma registry data available for clinical research. Facilities and opportunities for laboratory investigations are also available.  In addition, the SCC Fellow is specifically involved in graduate (housestaff) and undergraduate (medical student) medical education.  It is anticipated that this fellowship experience will result in a well-rounded surgeon who has the tools for leadership positions in Surgical Critical Care/Trauma Surgery and who has learned to function in an intensive care unit (ICU), providing quality and effective care.  Upon successful completion the fellow will be eligible to sit for the ABS Surgical Critical Care Examination. 

Fellows 2014-2015


Jeffrey Simpson MD
Medical School:  The University of Kansas School of Medicine 

Residency: : Huntington Memorial,  Hospital, Pasadena CA, General Surgery



 The fellowship has strong Faculty support with 9 surgery faculty members board-certified in surgical critical care.


Krista L. Kaups, MD, FACS, Program Director
James W. Davis, MD, FACS, Chief of Surgery, ACS Program Director
John F. Bilello, MD, FACS
Jennifer Hubbard, MD, FACS
Ricard Townsend, MD, FACS
William J. Dominic, MD, FACS
Lawrence P. Sue, MD, FACS
Margaret M. Wolfe, MD, FACS, Surgery Program Director

Amy Kwok, MD, FACS

Recreational opportunities:

Fresno County where beauty meets rich heritage.  As the fifth largest city in the state of California, Fresno is one of 15 cities in the county which makes a perfect destination for you to enjoy big city amenities with small town charm.  With three world renowned National Parks, Yosemite, Sequoia and Kings Canyon only an hour in a half driving distance.   Fresno is centrally located, with an approximate three hour drive to San Francisco, Los Angeles, Monterey Peninsula and the central coast region around Morro Bay. 





The UCSF Fresno Surgery Critical Care Fellowship Program uses the following applications.


Application for Surgery Critical Care Fellowship [Word] [PDF]


For Information about our application requirements please see below.  Residents interested in the Surgical Critical Care/Trauma Fellowship can contact:

Kelley Medico-Montgomery                          Krista Kaups, MD
Surgery Fellowship Coordinator                   Program Director, Surgical Critical Care Fellowship
Community Regional Medical Center          Email:
2823 North Fresno St.                                               
Dept. of Surgery 1st Floor
Fresno, California 93721
Office:  (559) 459-3722


Web address:
UCSF Fresno Medical Education Program web address: