We have a busy program rife with complex surgical critical care cases ideal for a one-year fellowship. Training at Mission Hospital, the main tertiary care center for Western North Carolina. The patients cared for on our service include complex/severe trauma, neuro-critical care, and peri-op hepatobiliary, bariatric, and oncologic patients. The fellow will be involved in the highest level of trauma activations as these are the patients that will comprise at least half of the ICU population.