A quaternary referral center located in center city Philadelphia, Jefferson offers a high acuity surgical ICU experience that includes complex elective and emergent general surgery, advanced surgical oncology and multi-organ transplantation. Jefferson is one of only a few Level I trauma and regional resource spinal cord injury centers in the country and is also the region's hand replant as well as burn center, thus providing a unique mix of multi-injured patients. Training includes ECMO.