Surgical Critical Care APP Fellowship


Our mission is to prepare Acute Care Nurse Practitioners and Physician Assistants (Advanced Practice Providers, APPs) to practice in the specialty of surgical critical care medicine as members of a multidisciplinary team. This transition-to-practice fellowship program focuses on developing competency and confidence above the level of their formal education while in a protected learning environment.

Program objectives

The one year NTCC fellowship prepares the APP to be a well-rounded provider, leader and resource within the healthcare team. In addition to scheduled simulation labs, case presentations and team learning discussions, fellows experience real-time patient care as licensed APPs in various patient care units with a gradual ease into independence. Our program combines a highly detailed competency-based curriculum with hands-on learning in the critical care setting. Each fellow graduate is equipped with crucial experience in many specialty-specific rotations and procedures, as well as an established network of providers within other specialties.

Goals of the APP fellowship

  • Empower the APP to practice intense critical thinking and plan of care development for each patient population
  • Encourage a platform to enable APPs to practice at the greatest extent of their licensure
  • Safe performance of specific procedural competencies
  • Expand the APP's knowledge of evidenced-based practice and medical knowledge
  • Develop basic research techniques and guidance through research projects
  • Education on guideline creation, process development, and quality improvement initiatives.
  • Development of professional, interpersonal, communication and resiliency skills to ensure a long successful career

Program details

Length of program: 12 months
Two cohorts per year: spring and fall
Time commitment: 22-25 13-hour shifts per month - anticipate committing 60-80 hours per week with 80% clinical and 20% didactic
APP fellow cohort size: 2-4 APP fellows per session
Fellow required rotations include:

  • Cardiothoracic/Transplant ICU
  • Skills workshops/SIM labs
  • Surgical Trauma ICU

Elective rotations offered:

  • Acute Care Surgery
  • Anesthesia
  • Infectious Disease
  • Nephrology
  • Palliative and Supportive Care

The remaining time is spent on scholarly pursuits. These months tend to fall during the latter parts of the fellowship, allowing fellows to experience different aspects of critical care before making a decision about academic projects on which they would like to pursue.

Credentials awarded

Certificate of completion of the North Texas Critical Care Surgical Critical Care Advance Practice Provider Fellowship.

Procedural skills gained

  • E-FAST & point of care ultrasound capabilities
  • Intubation
  • Central line placement
  • Arterial line placement
  • Chest tube insertion/thoracentesis
  • Bronchoscopy
  • ECMO cannulation/wire assistant
  • Assistant with percutaneous tracheostomy/PEG placement


  • Competitive fellowship salary based upon market analysis
  • Dental, health, vision insurance
  • Life insurance policy
  • Short term disability insurance coverage
  • Malpractice insurance
  • 2 weeks PTO/year
  • Continuing education funds
  • Reimbursement for board certification, licensure, DEA fees

Eligibility requirements for APP fellowship applicants

  • Graduation from an accredited nurse practitioner master’s or doctoral program or physician assistant program prior to the start of the fellowship
  • Education Transcripts
  • BLS and ACLS card (must be American Heart Association, health care provider issued)
  • Current or eligible for unencumbered Texas licensure as ACNP, AG-ACNP, or PA
  • Eligible for DEA licensure
  • Current or eligible for national board certification as ACNP, AG-ACNP, or PA
  • Acceptable criminal background check

    Note: In order to begin the fellowship, APP fellows must be fully licensed in the state of Texas in their respective advanced practice role and fully credentialed in the hospital where the fellowship clinical practice takes place.

How to apply

  • Curriculum Vitae
  • Three reference forms (one from program faculty, one from MD, one from ICU preceptor)
  • One-page statement of interest in postgraduate fellowship training (including 5-10 year career goals)

Deadlines for submission

Applications are accepted on a rolling basis. You will be considered for the next cohort as long as the application deadline has not passed.

Fall cohort (anticipated start date September)
Deadline for application submissions – April 30
Interviews held – May 1 through May 31

Spring cohort (anticipated start date March)
Deadline for application submissions – Oct 31
Interviews held – Nov 1 through Nov 30

Submitting your application through the form below is the only way to be considered for the fellowship. Please do not send applications to the email address below or any email other addresses, as they will be reviewed.

Contact us

Please direct any questions you may have to

Please allow 5-10 business days for a response.

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North Texas Critical Care
2710 Swiss
Dallas, TX 75204