The Neurocritical Care Fellowship, led by our core faculty, helps you explore and develop your clinical and academic career while providing you with tools and mentoring needed to face the clinical and research challenges of our evolving field. Whether in person or via multi-site medical video conferencing, we emphasize multidisciplinary, peer-to-peer, evidence-based practice and learning via case-based discussions, procedural simulations, traditional didactics, journal clubs, Grand Rounds, and research conferences. Our Neurocritical Care fellows are continually engaged by rich conversations among medical peers, with accommodations to acquire diverse training in neurocritical care. Ultimately, our goal is to develop our fellows into well-rounded, exceptional and compassionate clinical neurointensivists, pioneers in advancing the field, and leaders in academia.
Curriculum
Critical Care Core Lecture Series
Developed by John M. Oropello, MD, Program Director of the Critical Care Medicine Program (CCMP), one of the oldest critical care medicine fellowship programs in the United States, the Critical Care Core Lecture Series incorporates speakers from all disciplines of critical care from pulmonary, palliative, neurocritical, and cardiology. Lectures are recorded and available for fellows to be downloaded at any time.
Neurocritical Care Core Lecture Series
To complement the Critical Care Core Lecture Series and cover all United Council for Neurologic Subspecialties (UCNS) recommended neurocritical care core topics, the Neurocritical Care Core Lecture Seriesincludes reviews and updates of evidence-based neurocritical care clinical protocols, morbidity-mortality conferences, system-wide neurocritical care case conferences and lectures by our core and interdisciplinary faculty.
We encourage our fellows to read and analyze full texts of foundational critical care literature from the American Thoracic Society (ATS) reading list.
Procedural Simulation Education
All Institute for Critical Care Medicine (ICCM) fellows learn core critical care procedures through didactics and simulation, and get ample bedside experience. Simulation training is provided for the following critical care procedures:
Point of Care Ultrasound (POCUS)
All fellows are given the opportunity to attend the New York Citywide POCUS course at the start of their fellowship. An integral part of our daily neurocritical care rounds, fellows will get ample experience in the practice, interpretation and applications of POCUS including critical care echocardiography, lung ultrasound, screening for DVTs, and fundamental protocols like FAST, FEEL, RUSH, and BLUE.
Venous Access
Fellows perform central venous catheterization, subclavian vein and internal jugular vein on a mannequin with the use of POCUS.
Airway Simulation
All critical care fellows participate in a formal airway simulation course at the Department of Anesthesiology’s Human Emulation Education and Evaluation Lab for Patient Safety and Professional Study (HELPS) Center, which consists of basic airway and difficult airway simulation. Fellows also participate in intubation simulation with a critical care faculty member in small groups monthly.
Bronchoscopy Simulation
Bronchoscopy simulation is designed to enable fellows to practice the proper technique for performing a bronchoscopy, including setting up the field, maneuvering the scope through left and right main bronchi, secondary and tertiary bronchi, performing bronchoalveolar lavage (BAL) and collecting respiratory culture samples.
Transcranial Dopplers (TCD)
As a high volume cerebrovascular center and liver transplant center, every neurocritical care fellow will perform and interpret TCDs regularly.
Research Lecture Series
This lecture series focuses on the fundamentals of both clinical and outcomes research. The goal of this lecture series to equip fellows with knowledge to design and complete academic projects during their fellowship training and to prepare them for thriving academic careers. Speakers are invited from the Department of Population Health Science and Policy.