Fellowship Structure

Neurocritical Care 1 (NCC-1)

24 months of education in neurocritical care following completion of a residency in anesthesiology, child neurology, emergency medicine, general surgery, internal medicine, or neurology.

Neurocritical Care (NCC)-1 Fellowship = 26 four-week blocks

*Electives:

• Anesthesia
• Cardiology
• EEG/Clinical Neurophysiology Course (required)
• Emergency Medicine
• Endovascular Surgical Neuroradiology
• Neurosurgery
• Transcranial Doppler Ultrasound
• Vascular Neurology (required)

**Research:

• Case Western Reserve University CRISP 401 Course
• Introduction to Clinical Research (required)

Neurocritical Care 2 (NCC-2)

12 months of education in neurocritical care following completion of a fellowship in anesthesiology critical care medicine, internal medicine critical care medicine, pediatric critical care medicine, or surgical critical care, or completion of or matriculation in a neurological surgery residency.

Neurocritical Care (NCC-2) Fellowship = 13 four-week blocks

Electives:

For NCC-2 fellows who completed anesthesiology/internal medicine/pediatric/surgical critical care fellowship

• EEG/Clinical Neurophysiology Course
• Endovascular Surgical Neuroradiology
• Neurosurgery
• Transcranial Doppler Ultrasound
• Vascular Neurology

Electives:

For NCC-2 fellows who completed neurological surgery residency or matriculation in a neurological surgery residency.

• Anesthesia
• Cardiology
• Emergency Medicine
• Infectious Disease
• Nephrology

Didactic Curriculum

Multidisciplinary Neurocritical Core Didactic Curriculum

Fellows will attend the Multidisciplinary Neurocritical Care Lecture Series (see schedule below). This lecture series runs throughout the year and beginning with the Emergency Neurology Lecture Series in the summer months and continuing in the fall with a weekly lectures that cover all aspects of neurocritical care. Lectures are taught by faculty members from the Departments of Neurology and Neurosurgery with additional contributions from the Departments of Anesthesia, Surgery, and Emergency Medicine. Lectures are Friday at 1200. In February, fellows will attend the UH EEG/Epilepsy/Clinical Neurophysiology Course. In addition, fellows will be encouraged, when possible, to also attend the Multidisciplinary Surgical Critical Care Lecture series as well (see schedule below). Lectures are on Monday, Tuesday, and Thursday at 1200.

Department of Neurology and Neurosurgery Conferences

In addition to the Neurocritical Care Lecture series and Surgical Critical Care Lecture Series, fellows are expected to attend the Neurology Mortality and Morbidity Conference, Stroke Conference  and Stroke/Neurocritical Care Journal Club. In addition, they are required to attend the quarterly Northeastern Ohio Neurocritical Care Meeting (a collaborative conference between University Hospital Cleveland Medical Center, Cleveland Clinic, and MetroHealth). Fellows are encouraged to attend other Neurology and Neurosurgery conferences but attendance is optional.

Required

• Weekly
  • Multi-Professional Neurocritical Care Lecture Series
  • Neurology Emergency Lecture Series (July – September)
  • Stroke Conference

• Monthly
  • Neurology Mortality and Morbidity Conference
  • Stroke/Neurocritical Care Journal Club
• Quarterly
  • Neurology Ethics Conference
  • Northeastern Ohio Neurocritical Care Meeting

Encouraged

• Weekly
  • Multi-Professional Surgical Critical Care Lecture Series
  • Neuroscience Grand Rounds
  • Neurosurgery Core Curriculum Lecture Series
  • Neurosurgery Clinical Conference
• Monthly
  • Neurosurgery Mortality and Morbidity Conference

Optional

• Weekly
  • Epilepsy Grand Rounds
  • Epilepsy Management Conference
  • Multidisciplinary Tumor Board
  • Neurosurgery Clinical Pathological Conference
  • Neurosurgery Journal Club
  • Neurosurgery Skull Bass/Vascular Conference
• Monthly
  • Muscle and Nerve Biopsy Conference
  • Neurology Journal Club
  • Neurology CPC
  • Neuromuscular Grand Rounds

Program Director’s Conference

The Program Director (or designee) will provide didactics on the following subjects in various settings throughout the year. These topics are designed to round out the fellow’s understanding of the business of medicine as they enter the workforce as an Attending Neurointensivist.

• Healthcare Finance
• Billing
• Personal Finance
• Corporations & Contracts
• Anti-Kickback/Stark Law/False Claims Act
• Anatomy of a Malpractice Lawsuit
• OPPE/FPPE/Peer Review

Neurocritical Care Intranet Curriculum Site

Fellows have access to our extensive Neurocritical Care Intranet Curriculum Site which has over 500 PPT presentations, critical care algorithms, evidenced-based critical care guidelines, Emergency Neurological Life Support articles, and links to key critical care websites (e.g., Neurocritical Care Society, Society of Critical Care Medicine, Society of Neurosurgical Anesthesia and Critical Care).