Neurocritical Care Fellowship Program
Like other intensivists, the neurointensivist assumes the primary care role for his or her patients in the ICU, coordinating both the neurological and medical management of the patient. Hence, the Neurocritical Care Core Curriculum is evenly split between neurological and medical diseases and conditions, and fellowship training may include rotations through non-neurological ICUs. Most uniquely, Neurocritical care is concerned with the interface between the brain and other organ systems in the setting of critical illness.
Fellowship training in Neurotrauma and Critical Care Neurology at Detroit Medical Center/ Wayne State University has been in place for more than 15 years. Education and research are an integral part of providing a continuing service to acutely ill neuroscience patients. Currently, our fellows train at two neuroscience units, the primary unit functioning as a ‘closed ICU’ model where the ICU team directs all medical management. The unit is completely staffed and equipped as a critical care area, having routinely a 1:2 nurse-to-patient ratio with resident and fellow coverage and an attending faculty member. The population in the unit consists of patients that are medically or neurologically unstable from the specialty areas of neurology and neurosurgery.
Goals and Objectives
The purpose of the training program is to prepare the physician for the independent practice of
Neurocritical Care. This training is based on supervised clinical work, with increasing patient care responsibility over the course of the training program.
Duration of Training and Trainee Appointment
Number of positions: 1-2/year
Duration of Training: 24 months. This period is split into mandatory requirements (15 months) and electives (9 months)
Mandatory requirements (15 months):
Elective rotations (9 months):
Vacation: 3 weeks of vacation every 12 months. Vacation can only be requested during elective rotations. The fellow is free to add more intensive care months during their elective time.
Fellows are provided with training that provides progressively increasing responsibility for patient management. In addition to the specific cognitive and procedural competencies listed in the Neurocritical Care Core Curriculum the program requires its trainees to obtain competence in the six areas listed below (ACGME core competencies) to the level expected of a new practitioner of
Didactic sessions are held once a week. These are considered mandatory and topics will be distributed among the fellows and faculty. Trainees must also try to attend seminars and conferences in neurology, neurosurgery, critical care, and neuroradiology. Trainees must learn about major developments in both the basic and clinical sciences relating to critical care, neurology, neurosurgery, and neuroradiology.
The program provides ample opportunities for the fellows to participate in research and other scholarly activities.