Goals and Objectives
The goal of our neurocritical care fellowship is to provide a comprehensive training platform to prepare neurologists and other physicians to practice as neuro-intensivists. In addition, we also aim to provide strong vascular neurology training to practice in a high intensity, high volume stroke center. Our environment provides robust Medical ICU, Surgical ICU and other ICUs, to provide a high diversity of cases for expert neurocritical care consultations. This training is based on supervised clinical work, with increasing patient care responsibility over the course of the training program.
- Identify and treat patients with acute neurological emergencies. Manage all patients in the ICU with a primary neurological problem.
- Train to be an expert in treating diverse critical neurological disorders.
- Understand the principles of general critical care medicine.
- Work cordially with neurosurgical team to comanage patients with them.
- Develop the required skills for critical care procedures including lumbar punctures, insertion of lumbar drains, bronchoscopy, vascular access, upper airway management and point of care ultrasound.
- Engage in multimodality neuromonitoring to aid in patient management. These include continuous EEG, ICP monitoring, brain parenchymal oxygen tension monitoring, performing and interpreting transcranial dopplers.
- Learn to triage patients based on critical needs of the patient.
- Acquire necessary skills to lead a multidisciplinary team comprised of medical students, interns, neurology and neurosurgery residents, emergency medicine residents, medical and surgical ICU fellows, radiology and pharmacy.
- Develop personality essential to be a leader of the team, to be able to know and discuss complicated critical care issues with various specialties that could be involved in the management of the patient
- Understand the basics of literature review and take part in clinical research.
- Understand the importance of devastating neurological injury that are managed in the neuro ICU. Develop good communication skills that will help with compassionate patient and family interaction regarding disability, quality of life and possibly end of life discussions.
Wazim Mohamed, M.D.
Associate Professor of Neurology
Medical Director Neurocritical Care Unit DMC/WSU
Director, Neurocritical Care Fellowship training program