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Neurocritical Care Fellowship |
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Neurocritical care is an evolving subspecialty,
integrating clinical expertise in neurology,
neurosurgery, and intensive care medicine to diagnose
and treat critically ill patients with neurological
disease. University Hospitals Case Medical Center (UHCMC)
offers a comprehensive Neurocritical Care Fellowship
that provides physicians with a unique combination of
cognitive, diagnostic and therapeutic skills necessary
for the neurocritical care.
The purpose of the training program is to prepare the
physician for the independent practice of neurological
intensive care. Our approach is based on supervised
clinical work, with increasing patient care
responsibility over the course of the training program.
The UHCMC fellowship program, affiliated with Case
Western Reserve University (CWRU) School of Medicine,
has a strong foundation of organized instruction in
basic elements of both neurological and medical aspects
of critical care. |
 Curriculum
Like all intensivists, the neurointensivist assumes the
primary care role for patients in the ICU, coordinating
both the neurological and medical management of the
patient.
Therefore, the Core Curriculum for the UHCMC
Neurocritical Care Fellowship Training is evenly split
between neurological diseases and conditions and medical
diseases and conditions that commonly complicate acute
neurological illnesses. The Listing of
Neurocritical Care conferences
can be found here. |
Clinical Rotations
Our UHCMC program is a 2-year fellowship that includes
12 months of ICU time in which the fellow functions as a
primary provider of critical care. This includes
8-months in the Neurological Intensive Care Unit and
4-months rotating in the other medical and surgical
intensive care units. The remaining 12-months are
dedicated to Neurosurgery and Stroke Service, Electives,
and protected Research time. |
Didactic Components
All fellows regularly attend seminars and conferences in
neurology, neurosurgery, critical care, and
neuroradiology. This includes a 2-year
multi-disciplinary critical care course that cover all
aspects of intensive care medicine. Additional didactic
exposure is available in neuropathology, neuromuscular
disease, cerebrovascular disease, epilepsy and
neurophysiology, pain management, and rehabilitation.
All fellows attend periodic seminars, journal clubs,
lectures in basic science, didactic courses, and
meetings of local and national neurological societies. |
Research
All fellows conduct clinical or basic research during
the course of the training. There is tremendous support
available at UHCMC and CWRU for developing research
projects. |
Annual Annual Cleveland Neurocritical Care &
Stroke Conference
 Each
year, we have gathered a distinguished group of world
leaders to review advances in the diagnosis and
management of acute stroke and neurocritical care in a
two
day course. This conference has an innovative,
informal, Rock and Roll-themed format so as to create an
experience that is both educational and enjoyable. We
also host the Annual
CWRU
Critical Care Bioinformatics Workshop designed to
focus on advances in Health Information Technology and
informatics. Third, we host our Annual CWRU TCD
Ultrasound Workshop designed to provide a complete
review of ultrasound principles, techniques, and
interpretation. In 2010, we hosted the the 1st Annual
Cleveland Music and Medicine Symposium designed to
explore the fascinating intersection of music and the
brain and music and health. |
Trainee Duty Hours and Working Environment
Fellow duty hours are consistent with the ACGME
requirements. Neurocritical care fellows do not take
in-house call. |
Evaluation and Certification
Clearly defined procedures for regular evaluation of
fellows knowledge, skills and overall performance,
including the development of professional attitudes
consistent with being a physician, are part of the
fellowship. Fellows are evaluated on following areas:
Patient, Medical Knowledge, Practice-based learning and
improvement, Interpersonal and communication skills,
Professionalism, Systems-based practice. Upon completion
of the program, fellows will be eligible for
certification in Neurocritical Care through the United
Councils of Neurologic Subspecialties. |
Trainee Qualifications
Neurological intensive care fellowship training must be
preceded by the completion of residency training in
neurology, neurological surgery, internal medicine,
anesthesiology, surgery, or emergency medicine, in a
program accredited by Accreditation Council for Graduate
Medical Education (ACGME) or the Royal College of
Physicians (Canada). An Ohio medical license is
required. |
University Hospitals Case Medical Center
 Located
in Cleveland’s historic University Circle, University
Hospitals Case Medical Center is a 947-bed academic
medical center and tertiary-care hospital and is ranked
by U.S. News & World Report as one of America's best
hospitals in 13 medical and surgical subspecialties.
Established in 2006, the Neurological Institute provides
comprehensive and
integrated multi-disciplinary care through world class
Centers of Excellence including, a first-in the-nation,
dedicated, Center for Neurocritical Care.
 The
Reinberger Neuroscience Intensive Care Unit provides
complete critical care for all neurology, neurosurgery,
and interventional neuroradiology patients and is
covered 24/7 by dedicated neurointensivists, fellows,
and residents. The 14-bed unit is state-of-the-art with
continuous digital EEG and advanced multimodality
monitoring capabilities and admits over 1600 patients
annually. |
Cleveland
 Whether
you are interested in taking in a Broadway show at
Playhouse Square, hearing the world-renowned Cleveland
Orchestra, exploring a rainforest at the Cleveland
Metroparks Zoo, cheering on on the Cleveland Browns,
Cleveland Cavaliers, or Cleveland Indians, buying fresh
tomatoes at the West Side Market, drinking a cappuccino
in Little Italy, holding up your lighter for music
legends at the Rock and Roll Hall of Fame, partying in
the Flats, or sailing off the north coast in Lake Erie -
Cleveland is for you. |
Related Links
Neurocritical Care Society
Society of Critical Care
Medicine (SCCM)
Society of Neurosurgical
Anesthesia and Critical Care |
For more information, please contact:
Michael A. De Georgia, MD, FACP
Director, Center for Neurocritical Care
E-mail:
Michael.degeorgia@uhhospitals.org
Or
Kristin Stacy
Fellowship Coordinator, NeuroCritical Care
(216) 844-5550
kristin.stacy@uhhospitals.org |
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