The Duke Neurocritical Care Fellowship trains academic-minded neurointensivists with an emphasis on superb, well-rounded clinical, with options for 12 and 24-month fellowships (both accredited through the UCNS). Duke University Hospital is an internationally known tertiary- and quaternary-care medical center with 957 inpatient beds and 51 operating rooms. Duke is a Level-1 trauma center and comprehensive stroke center.
All our fellows work with a team of 11 neurointensivists from the Department of Neurology (2 with joint appointment in Anesthesiology). A unique aspect of our fellowship is the diverse skillsets of our various attendings. In addition to having completed fellowships in neurocritical care, three of our attendings have completed fellowships in clinical neurophysiology, two completed fellowships in vascular neurology, two are also trained in anesthesiology, and two run basic science labs.
Within Duke Hospital, the Neuroscience ICU is a closed-model, 24-bed unit in which the Neuro ICU team works closely with faculty from the Department of Neurosurgery but is responsible for the primary care of all patients in the Neuro ICU. A team of residents, fellows and 12 critical care nurse practitioners staff the Neuroscience ICU 24 hours a day. The fellowship fosters the transition to attending-level supervisory duties while providing “hands-on” critical care experience. Fellows spend most of their time in the Neuro ICU, but also complete several off-service rotations and electives. Outside the unit, fellows have 25% of their time protected to develop research projects of their choice under the direction of a research mentor.
Fellows are trained in procedures such as central line placement, endotracheal intubations, bronchoscopy, advanced ICU sonography, arterial line placement, continuous EEG /QEEG monitoring, and noninvasive cardiac output monitoring. Fellows also participate in numerous didactic series offered by the neurology department and also as part of the comprehensive critical care curriculum geared specifically to fellows.
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