Neurocritical Care Fellow
University of Florida Department: Neurology
Fellow (post-graduate medical education)
GME Level (PGY 5) as set by University of Florida
The University of Florida Neurocritical Care Fellowship program offers a one and two year training program accredited by the UCNS (United Council of Neurological specialties) with anticipated transition to ACGME accreditation by 2021.
Our mission is to train academic-minded neurointensivists with emphasis on excellent clinical care and future career planning. The program provides the opportunity for fellows to manage patients with life threatening neurological and neurosurgical critical illnesses. The fellows rotate through our state of the art neurosciences ICU, consisting of 32 beds. The fellows work in the NeuroICU with a multidisciplinary team composed of intensivists from the department of neurology and anesthesiology, advanced practice providers (APPs), as well as residents from neurology, neurosurgery and anesthesia background.
The training provides the fellows with the clinical skillset necessary to manage critically ill patients. The fellows learn conventional as well as complicated airway management, different intubation techniques, ventilator management, central and arterial line placement, flexible bronchoscopy, hemodynamic management, bedside ultrasonography, brain oximetry interpretation and management, EVD management, multi-modality monitoring, and continuous cEEG interpretation to name a few.
One unique aspect of the University of Florida is our excellent clinical foundation. We pride ourselves in being a premier academic center in the State of Florida, with a large case volume of neurosurgical cases (over 2,000). We have over 1,000 strokes admission/ yearly. Additionally, a unique aspect of our program is the diverse educational backgrounds, skill sets and experience of the core faculty, including 5 neurology trained neurointensivists from Harvard, Yale, Duke and Mayo, as well as faculty from anesthesiology critical care medicine with expertise in neuroanesthesiology and neurocritical care. The unit is staffed 24/7 with a team of advanced practice providers and residents (neurology, neurosurgery, anesthesiology) as well as neurocritical care and critical care fellows of other disciplines (pulmonary critical care, surgery-critical care, anesthesia critical care). Attendings oversee the ICU 24/7 and there is always an attending in house.
The fellows participate in numerous educational activities. They participate in institutional-wide multidisciplinary critical care didactics. This includes a weekly neurocritical care lecture series, daily multidisciplinary critical care didactics (hospital-wide combined CCM), journal club (monthly), neurology and critical care grand rounds. The training provides clinical critical care and neurological critical care, commensurate with UCNS requirements. The fellows are expected to develop a research project during the course of their fellowship. There is protected research time incorporated into the fellowship. Mentors will be identified early-on, and fellows will present their research progress at the monthly division research meeting to ensure project success, with the goal of presenting their projects at national and/or international meetings, as well as publication in peer-reviewed journals. Formal rigorous research training (if desired) is available through the TRACTS program (Training and Research Academy for Clinical Translational Science) at the University of Florida.
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