Philadelphia University + Thomas Jefferson University

Neurocritical Care Fellowship

Training Program Curriculum

Mission & Goals

  • Expansive and comprehensive clinical training in both the neurocritical care unit as well as other ICUs.
  • Gradually increasing independence with progression through training program
  • Diverse research experiences
  • Hands on personalized procedural training
  • Comprehensive didactic schedule

Clinical Rotations

First Year Fellow

  • 6 months Neuro-ICU (evenly distributed amongst Gibbon NICU, JHN 6 NICU and JHN 8 NICU)
  • 2 months- Affiliated Intensive Care Unit Training: Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), Cardiac Care Unit (CCU), Cardiothoracic Care Unit (CTICU) -amount in each depends on fellows background and prior exposure
  • 1 month Vascular Neurology service
  • 1 month Neuroanesthesia and Airway Management
  • 1 month Research
  • 1 month Elective

Second Year Fellow

  • 6 months Neuro-ICU (evenly distributed amongst Gibbon NICU, JHN 6 NICU and JHN 8 NICU)
  • 4 months Elective
  • 2 month Research

Elective Rotations

  • May be personalized for each fellow
  • Previous electives include: critical care EEG, ECHO lab (training alongside Cardiology fellows), transcranial doppler ultrasound

Rotation Schedule

The fellows rotate in 2 week blocks.  Each fellow’s schedule is set up for 2 weeks in one of the Neuro-ICU’s followed by 2 weeks of an “out” rotation, either in an affiliated ICU, vascular neurology, anesthesia, elective, or research.  See below for a sample year-long schedule.  There is 4 weeks of vacation provided each year as well.

Weekly Conferences

  • Fellow Board Review (Tuesdays 4:30-5:30 pm, 1st and 3rd Tuesdays each month)- Alternates between Neurology and General Critical Care
  • Stroke Conference (Wednesdays 7-8am)-Neurology, Neurosurgery and Neuroradiology meet to discuss cases
  • Neuro ICU Conference (Thursdays 12-1pm)
  • Neurosurgery Grand Rounds (Fridays 7-8am)
  • Neurology Grand Rounds (Fridays 8-9am)
  • Sample calendar of lectures

Call

Fellows have a schedule of on-call responsibilities that is shared by themselves along with the stroke fellows.  The overnight on-call fellow is responsible for handling phone calls from the junior and senior neurology residents about the Neurology primary Neuro-ICU patients, as well as the stroke unit patients.   The fellow is the first contact for the transfer center and directs patient placement and acute stroke management.  They coordinate with the neurosurgical team for stroke endovascular intervention evaluations.