Vascular Neurology Fellowship

Neurocritical Care

Faculty contact:

Joshua Medow

Neurocritical Care Schedule:

  • Pre-round on NICU patients
  • Rounds
  • Noon conference
  • Clinical care activities or clinic in the afternoon

Supervision:

The assigned neurocritical care faculty member for that day.

Didactics:

  • Neurosurgery M&M and Grand Rounds – Wednesdays at 07:00 in HSLC 1222 (required)
  • Neuro ICU Conference – Thursdays at 15:00 in NICU conference room (required)
  • Neurovascular Conference – second and fourth Mondays at 16:00 in F2/401 (required)
  • Brain Cutting Pathology Conference – Mondays and Thursdays at 13:15 in VAH morgue (optional but encouraged)

Goals Objectives:

Patient Care

  • Goal: Fellow development of patient care skills sufficient for the safe and effective independent practice of vascular neurology
    • Objective: Exposure to the population cared for by neuro-intensivists, and their approach to the diagnosis and management of these patients
      • Evaluation: Faculty evaluation of direct supervision of patient care

Medical Knowledge

  • Goal: Fellow development of medical knowledge sufficient for the safe and effective independent practice of vascular neurology
    • Objective: Understanding of the science of neurocritical care sufficient for clinical care
      • Evaluation: Faculty evaluation of medical knowledge based on discussions during patient care

Practice-Based Learning and Improvement

  • Goal: Fellow development of practice-based learning and improvement sufficient for the safe and effective independent practice of vascular neurology
    • Objective: Effective evidence identification and appraisal for clinical questions
      • Evaluation: Faculty evaluation of this ability as questions arise during clinical care where the fellow is asked to find evidence

Interpersonal and Communication Skills

  • Goal: Fellow development of interpersonal and communication skills sufficient for the safe and effective independent practice of vascular neurology
    • Objective: Effective discussion of end-of-life care options
      • Evaluation: Faculty evaluation of direct supervision of these discussions

Professionalism

  • Goal: Fellow development of professionalism sufficient for the safe and effective independent practice of vascular neurology
    • Objective: The fellow will learn ethical, regulatory, and legal aspects of neurocritical care, including the difference between standard and investigational tests and treatments, and ethical and legal issues involved in end-of-life care
      • Evaluation: Faculty evaluation of direct supervision of these care issues

Systems-Based Practice

  • Goal: Fellow development of systems-based practice sufficient for the safe and effective independent practice of vascular neurology
    • Objective: The fellow will demonstrate the ability to work in a multidisciplinary fashion with nurses, case managers, social workers, therapists, primary care physicians, and the various medical and surgical specialties involved in the care of critically-ill neurological patients
      • Evaluation: Faculty evaluation of direct supervision of interactions with these groups
    • Objective: The fellow will learn how to triage patients and allocate resources such as inpatient beds, tests, and treatments to provide high quality, cost-effective care
      • Evaluation: Faculty evaluation of direct supervision of patient care

Evaluation Matrix:

Neuro Critical Care
Latest revision: 07/22/2019

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