Program Director: Lori Shutter, MD, FCCM
The NCC fellowship is accredited by the United Council of Neurological Subspecialties (UCNS) in 2012. The program focuses attention on providing physicians with the acute medical knowledge and technical skills to care for critically ill patients with neurological conditions. Specific neurological conditions include but are not limited to: cerebrovascular disorders, neurotrauma, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. The overarching goal of this program is to train fellows to be intensivists with an expertise in neurocritical care.
The fellowship is generally a 2 year program, but there can be a 1 year option for trainees who have already completed a year of critical care fellowship training. There is one position available per year in this highly competitive program. The curriculum provides 12 months of critical care training, of which 9 months have a neurological focus. The remaining 3 critical care months allow for rotations in other specialty ICUs. The additional 12 months provide an opportunity for career development in a variety of training tracks that will be individually designed based on the trainees goals. Options include, but are not limited to: vascular neurology, ICU focused electrophysiologic monitoring, education, clinical administration, clinical or basic research. Although preference will be shown to applicants with training in neurology, candidates trained in any other specialty will be considered.
Clinical training is provided at the University of Pittsburgh Medical Center-Presbyterian & Montefiore, and Mercy Hospital. ICU rotations will include the Neurovascular, Neurotrauma, Trauma/Surgical, Transplant, Cardiothoracic, and Mercy Medical and Cardiovascular units. In addition there will be rotations in Stroke, Neuro-interventional, and Neuro-anesthesia. The options for elective rotations are numerous, and the fellow will select them based on individual interests.
Fellows will be asked to identify a research, education, or clinical-administration “track” that would be the foundation for their elective career development training. A mentor will be selected by the fellow to assist them in accomplishing their goals in this area. Opportunities exist to pursue advance training through masters and certificate programs pertaining to their track.
The didactic curriculum covers an extensive range of topics encountered during the management of critically ill patients, with over 130 lectures and case conferences and over 10 formal workshops that use simulation to teach skills such as Difficult Airway Management, Critical Care Communication, and Bedside Ultrasound. Computer-assisted, full-scale patient simulation (Winter Institute for Simulation Education and Research – http://www.wiser.pitt.edu) is used extensively. The curriculum also includes Journal Club, Quality Improvement and Morbidity/Mortality Conferences, and Critical Care Medicine (CCM) Grand Rounds. In the second year the didactic program will introduce discussions of medical education techniques, scientific methods, and administration through the CCM Leadership and Professionalism Course.
For fellowship inquiries, please contact the CCM Education Office.