Neurocritical Care at Stanford is a great rotation. Program Director, NCC Fellowship Program, Zachary Threlkeld, MD I was very excited about how ultrasound oriented this fellowship is and since that is one of my passions, I was eager to be part of this. Why did you choose Stanford? Education of new generations of stroke specialists is the goal of the Center’s fellowship programs in Vascular Neurology, Neurosurgery, Interventional Neuroradiology and Neurocritical Care. Dr. Nick Murray is a neurocritical care fellow with research interests in predictors of ischemic stroke and traumatic brain injury acute outcomes, artificial intelligence in stroke imaging, and inpatient neurosciences quality improvement. Karen and Tony are the Resident Fellows at Soto House. Why did you choose Stanford? The Stanford Neurocritical Care Fellowship program is a UCNS certified two-year education curriculum. Stanford Neurocritical Care program currently has five faculty neurointensivists: Karen Hirsch, MD, Stanford Neurocritical Care Program Director Anna Finley Caulfield, MD, Neurocritical Care Fellowship Director Marion Buckwalter, MD, PhD, Associate Professor Chitra Venkatasubramanian, MBBS, MD, Clinical Associate Professor Prashanth Krishnamohan, MBBS, MD, Clinical Assistant Professor Fellows receive training and education in a multi-disciplinary method not only from neurointensivists, but also an… Why did you choose Stanford? Another chance to improve on more advanced TTE and TEE skills. Specialty: Neurology. Cases are complex and challenging, with a great balance between autonomy and supervision when needed. Why Critical Care Medicine? Xavier Jimenez Samayoa (266) 2008 Stanford Critical Care Medicine Fellows conference Neurocritical care of ischemic and hemorrhagic stroke. Specialty: Emergency Medicine. Access your health information from any device with MyHealth. While I always found the initial resuscitation of patients with undifferentiated pathology in the ED rewarding, I enjoy the broader medical practice, deeper understanding of physiology, and more extended time with patients afforded by specialization in CCM. Dates: 7/20 - 6/22 Push Boundaries. ... Stanford. Critical care is the best of internal medicine and anesthesiology in one field. Applications are submitted electronically via SF Match. Why Critical Care Medicine? On call food allowance for clinical shifts of >12 hours The diseases treated by a neurocritical care physician are broad, and include stroke, intracerebral hemorrhage, traumatic brain injury, brain injury after cardiac arrest, seizures, spinal cord injury, neuromuscular disorders, and many others. Candidates who are exploring Stanford for fellowship are encouraged to attend the Diversity Reception and Socials that are hosted by the hospital’s GME Office. What’s your favorite rotation, and why? Specialty: Neurology. MICU at Stanford - great people to work with and exposure to a wide variety of critical care pathology. Conference travel stipend for 1st author presentations/publications (paid by Department) As a specialist in emergency medicine, I get to see a little bit of everyone else's sickest patients, but only for a short period of time. Accept Challenges. 2008 Stanford Critical Care Medicine Lecture series Physiology and management of intracranial pressure. It's very gratifying to focus directly on the kind of patient care that I anticipate providing throughout my career. Duty hours are tracked in MedHub and strictly follow UCNS and ACGME policies. Cost of initial DEA license and renewals I also chose Stanford because the culture of the program was reputed to be both hard working and very friendly, which has proven to be true. From the very start of my medical training I felt like the most interesting patients of every medical and surgical subspecialty were those critically ill. Specialty: Internal Medicine/Cardiology. I have spent the past 7 years training at Stanford through internal medicine residency, cardiovascular medicine fellowship, and now critical care fellowship. Specialty: Internal Medicine/Nephrology. I enjoy caring for sick patients with interesting physiology, working with families to deliver consistent with patient's wishes, seeing them progress day after day, constantly learning new things, doing essential procedures, teaching trainees, running resuscitations, and managing airways. Critical Care gives me the opportunity to have greater continuity with patients and their families. I wanted a program with an expert team of faculty and a diverse curriculum to fit my goals while also maintaining a well-balanced personal life outside the hospital. Having colleagues from these different fields has certainly helps active knowledge sharing, discussions and debates that broadens one's understanding of the science behind our daily clinical practice. Stanford MSICU—it's busy, fun, and the pathology is fantastic! **  Note: Amounts subject to change, https://med.stanford.edu/gme/diversity.html, Leadership Education in Advancing Diversity Program (LEAD), Stanford Diversity Programs for Residents and Fellows, Lewy Body Dementia Research Center of Excellence, Stanford Alzheimer's Disease Research Center, Telestroke and Acute Teleneurology Program, Improvement Capability Development Program, Lucile Packard Children's Hospital Stanford, Clinical Assistant Professor, Harbor UCLA Medical Center; Director of Inpatient Neurology; Associate Stroke Director, (Torrance, CA), Instructor, Stanford University School of Medicine (Stanford, CA), Neurointensivist, Mission Viejo Hospital (Mission Viejo, CA), Neurointensivist, Sound Critical Care (Tucson, AZ), Neurointensivist, Intermountain Medical Group (Salt Lake City, Utah), Neurointensivist, Mercy Medical Group (Sacramento, CA), Endovascular Neurologist, Banner Health (Phoenix, AZ), Neurointensivist, California Pacific Medical Center (San Francisco, CA), Understand how to treat acute neurological emergencies and manage all patients in the intensive care unit who are neurologically critically ill or have a neurological complication, Learn the principles of general critical care medicine, Gain proficiency in procedural skills related to critical care medicine, Learn to prioritize and triage competing care needs, Develop expertise in the diagnosis, management, and prevention of vascular neurological disorders, Learn from the diverse neurological disorders seen in various patient populations, Gain an understanding of the process of clinical research and the critical evaluation of the literature, Acquire skills to teach neurology to medical students, interns, neurology residents, and physicians of other disciplines, Develop a sense of purpose with regard to ethical and humanistic aspects of care, with an emphasis on compassion and respect for patient-centered values, Physiology of cerebral blood flow, metabolism and intracranial pressure, Pathophysiology and treatment of increased intracranial pressure, altered cerebral blood flow states and coma, Neurological examination techniques, including examination techniques for a comatose patient, Neurosurgical and neurology imaging techniques, Various neuro-monitoring techniques and their use in guiding hemodynamic therapy, Ventilator management for brain injured patients, Hemodynamic management for patients with brain or spinal cord injuries including fluid resuscitation and vasopressor therapy, Airway management with special focus on patients with reduced level of consciousness, cranial nerve impairment and patients with traumatic brain, facial and cervical spine injuries, Sedation regimens, scores, weaning and special considerations in neurocritical care patients, Special considerations of pain management in neurocritical care patients, Management of fluid, acid-base, and electrolyte disturbances, Management of nutrition including routes, indications and ability to create basic nutritional plan, Basic infection control risks, strategies to prevent and treat ventilator associated pneumonia, urinary tract infections, central venous line infections and surgical wound infections; demonstrate basic knowledge of antibiotic therapy, groups of antibiotics, neuro-specific considerations e.g. Why did you choose Stanford? What’s your favorite rotation, and why? Why Critical Care Medicine? ARDS, and intracranial pathologies, Endocrine consequences of pituitary tumors, Ethical considerations for end-of-life decisions, Exhibit safe order writing and closed-loop communication, Moderate and severe traumatic brain injury (Subdural and epidural hematomas, hemorrhagic contusions), Administration and management of intravenous thrombolysis or intra-arterial therapies with Neurointerventional team, Management of patients pre and post CEA or stenting, Aortic arch cerebral and spinal embolism and spinal infarctions, Hereditary and acquired hypercoagulable states, including antiphospholipid antibody syndromes, Disseminated intravascular coagulation, thrombotic thrombocytopenic purpura, other hematological disorders, Hypertensive encephalopathy/Posterior Reversible Leukoencephalopathy Syndrome, Cervical and intracranial artery dissection, Vasculopathies including genetic (i.e. The fellowship will include experiences in out patient and in patient management with rotations through clinical sub-specialties, in patient care teams and neurocritical care. He completed his internship and Neurology residency at Wake Forest Baptist Health, where he earned awards for resident education and excellence in stroke management. I live in California now, so I sold my snow shovel. Dates: 8/20 - 7/21 I chose Stanford for the integrated nature of its program. In addition, fellows will rotate in the surgical, medical and cardiac intensive care units where they will receive a well-rounded education of all aspects of critical care. The learning opportunities are endless. Dr. Murray plans to continue as an academic neurological intensivist after fellowship. Dates: 7/20 - 6/21 I like the ownership of a primary service, but enjoy the breadth of pathologies and the collaboration with specialties in the ICU. The Stanford Stroke Center has trained over 70 fellows; the majority of these individuals have gone on to become leaders in stroke research and education. Being able to care for patients and their families in what can be the most stressful periods of their lives is an absolute privilege. Lecture topics by faculty reflect the below core curriculum. Graduates from our two year UCNS certified neurocritical care fellowship have gone on to work in a variety of practice settings and make significant contributions to the field. What’s your favorite rotation, and why? I think I'm happy on any rotation, but happiest overnight. Why did you choose Stanford? Why Critical Care Medicine? In addition to the breadth and depth of the clinical activities, the Stanford neurocritical group has a long history of experience and success in performing clinical trials and basic science research. This fellowship provides a balance of clinical training in the intensive care units of St. Louis Children’s Hospital (SLCH) and exposure to … It is high impact care with plenty of procedural opportunities, point of care ultrasound, and applying basic physiology to resuscitate and treat our patients. Recognizing that the treatments of tomorrow are rooted in the research of today, all of the neurocritical care faculty members participate extensively in this research mission. Neurocritical care as a recognized and distinct subspecialty of critical care has grown remarkably since its inception in the 1980s. It is a fun rotation to lead, to teach and to read more about Neurocritical Care! During their Neurocritical Care ICU rotations, fellows share home call with the vascular neurology fellows, but are expected to come in to the hospital to assist the residents and for potential endovascular acute ischemic stroke cases. Though I love being in the OR, the camaraderie of working on multidisciplinary teams can be quite rewarding as well. massachusettes general hospital . The unique combination of interesting/challenging pathology with the chance to form very meaningful relationships with patients and their families is some of their most challenging moments. The large and diverse cohort of fellows is one of my favorite aspects of the program. Dates: 7/19 - 6/21 columbia university health sciences . Weather is unbeatable. I chose Stanford for the integrated nature of its program. What’s your favorite rotation, and why? The faculty here reward curiosity, and will selflessly take time to give directly tailored instruction or training, even when their service is busy. Stanford Anesthesia (#stanesthesia) prioritizes diversity, innovation, housestaff wellness, flexibility, and collaboration. Support Lucile Packard Children's Hospital Stanford and child and maternal health. Specialty: Anesthesia. The quality of training, people, and quality of life. I really could not imagine any other type of program that has the same caliber mentorship and education as the one at Stanford and which also fosters such an incredible atmosphere for learning and growth. It is an extremely productive clinical rotation with a good patient volume. Back up child/elder care program (80 hours per year). Fellows serve in many different roles: triaging, seeing consults, running codes, leading rounds, etc. Fellows in neurocritical care primarily spend time at the CPMC Davies and Pacific campuses and have the opportunity to go to Eden Medical Center for neurosurgery and neurotrauma experience. Faculty from the division serve on the Department of Neurology Diversity and Inclusion Committee, and trainee membership is welcomed. Critical Care Medicine is the last frontier of medicine. Having met Stanford-trained faculty during my residency program, I knew that training here would leave me well-prepared to manage patients independently, able to confidently perform a wide variety of procedures and manage complex patients. I think there is a robust infrastructure and a highly progressive environment here at Stanford that helps support such a training. Friendly residents and fellows, amazing research opportunities, great learning environment and D.C.! Dates: 8/20 - 7/21 My peers come from cardiology, neurology, nephrology, anesthesia, respirology and more... whenever we hang out, we learn from each other's strengths; this makes us better generalists and stronger ICU specialists.