Neurocritical Care Fellowship

Fellowship Coordinator: Karen Saulle, kes4a@virginia.edu, 434-982-3244

The Neurocritical Care CAST (the Committee on Advanced Subspecialty Training) Fellowship in the Department of Neurosurgery at the University of Virginia is certified through the Society of Neurological Surgeons (SNS). It offers neurosurgical residents extra training in neurocritical care. Those who complete the CAST fellowship will receive a certificate verifying their participation. This training, along with ABNS primary certification allows a fellow to sit for either the ABNS recognition of focused practice (RFP) exam or the ANPN subspecialty in neurocritical care exam.

Although neurosurgical residency provides extensive exposure to neurocritical care throughout the training experience and encompasses requirements for core competencies necessary to manage the neurological elements of most neurosurgical patients, additional focused training in neurocritical care is available. The fellowship will provide sufficient expertise in the primary management of all aspects of care, including pulmonary, cardiac, renal, gastrointestinal, hematological, infectious, and other systemic problems. Therefore, additional training experiences are provided to ensure that the neurosurgical neurointensivist is well-prepared to address all aspects of medical management and nervous system pathophysiology. UVA is emerging as a leader in advanced ICU multimodal monitoring technology and fellows will have exposure to placement, troubleshooting, and interpretation of advanced monitoring such as brain oxygenation, autoregulation assessment, spreading depolarization assessment, and quantitative EEG interpretation.

The 12-month fellowship experience will include rotations in other ICUs in addition to the Neuro ICU (Trauma ICU, Surgical ICU, Medical) Three months can be used for research, electives (Anesthesia, ICU, Cardiac ICU, etc.) Neurodiagnostics) or additional ICU time.