Neurocritical Care Fellowship
Mission & Vision
In association with the University of Miami Leonard M. Miller School of Medicine’s critical care team, it is one of our primary aims to provide excellent care to our critical care patients in order to improve their outcomes and limit subsequent disability.
Gunshots, trauma and surgeries of the mind
To status, stroke and coma undefined
Working late into the night
Helping souls win the fight
In warmth and glow of the ‘305’
Mission & Vision
In association with the University of Miami Leonard M. Miller School of Medicine’s critical care team, it is one of our primary aims to provide excellent care to our critical care patients in order to improve their outcomes and limit subsequent disability.
Gunshots, trauma and surgeries of the mind
To status, stroke and coma undefined
Working late into the night
Helping souls win the fight
In warmth and glow of the ‘305’
Program Director’s Welcome
Welcome to the University of Miami/Jackson Health System Neurocritical Care Fellowship. We have a comprehensive clinical and academic fellowship training program that benefits from two units with differing populations that broadly span both surgical and medical neurocritical care.
The 27-bed neurocritical care unit at Jackson Memorial Hospital is one of the largest units of its kind in the U.S. The unit offers advanced invasive and non-invasive multimodality neuromonitoring, such as brain oximetry; cerebral perfusion; intracranial pressure and microdialysis, in addition to monitoring such as computed tomography; magnetic resonance imaging and transcranial Doppler scanning/screening. As one of the largest and busiest trauma centers in the U.S., the Ryder Trauma Center at Jackson Memorial Hospital provides care for a large number of neurotrauma patients.
Program Director’s Welcome
Welcome to the University of Miami/Jackson Health System Neurocritical Care Fellowship. We have a comprehensive clinical and academic fellowship training program that benefits from two units with differing populations that broadly span both surgical and medical neurocritical care.
The 27-bed neurocritical care unit at Jackson Memorial Hospital is one of the largest units of its kind in the U.S. The unit offers advanced invasive and non-invasive multimodality neuromonitoring, such as brain oximetry; cerebral perfusion; intracranial pressure and microdialysis, in addition to monitoring such as computed tomography; magnetic resonance imaging and transcranial Doppler scanning/screening. As one of the largest and busiest trauma centers in the U.S., the Ryder Trauma Center at Jackson Memorial Hospital provides care for a large number of neurotrauma patients.
Our team has a talented group of academic neurointensivists dedicated to training our fellows and preparing them to manage all aspects of critical care in patients with acute nervous system failure. Our fellows get trained in a variety of procedures, including bronchoscopy; endotracheal intubation; paracentesis; percutaneous tracheostomy; thoracentesis; thoracostomy and vascular access. We are also now one of the few centers to perform our own percutaneous ultrasound gastrostomies, which fellows also have the opportunity to get trained in. Typical numbers of annual procedures are as follows: arterial lines (35); bronchoscopy (45); central lines (45); chest tubes/thoracentesis (8); endotracheal intubations (40); hemodialysis catheters (15); paracentesis (4) and tracheostomy (30 to 40 over two years). Multimodality monitoring methods are also used and include cerebral microdialysis; continuous EEG; depth electrodes and intracranial pressure monitoring.
Fellows also participate in clinical research projects and scholarly writing and have six months of time each year outside of home ICU (to decide between ICU and non-ICU electives) to acquire broad academic critical care experience. Scheduled conferences include case reviews, didactic neurocritical care lectures, simulation lab-based didactics, Status Epilepticus and Long-Term Monitoring Rounds Conference and grand rounds.
Finally, we strive to create a positive working environment both inside and outside the hospital to help our fellows learn as much as they can while enjoying their time here with us. We are so fortunate to live and work in beautiful Miami which provides us with a multitude of options for time spent outside of the intensive care unit. Outdoor recreational activities are available year-round and Miami is a thriving city with multicultural influences shaping the art, food and music scenes.
Description
Fellows also participate in clinical research projects and scholarly writing and have six months of time each year outside of home ICU (to decide between ICU and non-ICU electives) to acquire broad academic critical care experience. Scheduled conferences include case reviews, didactic neurocritical care lectures, simulation lab-based didactics, Status Epilepticus and Long-Term Monitoring Rounds Conference and grand rounds.
Finally, we strive to create a positive working environment both inside and outside the hospital to help our fellows learn as much as they can while enjoying their time here with us. We are so fortunate to live and work in beautiful Miami which provides us with a multitude of options for time spent outside of the intensive care unit. Outdoor recreational activities are available year-round and Miami is a thriving city with multicultural influences shaping the art, food and music scenes.
Fast Facts
Accreditation
Accreditation Council for Graduate Medical Education (ACGME)
United Council for Neurological Subspecialties
Number of Fellows per Year?
2
Duration of Fellowship?
1 to 2 years
Clinical Experience
For our Neurocritical Care Fellowship Program the following timelines apply: one year of training required for those who have completed prior training in critical care or neurosurgery; two years of training required for those who have trained in anesthesiology, emergency medicine, internal medicine, neurology or surgery.
Year 1 (for fellows with prior training in critical care)
Block rotations include EEG; general neurology; neuroradiology; NICU and NSICU.
Longitudinal experiences include neuroradiology (seven hours per week for 26 weeks per year) and neurosonology (one-half day per week for 20 weeks per year).
Year 1 (for fellows with prior training in neurosurgery)
Block rotations include CCU/CTICU; EEG, MICU; NICU; NSICU; TICU and research or infectious disease.
Longitudinal experiences include anesthesia (one quarter to one-half day per week for two weeks per year and neurosonology (one-half day per week for 20 weeks per year).
Year 1 (for fellows with anesthesiology, emergency medicine, internal medicine, neurology or surgery)
Block rotations include MICU; NICU; NSICU; elective*; research and stroke.
Longitudinal experiences include anesthesia (one quarter to one-half day while on elective, for two weeks per year); neuroradiology (seven hours per week for 26 weeks per year) and neurosonology (one-half day per week for 20 weeks per year).
Year 2 (for fellows with anesthesiology, emergency medicine, internal medicine, neurology or surgery)
Block rotations include EEG; NICU; NSICU; TICU; elective* and research.
Longitudinal experiences include anesthesia (one quarter to one-half day while on elective, for two weeks per year) and neurosonology (one-half day per week for 20 weeks per year).
*Assigned electives include anesthesia; CCU; EEG; ENT/ tracheostomy/pulmonary; MICU; neuroangiography; neuroradiology; neurosurgery; research; simulation training; stroke and TCD.
Sample Monthly Schedule
Sample Monthly Schedule
Your Faculty
Ayham Alkhachroum, MD
Assistant Professor, Neurology
Mohan Kottapally, MD
Assistant Professor, Clinical Neurology and Neurocritical Care
Associate Director, Neurocritical Care Fellowship Program
Nina Massad, MD
Assistant Professor, Neurology and Neurocritical Care
Amedeo Merenda, MD
Associate Professor, Clinical Neurology and Neurosurgery
Director, Neurosurgical ICU, UHealth Tower
Kristine O’Phelan, MD
Chief, Neurocritical Care Division
Director, Neurocritical Care Fellowship Program
Professor, Clinical Neurology
Alumni Placements Include:
Baptist Health South Florida
Einstein Healthcare Network
Greenville Memorial Hospital
Orlando Health
University of Missouri Health Care
University Medical Group
Westchester Medical Center
West Virginia University Health System
Alumni Placements Include:
Baptist Health South Florida
Einstein Healthcare Network
Greenville Memorial Hospital
Orlando Health
University of Missouri Health Care
University Medical Group
Westchester Medical Center
West Virginia University Health System
Notable Alumni
Mohamed Abou El Fadl, MD
2017
Neurointensivist, Baptist Health South Florida
Yazan Alderazi, MD
2013
Director, Interventional Neurology
Niraj Arora, MD
2018
University of Missouri Health Care
Indira De Jesus, MD
2015
Faculty, Einstein Healthcare Network
Nathaniel Mohney, MD
2019
Assistant Professor, West Virginia University Health System
Ciro Ramos-Estebanez, MD
2013
Faculty, Case Western Reserve University
George Selas, MD
2014
Faculty, NYU Langone Medical Center
Mohamed Abou El Fadl, MD
2017
Neurointensivist, Baptist Health South Florida
Yazan Alderazi, MD
2013
Director, Interventional Neurology
Niraj Arora, MD
2018
University of Missouri Health Care
Indira De Jesus, MD
2015
Faculty, Einstein Healthcare Network
Nathaniel Mohney, MD
2019
Assistant Professor, West Virginia University Health System
Ciro Ramos-Estebanez, MD
2013
Faculty, Case Western Reserve University
George Selas, MD
2014
Faculty, NYU Langone Medical Center