Neurocritical Care Fellowship
Mission & Vision
Welcome to the Neurocritical Care Division of the Department of Neurology at the University of Miami. The Neurocritical Care Division’s goal is to provide cutting edge advanced critical care for neurological and neurosurgical patients. Our physicians are trained in leading international centers and staff the 27-bed unit located at Jackson Memorial Hospital (JMH). Our physicians work with a multidisciplinary team of physicians, nurses, therapists, nutritionists and pharmacists to give patients the best chance for recovery.
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
Welcome to the Neurocritical Care Division of the Department of Neurology at the University of Miami. The Neurocritical Care Division’s goal is to provide cutting edge advanced critical care for neurological and neurosurgical patients. Our physicians are trained in leading international centers and staff the 27-bed unit located at Jackson Memorial Hospital (JMH). Our physicians work with a multidisciplinary team of physicians, nurses, therapists, nutritionists and pharmacists to give patients the best chance for recovery.
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 Miami Neurocritical Care fellowship. The Neurocritical Care fellowship at University of Miami and Jackson Memorial Hospitals is a two-year training program accredited by the Accreditation Council for Graduate Medical Education (ACGME).
We have a comprehensive clinical and academic fellowship training program with the benefit of having two neurointensive care units. Fellows spend the majority of their training at Jackson Memorial Hospital; 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 volume of neurotrauma patients.
The Neurocritical Care Unit at Jackson Memorial Hospital is a 27-bed unit equipped with multimodality intracranial monitoring capabilities (intracranial pressure monitoring, brain tissue oxygen monitoring, cerebral microdialysis and depth electrodes), continuous EEG (including quantitative EEG) and advanced neuroimaging. Fellows will gain exposure to a wide variety of patient pathologies including severe traumatic brain injury, aneurysmal subarachnoid hemorrhage, acute spinal cord injury, status epilepticus, intracerebral hemorrhage, stroke, and meningitis/encephalitis. The UHealth Tower Neuro ICU is an 8-bed unit providing fellows exposure to a variety of pathologies including neuro-oncological, spinal disorders, neuromuscular, stroke, intracerebral hemorrhage and status epilepticus.
Fellow will develop proficiency in caring for critically ill patients with a breadth of neurologic conditions. Our team has six full-time academic neurointensivists dedicated to training our fellows and preparing them to manage all aspects of critical care in the neurologic patient. Fellows will gain expertise in a variety of procedures including central and arterial lines, endotracheal intubation, percutaneous tracheostomy, percutaneous ultrasound gastrostomy, bronchoscopy, thoracentesis/thoracostomy, and paracentesis.
We are fortunate to live and work in beautiful Miami, providing us with many options for time spent outside the ICU. Outdoor recreational activities are available year-round, and Miami is a thriving city with multicultural influences shaping the music, food, and art scene.
Program Director’s Welcome
Welcome to the Miami Neurocritical Care fellowship. The Neurocritical Care fellowship at University of Miami and Jackson Memorial Hospitals is a two-year training program accredited by the Accreditation Council for Graduate Medical Education (ACGME).
We have a comprehensive clinical and academic fellowship training program with the benefit of having two neurointensive care units. Fellows spend the majority of their training at Jackson Memorial Hospital; 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 volume of neurotrauma patients.
The Neurocritical Care Unit at Jackson Memorial Hospital is a 27-bed unit equipped with multimodality intracranial monitoring capabilities (intracranial pressure monitoring, brain tissue oxygen monitoring, cerebral microdialysis and depth electrodes), continuous EEG (including quantitative EEG) and advanced neuroimaging. Fellows will gain exposure to a wide variety of patient pathologies including severe traumatic brain injury, aneurysmal subarachnoid hemorrhage, acute spinal cord injury, status epilepticus, intracerebral hemorrhage, stroke, and meningitis/encephalitis. The UHealth Tower Neuro ICU is an 8-bed unit providing fellows exposure to a variety of pathologies including neuro-oncological, spinal disorders, neuromuscular, stroke, intracerebral hemorrhage and status epilepticus.
Fellow will develop proficiency in caring for critically ill patients with a breadth of neurologic conditions. Our team has six full-time academic neurointensivists dedicated to training our fellows and preparing them to manage all aspects of critical care in the neurologic patient. Fellows will gain expertise in a variety of procedures including central and arterial lines, endotracheal intubation, percutaneous tracheostomy, percutaneous ultrasound gastrostomy, bronchoscopy, thoracentesis/thoracostomy, and paracentesis.
We are fortunate to live and work in beautiful Miami, providing us with many options for time spent outside the ICU. Outdoor recreational activities are available year-round, and Miami is a thriving city with multicultural influences shaping the music, food, and art scene.
Leadership
Kristine O’Phelan, MD
Program Director
Nina Massad, MD
Associate Program Director
Kristine O’Phelan, MD
Program Director
Nina Massad, MD
Associate Program Director
Fast Facts
Accreditation
Accreditation Council for Graduate Medical Education (ACGME)
United Council for Neurological Subspecialties
Number of Fellows per Year?
2-3 per year, 5 total
Duration of Fellowship?
1 to 2 years
Program Details
We offer a 24-month training curriculum for those who have completed a residency in Neurology, Anesthesiology, Emergency Medicine or Internal Medicine.
We also offer a 12-month training curriculum for those who have prior critical care training, i.e. completion of a fellowship in anesthesiology critical care, internal medicine critical care, pediatric critical care or surgical critical care, or after completion of a neurosurgical residency program.
Fellows complete six months of Neuro ICU per year and have six months of non-Neuro ICU rotations each year to acquire broad academic critical care training. Rotations include Medical ICU, Surgical ICU, CVICU, and Trauma ICU, as well as non-ICU rotations such as transcranial doppler, continuous EEG and dedicated research time.
Fellows engage in didactics including teaching conferences, journal club, morbidity and mortality conference, and simulations. Scheduled conferences include grand rounds, didactic neurocritical care lectures, vascular conference, case reviews, and ICU-EEG conferences. In addition, fellows participate in independent research projects and scholarly writing. Fellows gain exposure to and participate in study recruitment for several actively recruiting research studies in our unit. Our diverse faculty provides mentorship in a range of academic areas including clinical research, medical education, and quality improvement.
Program Details
We offer a 24-month training curriculum for those who have completed a residency in Neurology, Anesthesiology, Emergency Medicine or Internal Medicine.
We also offer a 12-month training curriculum for those who have prior critical care training, i.e. completion of a fellowship in anesthesiology critical care, internal medicine critical care, pediatric critical care or surgical critical care, or after completion of a neurosurgical residency program.
Fellows complete six months of Neuro ICU per year and have six months of non-Neuro ICU rotations each year to acquire broad academic critical care training. Rotations include Medical ICU, Surgical ICU, CVICU, and Trauma ICU, as well as non-ICU rotations such as transcranial doppler, continuous EEG and dedicated research time.
Fellows engage in didactics including teaching conferences, journal club, morbidity and mortality conference, and simulations. Scheduled conferences include grand rounds, didactic neurocritical care lectures, vascular conference, case reviews, and ICU-EEG conferences. In addition, fellows participate in independent research projects and scholarly writing. Fellows gain exposure to and participate in study recruitment for several actively recruiting research studies in our unit. Our diverse faculty provides mentorship in a range of academic areas including clinical research, medical education, and quality improvement.
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.
Accordion
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).
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).
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).
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.
Your Faculty
Ayham Alkhachroum, MD
Associate Professor, Neurology
Mohan Kottapally, MD
Assistant Professor, Clinical Neurology and Neurocritical Care
Nina Massad, MD
Assistant Professor, Neurology and Neurocritical Care
Associate Director, Neurocritical Care Fellowship Program
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
MedStar Washington Hospital Center
University of Missouri Health Care
University of Mississippi
New York University
University of Pennsylvania
Westchester Medical Center
West Virginia University Health System
Alumni Placements Include:
Baptist Health South Florida
Einstein Healthcare Network
Greenville Memorial Hospital
Orlando Health
MedStar Washington Hospital Center
University of Missouri Health Care
University of Mississippi
New York University
University of Pennsylvania
Westchester Medical Center
West Virginia University Health System