training for neurocritical care?

[intvneuro]

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hey all. i'm a med student on a critical care elective aaaaand i'm loving it!

i see neurocritical care in my future so i was wondering if there are residency programs known for giving residents a lot of time/responsibility in the ICU or have a hx of sending residents into critical care fellowships (i realize its a young field)

the training program at my school is very academic and conservative and neurosurg basically runs the ICU.

i'm looking to train in a hospital or program where the neurology residents are expected to take care of very sick patients and get a lot of procedural exposure or experience (lines, evds, lycox, etc.) i'm not really into academics or theory. i'd rather get my hands dirty.

also, is it possible to do a surgical prelim prior to a neurology residency?

 

[coup de chance]

hey all. i'm a med student on a critical care elective aaaaand i'm loving it!

i see neurocritical care in my future so i was wondering if there are residency programs known for giving residents a lot of time/responsibility in the ICU or have a hx of sending residents into critical care fellowships (i realize its a young field)

the training program at my school is very academic and conservative and neurosurg basically runs the ICU.

i'm looking to train in a hospital or program where the neurology residents are expected to take care of very sick patients and get a lot of procedural exposure or experience (lines, evds, lycox, etc.) i'm not really into academics or theory. i'd rather get my hands dirty.

also, is it possible to do a surgical prelim prior to a neurology residency?

PGY1:
You must do medicine prelim or transitional year with all the required components (per American Academy of Neurology guidelines).

Besides, surg prelim is just a year of glorified scut monkey. Likely much more scut and longer hours than medicine prelim. Transitional years are least scut, as you may know.

As long as you hit all the required AAN components, med prelim and transitional year both prepare you well for PGY2-4 neuro.

You might want to ask your critical care attgs about their advice. They should know you much better than anyone on SDN. And oftentimes, they have valuable contacts that you do not want to miss out.

Good luck

 

[RAD345]

"You might want to ask your critical care attgs about their advice. They should know you much better than anyone on SDN. And oftentimes, they have valuable contacts that you do not want to miss out."


There are also attendings and senior fellows on this forum that are very knowledgable and have given great advice here.

 

[coup de chance]

"You might want to ask your critical care attgs about their advice. They should know you much better than anyone on SDN. And oftentimes, they have valuable contacts that you do not want to miss out."


There are also attendings and senior fellows on this forum that are very knowledgable and have given great advice here.

True. Not trying to offend.
Advise away

 

[intvneuro]

good looks guys. i talked to my attending and he said the best hospital for neurocritical care is columbia followed closely by ucla and possibly hopkins.

thats great and all but i'm not a resident applying for fellowship anytime soon. i'm a third year med student interested in getting neurology training at an institution that has a reputation of putting a lot of responsibility on their residents. i'm looking for a place that has a culture in which neurologists aren't solely expected to become outpt private practice types (which is fine if thats ur thing) but rather expects neurologists to be autonomous/competent in treating very sick inpatients. aaand doing bedside procedures would be cool too haha

any programs fit the bill?

 

[typhoonegator]

If you are interested in a lot of exposure to ICU in residency, you should consider Partners. The residents spend at least 2 months in their PGY2 year in the ICU at MGH and BWH, and there is a senior rotation at BWH as well. Multiple residents go into ICU each year from that program. MGH is pretty much run by residents, so you could certainly say you would have more than enough responsibility at that program during residency.