The fellowship will begin on July 1st.

Interested applicants can submit applications via San Francisco Match or email us directly (if off-cycle). The following items must be submitted to schedule an interview:

• Personal Statement
• Curriculum Vitae
• USMLE/COMLEX transcripts
• Letters of reference
• ECFMG Certificate and visa (applicable)
• Photograph (optional, but preferred to track applicants after interviews)

Requirements

Applicants must be Board Certified or Board Eligible by the American Board of Medical Specialties in one of the following, or have equivalent certification by the Royal College of Physicians and Surgeons of Canada:

• Neurology
• Neurosurgery
• Internal Medicine
• Anesthesiology
• General Surgery
• Emergency Medicine
• Pediatric Neurology
• Critical Care Medicine (Internal Medicine, Anesthesiology, Pediatrics, Surgical)

The Neurocritical Care fellowship has two curriculum pathways:

1. Neurology trained: Individualized training pathway for neurology applicants to meet their educational needs, with increased exposure to non-neurology ICUs, opportunities for additional airway training, and tailored ultrasound training.
2.  Non-Neurology trained: Individualized training pathway for non-neurology applicants in both neurology and critical care with increased exposure to EEG, neurovascular neurology, neurology subspecialty clinics (if requested), and neurosurgery.

Rotations (24-month fellowship):

• NSICU (12 months)
• SICU (2 months)
• MICU (2 months)
• CICU ( 2 weeks)
• EEG (1 month)
• Anesthesia (1 month)
• Board Preparation (2-4 weeks)
• Elective Rotations: Neuro-IR, Neurosurgery, Consult Neurology, Stroke Neurology, Research, Global Health Neurology, Interventional Pulmonology, TCD, Ultrasound, Education, Quality Improvement

Rotations (12-month fellowship):

• NSICU (8 months)
• SICU, MICU, CICU (2-4 weeks each)
• EEG (1 month)
• Elective Rotations (1-2 months)

Fellow’s salary is dependent upon which residency program was completed as determined by the GME office.

Fellows will receive focused training in the application of diagnostic and treatment strategies for the neurologically critically ill, with rotations in the 22-bed Neuroscience Intensive Care Unit (NSICU), Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), and Cardiac Intensive Care Unit (CICU). They will also have opportunities for elective rotations in areas such as Neuro-Interventional Radiology, Neurosurgery, and Stroke Neurology.

Specifically, fellows from diverse backgrounds will receive specialized training in acute stroke management (ischemic and hemorrhagic), subarachnoid hemorrhage, traumatic brain and spinal cord injuries, status epilepticus, autoimmune and infectious encephalitis, neuromuscular disorders, and post cardiac arrest prognostication.  This includes specific training in the following diagnostic and procedural interventions:

• Electroencephalography (EEG) Interpretation: Training in reading and interpreting EEGs, including continuous EEG, quantitative EEG, and rapid EEG.
• Coma and Brain Death evaluations
• Advanced neuroimaging: including computed tomography, magnetic resonance imaging, angiography, perfusion imaging, transcranial Doppler’s and functional MRI.
• General Critical Care Procedures: Skills in performing procedures such as lumbar punctures, intubations, bronchoscopy, advanced hemodynamic line placements, point of care ultrasound, thoracentesis and chest tubes.
• Interpretation and management of multimodal neuro monitoring: including intracranial pressure monitors, external ventricular drains, lumbar drains, and brain tissue oxygen monitors.

Protected Fellow Education

• Structured Didactics
• Monthly Fellow’s journal club
• Monthly case conferences
• Biweekly fellow lectures
• Guest Lectures from UNC and Outside Institutions
• Mentorship program
• Annual SCCM MCCKAP examination
• Regional Journal club
• ICU – EEG weekly conference
• Critical Care Fellow Ultrasound Workshop

The UNC Hospital at Chapel Hill provides an excellent environment for fellows to engage in high level care and the opportunities necessary to develop highly sought after skills and experiences.

• Over 1,000 acute care beds
• 34 operating rooms
• Level 1 Trauma Center
• State’s Burn Center
• Comprehensive Stroke Center
• Level IV Epilepsy Center
• NIH StrokeNet site

The Neuroscience Intensive Care Unit

22 ICU Beds

• Primary NSICU, Neurosurgery and Cerebrovascular Neurology teams.
• (Semi) Closed unit model
• Separate stepdown unit
• Critical care consult unit

Patient Population

• Acute Stroke (ICH & AIS)
• Subarachnoid hemorrhage
• Traumatic Brain & Spine injuries
• Status Epilepticus/Encephalitis
• Acute Neuromuscular weakness
• Post-op Neurosurgical Interventions
• Medical complications of Neurologic diseases

UNC is a joint Regional Coordinating Center with Duke for StrokeNet, a NIH-funded network of academic centers designed to advance acute stroke treatment, stroke prevention, and recovery and rehabilitation following a stroke. UNC neurocritical care fellows interested in careers in stroke research can apply for our additional one-year StrokeNet Fellowship. The fellowship provides protected time for in-depth stroke research training, with a mentored project and participation in national training seminars.

UNC also offers fellowships in Stroke and Neuro-IR.

• Vascular Neurology & Stroke Fellowship
• Neurointerventional Radiology