Pediatric Neurocritical Care Fellowship

Our Pediatric Neurocritical Care Fellowship is a one-year clinical fellowship, with the goal of developing specialized training in neurointensive care for board-certified/eligible pediatric intensivists and board-certified pediatric neurologists. 

Each year, one trainee will be accepted for either one of three tracks:

1. Critical care track, designed for pediatric intensivists.
2. Neurology track, designed for pediatric neurologists.
3. Neurosurgery track, designed for pediatric neurosurgeons.

Each track is tailored so the trainee will optimize their fellowship experience by spending more time on rotations they are traditionally underexposed to during their prior training.

The goals of this fellowship are to:

1. Develop expertise in the care of critically ill children with severe neurological injury and those at risk for it.
2. Develop understanding and competency in a real-time interpretation of ICU EEG waveforms, neurovascular ultrasound (performance and interpretation), advanced neuroimaging, multimodal integrative neurological monitoring (intracranial pressure, transcranial doppler ultrasound, brain tissue oxygenation, pupillometry, etc.), bedside neurological exam and neurological consequences of complex ICU disorders.
3. Gain exposure to interventional neuroradiology to understand emerging treatment approaches and periprocedural neurointensive care.
4. Gain exposure to adult stroke management and neurocritical care, including specialized management of aneurysmal subarachnoid hemorrhage.
5. Gain exposure to neurosurgical conditions, including intraoperative and perioperative care.
6. Have opportunities to engage in active neurocritical care research opportunities.
7. Gain an understanding of the recovery process for severe neurological injury with exposure to both the pediatric neurocritical care follow-up and multidisciplinary stroke clinics.

At the end of the training, the pediatric neurocritical care fellow will gain expertise in the ability to approach the critically ill child in a manner that harmonizes management of the brain and other organ systems, optimizes cerebral perfusion, electrical activity, and energy deliverance, and decreases secondary brain injury by providing effective neurological assessments and interventions. The fellow will gain competence in caring for the critically ill child with an understanding of the continuity of care from ICU admission to the clinic.