Fellowship In Neuro Critical Care

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Fellowship In Neuro Critical Care (F.N.C.C) Brief Information

Type of Fellowship: 1-year Neuro Critical Care

Number of fellowship positions: 05

Course Fee: – Rs. 99,500/- Per year, Library Charges etc. Extra.

Stipend – Rs. 50,000/- Per Month

Name of hospital involved in training: Uppal Neuro Hospital, 4, Rani Ka Bagh, Amritsar, Punjab – 143001.

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Eligibility requirements:

  • MD/DNB- Medicine/Paediatrics/ Anesthesiology
  • MD/DNB/Diploma- Paediatrics/ Anesthesiology

Description of Fellowship: Introduction

Many critically ill patients suffer primary or secondary neurologic dysfunction. Through  Neuro Critical Care fellowships and continuing medical education, trainees will need to master a body of knowledge concerning the special care of the critically ill patients with neurological disorders and incorporate this information into clinical practice, education and research. To this end, the Uppal Neuro Hospital in association with IMA AMS has developed a core curriculum for critical care and emergency neurology. This curriculum is intended to serve principally as a tool for programs developing fellowships in Neuro Critical Care and Emergency Neurology. It also can serve as a guideline for the integration of the Neuro Critical Care knowledge base and related skills in to the education of medical students, residents, fellows, and other medical and allied health care providers desiring education in this area.

Definition

Neuro Critical Care is a special area of neurology that focuses on the neurological disorders in patients having critical problems. These can be primary neurologic disorders, or secondary to other systemic diseases that can affect the central nervous system, the peripheral nervous system or both. It includes understanding the effects of critical illness on the nervous system and the special vulnerabilities of the nervous system of patients in intensive care units and other emergency settings. It requires knowledge of the disorders that frequently occur in these settings as well as the methods of diagnosis, assessment, treatment, management and prevention of further injury.

Development of the specialty of Neuro Critical Care recognizes the special health needs of the population of critically ill patients with neurologic dysfunction, the characteristics of the nervous system in critically ill patients and the need for interdisciplinary collaboration in this field.

Goals and Objectives

The primary goal of the core curriculum in Neuro Critical Care is to provide a training program that will prepare neurologists, anesthetists, neurosurgeons, emergency medicine physicians and medical intensivists, Pediatrician to competently care for critically ill patients with neurologic disorders. This training will be based on supervised clinical work with increasing responsibility for inpatients. It should include not only the specific diseases of the nervous system of different age groups but also the neurological complications of medical and surgical conditions. Neuro Critical Care is particularly a procedure-oriented specialty and basic training in procedures used in neurocritical care will be included.

 

In the 1-year program, there is an additional, equally important goal. In this program the resident is expected to spend 50% of his or her time in clinical research. There will be teaching programs in basic and/or clinical neuroscience  research and the resident is expected to complete at least one project leading to presentation and publication.

 

The overall objective for specialty training in Neuro Critical Care is to provide the skills and knowledge necessary to:

  • Provide high quality clinical care and assessments of critically ill patients with neurological disorders, including diagnostic evaluation, treatment, management, counseling and social intervention;
  • Develop the capacity to pursue an academic/research career focusing on neurological dysfunction in critically ill
  • Develop the capacity to teach others in the methods and concepts used in the care of critically ill patients with neurological
  • Continue elaborating and completing research projects in Neuro Critical

 

  • Provide high quality clinical care and assessments of critically ill patients with neurological disorders, including diagnostic evaluation, treatment, management, counseling and social intervention;
  • Develop the capacity to pursue an academic/research career focusing on neurological dysfunction in critically ill patients.
  • evelop the capacity to teach others in the methods and concepts used in the care of critically ill patients with neurological disorders.
  • Continue elaborating and completing research projects in Neuro Critical Care.

Topics in Critical Care and Emergency Neurology

The topics listed below provide an outline of a core curriculum, in Critical Care and Emergency Neurology, for fellowship training. Many of the topics included can be used for educational programs in Neuro Critical Care for internists, anesthesiologist, neurology residents, academic neurologists and neurologists in practice pediatrician. All educational components of a fellowship program should relate to the program goals listed above.

  • Status Epilepticus
  • Guillain-Barre’ Syndrome
  • Myasthenia Gravis
  • Coma
  • Encephalopathies and Delirium
  • Herniation Syndromes
  • Hydrocephalus
  • Intracranial hemorrhages
  • Cerebral Venous Thrombosis
  • Occlusive Strokes
  • Cerebral Blood Flow and Hypo perfusion
  • Cerebral Metabolism and Oxygen Demand Cerebral Edema
  • Syncope Brain Abscess
  • Encephalitis: Bacterial and Viral / Autoimmune
  • Meningitis: Bacterial and Viral
  • Traumatic Brain Injury
  • Traumatic Spinal Cord Injury
  • Equipment and technologies: Knowledge of the basic physiology and underlying technical principles.
  • Cardiovascular and Pulmonary Monitoring Devices
  • Intracranial Pressures Monitors: Fibreoptic, Intraventricular and Epidural non-invasive
  • Transcranial Doppler
  • Blood Pressure Management in the context of severe neurologic disease.
  • General Principles of Management of critically ill Neurologic Patients.
  • Management of Nutrition
  • Management of Intravascular Volume Status and Blood Pressure
  • Management of Anticoagulation and Thrombolytic therapy
  • Management of Neurologic Complications in Critically ill Patients
  • Management of Post – operative Neuro surgical Patients
  • Management of Pulmonary Complications
  • Management of Cardiac Complications
  • Management of Acid – based disorders and Hypertonic and Hypotonic States
  • Management of Gastrointestinal Complications
  • Management of Nosocomial Infections
  • Intensive Care Unit Organizations and Management Psychosocial Issues in the intensive Care Unit
  • End of Life Decision making
  • Brain Death
  • Transplant and Organ Donation
  • Management of Airway and Mechanical Ventilation.
  • Management of Agitation delirium and Pain.
  • General Principles in the assessment of sedation, agitation, delirium and pain using objective criteria.
  • General Prespectives of Care in Critically ill Neurologic Patients.
  • General Principles of Management of critically ill Neurologic Patients.

Library Services

Both of Online and offline ‘Delnet’ and ‘Up to date’ 

Mission statement for fellowship is to promote:

Quality Patient Care :by identifying and implementing best medical practices for acute neurological disorders that are consistent with current scientific knowledge, and that promote compassionate care and respect for patient-centered values.

Professional Collaboration: by providing a forum for communication, collaboration, and exchange of ideas between physicians and allied health- care professionals within different specialties who care for critically-ill neurological patients.

Research :by fostering clinical, experimental and outcomes research focused on developing innovative and cost-effective medical and surgical interventions for acute neurological disorders.

Training and Education: by developing standards for advanced fellowship training, program accreditation, and physician certification in the subspecialty of neurological intensive care.

Advocacy:by making the case to patients, the public, policy makers and otherhealthcareprofessionalsthatcomplex,life-threateningneurologicaldiseasesarebestcared for by a multidisciplinary team with special expertise in neuro critical car

Academic Facilities

Highly experienced and qualified: Faculty

  • Neurologists
  • Intensivists
  • Neuro Surgeon
  • Cardiologist
  • Physician
  • Radiologist
  • General Surgeon
  • Orthopedician
  • ENT Specialist
  • Pulmonologist
  • Pediatrician
  • Psychiatrist
  • Pathologist
  • Microbiologist
  • Gastroenterologist
  • Nephrologist
  • Urologist
  • Endocrinologist
  • Plastic Surgeon
  • Palliative & Pain Management
  • Neuro Physiology Lab: EEG, PSG, VEM, NCS/EMG, TCD
  • Neuro Diagnostic: MRI, CT Scan, Neuro Cath. Lab

Fellow Duties and Responsibilities

  • Fellow will be posted in clinical areas like Emergency, ICU and other indoor wards.
  • The duty will be morning and night shifts.
  • Taking round of admitted patients and presenting during consultant rounds.
  • Taking part in academic activities like presenting seminar, case presentations, clinical research, attending CMEs etc.
  • Teaching junior residents, MO.
  • One paper publication in a National/ International Journal to be eligible for sitting in Final Exam.

One Paper Publication in a National/International Journal to be eligible for sitting in Final Exam.

INFRASTRUCTURE

TOTAL BEDS:- 125

  • ICU(03):- 23 BEDS
  • OPERATION THEATRE:-02
  • LIBRARY:-01
  • RADIOLOGY DEPARTMENT:
  1. MRI 105 TESLA SEIMENS
  2. CT SEIMENS -33 SLIDES
  • CLINICAL LABORATORY
  • IN HOUSE PHARMACY
  • SEMINAR ROOM
  • DEMO ROOM

IMPORTANT NOTE

    • For good academic pursuit, more guidelines may be added from time to time .
    • The fellow will be evaluated Quarterly. Practical as well as Theoretical Exam will be  conducted.

         These courses are to  improve skill & Knowledge of the residents,         so that they render better services to the suffering humanity.

          These Courses are not recognized by MCI / NMC