Clinically, our program provides trainees with the opportunity to master the management of complex neurocritical illness, while also guiding our fellows to gain adequate proficiency in the management of general critical care conditions to become bonafide intensivists. Our neurocritical patient population has consistently rated among the top 5 in the country for over a decade with regard to CMS Case Mix Index. As a true quaternary care center with a broad referral base, we are proud to provide care to patients that are deemed too complex by institutions all over the states of Florida, Georgia, and Alabama. We often provide hope when other hospitals cannot.
The Neuromedicine ICU in which our fellows spend the majority of their clinical time consists of 24 beds housed in the new state-of-the-art neuromedicine tower at UF health. Our unit is divided among 2 neurocritical care teams staffed 24/7 with a crew of well-trained advanced practice providers, residents (neurology, neurosurgery, anesthesia), students (medical, PA), fellows (neurocritical care, anesthesia/EM critical care, pulmonary critical care, surgical/trauma critical care, pediatric critical care), and an attending, with 24/7 in-house attending coverage.
Additionally, fellows participate in our neurocritical care consult service and rotate throughout UF’s many specialized and subspecialized ICU’s including Trauma and Surgical ICU, Medical ICU, Transplant ICU, and Cardiothoracic ICU.
Through formal training and robust clinical exposure, neurocritical care fellows will become proficient in airway management, intubation, ventilator management, central and arterial line placement, flexible bronchoscopy, hemodynamic management, bedside ultrasonography, brain oximetry interpretation, EVD management, multi-modality monitoring, and continuous EEG interpretation, among other skills.
Our fellows participate in numerous educational activities through our department and as part of the hospital-wide multidisciplinary critical care educational pool. This includes a weekly neurocritical care lecture series, daily multidisciplinary critical care didactics (hospital-wide combined CCM), journal club (monthly), as well as neurology and critical care grand rounds.