Neuroanesthesia Fellowship

[narcusprince]

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Hey guys/gals rising CA-2 at a large academic center. I am very interested in the idea of doing a neuro fellowship. Any use for a neuro trained guy in groups or academics. Know any good fellowships out there???

 

[IlDestriero]

Neuroanesthesia is, IMHO, like trauma and OB. I don't think anyone needs to do a fellowship, unless perhaps you want a career in research. (and even than, you probably don't need to do an extra year) You're a resident. Tell the scheduler you want to do as many neuro cases as possible, and continue to hound them. (yes, I'm sure there is a "neuro resident" on a neuro block, but he/she can't work every day, or do all the cases. You can become the go-to guy when they have an opening. Find out if a neuro anesthesia attending or surgeon is doing any research and try to get involved.
Find a job, academic?, that does a lot of neuro. Maybe a place with a neuro fellowship.😉 Ask to join the neuro team and seek out all the guys there with grey hair. Academic attendings don't mind getting the junior faculty up to speed. It's not like it's neurosurgery.
Instead of losing ~200k on another training year, go get a job in academia. If you don't like it, find a PP job and quit after a couple years. You'll be a better applicant as well.

 

[proman]

Neurocritical care is a highly demanded subspecialty. You get to combine neuroanesthesia and critical care management intra- and post-op.

Visit www.neurocriticalcare.org and the UCNS for more http://www.ucns.org/apps/directory/

 

[narcusprince]

Neuroanesthesia is, IMHO, like trauma and OB. I don't think anyone needs to do a fellowship, unless perhaps you want a career in research. (and even than, you probably don't need to do an extra year) You're a resident. Tell the scheduler you want to do as many neuro cases as possible, and continue to hound them. (yes, I'm sure there is a "neuro resident" on a neuro block, but he/she can't work every day, or do all the cases. You can become the go-to guy when they have an opening. Find out if a neuro anesthesia attending or surgeon is doing any research and try to get involved.
Find a job, academic?, that does a lot of neuro. Maybe a place with a neuro fellowship.😉 Ask to join the neuro team and seek out all the guys there with grey hair. Academic attendings don't mind getting the junior faculty up to speed. It's not like it's neurosurgery.
Instead of losing ~200k on another training year, go get a job in academia. If you don't like it, find a PP job and quit after a couple years. You'll be a better applicant as well.

ID like you I am in the Navy in a civillian deferred slot. I wonder if their is any utility in the Navy having someone who is an relative expert in Neurocritical care, traumatic brain injury?

 

[IlDestriero]

ID like you I am in the Navy in a civillian deferred slot. I wonder if their is any utility in the Navy having someone who is an relative expert in Neurocritical care, traumatic brain injury?

Your situation delays my rec, but it's still the path I would recommend, unless you love critical care. If you land a big 3 for payback, ask to do all the neuro cases. Tell the detailer/spec advisor you want to do neuro research. They might buy it.
Just remember a 1 yr fellowship in the Navy, that they might not even support, is 2 yrs of payback. If you did a neuro-critical care combo fellowship, they'll probably send you to Whidbey Island for your effort.
No, but they'd probably make you do 1/2 time CC at a big 3.

 

[bogatyr]

ID like you I am in the Navy in a civillian deferred slot. I wonder if their is any utility in the Navy having someone who is an relative expert in Neurocritical care, traumatic brain injury?

You should probably just email or telephone your specialty advisor. I'm sure he'd be happy to at least hear about your career interest, and he would be the best source of information on whether you'd be likely to receive a sponsored or unsponsored delay for fellowship training, and then where he might use you after that. I work in the same office as our consultant, and I know he always likes to have this dialogue ahead of time.

 

[Intensivist]

Is there actually a fellowship for neuroanaesthesia?
While neurocritical care is thrilling, neuro cases just last too long, especially heads!

 

[pgg]

You should probably just email or telephone your specialty advisor. I'm sure he'd be happy to at least hear about your career interest, and he would be the best source of information on whether you'd be likely to receive a sponsored or unsponsored delay for fellowship training, and then where he might use you after that. I work in the same office as our consultant, and I know he always likes to have this dialogue ahead of time.

I would be shocked if the Navy funded any fellowships in anything besides ccm, pain, or perhaps regional or OB for the next 3 or 4 years. Email me if you don't have the specialty advisor's contact info.

 

[lord_jeebus]

We have a neuroanesthesia fellowship (2 positions) at UCSD run by John Drummond and Piyush Patel (the authors of the neuro chapters in Miller). I don't know a whole lot about it, but the emphasis is research (our department has multiple labs dedicated to neuroanesthesia) and it seems to be designed to orient fellows toward a research-central academic career.

I can't think of any reason for someone headed towards private practice to do this fellowship, but for the right person, it seems like a very good opportunity.

 

[fakin' the funk]

While neurocritical care is thrilling, neuro cases just last too long, especially heads!

You think the surgical cases are long...how about the postop ICU course and beyond for the head-bleeders. Brutal.

 

[Intensivist]

You think the surgical cases are long...how about the postop ICU course and beyond for the head-bleeders. Brutal.

l was more referring to our point of view then on patients. Being stuck on the OR with single case for 6hrs is just brutal. On the other hand, l like neuro case in the ICU.

 

[periopdoc]

Although I am one of the ones that actually enjoyed anesthesia for intracranial vascular surgery in residency, private practice tends to change your viewpoints on a lot of things and cases like this might be one of them.


15 units - Anesthesia for intracranial vascular procedures
3 units - Arterial catheterization
5 units - Central venous catheterization
1 unit - Ultrasound guidance of CVC insertion
2 units - ASA IV status.
24 units - 6 hour procedure time

50 units total +/- depending on time and whether you go for CVC etc. More if you can do your own neuromonitoring.

Given that most of these patients have private insurance, reimbursement for these cases can be pretty good, better than cardiac. Wish we did them here.

On the other hand, the post-op ICU care is, can you say drip-drip-drip.

- pod

 

[periopdoc]

As far as the original question, I would say do a neurocritical care fellowship as others have suggested. Be sure that it is accredited and leads to formal certification in critical care. You can spend your non-icu months in the neuro OR and you come away with a skill that can be used in any setting should you decide that academic neuroanesthesia is not what you really want to be doing 5 years hence.

- pod