Neurocritical Care

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Our Neurocritical Care fellowship program is a two year training program accredited by the UCNS. We currently train four clinical fellows, accepting two each academic year.

The Neuro-Critical Care fellowship offered at the University of Miami Miller School of Medicine provides cutting edge advanced critical care for neurological and neurosurgical patients. There are three full-time faculty who staff a 24 bed Neuro ICU with critically ill  neurological/neurosurgical patients with traumatic brain injury, SAH, tumors, status epilepticus, and myasthenia. We are expanding the TBI program in collaboration with the department of Neurosurgery and Trauma Surgery.

Being one the largest trauma centers in the United States, Jackson Memorial Hospital experiences a large number of neurotrauma patients.  It is one of our primary aims to provide    excellent critical care to these patients in an effort to improve their outcomes and limit subsequent disability.

Neurosurgical Conditions: Traumatic/ severe brain injury, subarachnoid hemorrhage, intracranial hemorrhage (subdural, extradural and intracerebral hemorrhage), and Spinal cord injury.

Neurological conditions: Severe Stroke, tumors with large mass effect, meningitis/Encephalitis/  Cerebritis, Myasthenic  Crisis, Guillain Barre Syndrome and status Epilepticus.

ACGME Accredited:  no, UCNS accredited
Residents or Fellows per year:  2
Duration:  2 years (1 year optional)
Postgraduate Training Required:   yes
U.S. Citizenship Required:  no

Teaching Hospitals
University of Miami Hospital
Jackson Memorial Hospital

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

Ronnie Bond, 2008-2010 MD Neurologist at Orange park Medical center
Anjan Kumar, 2009-2011 MD Pulmonologist at Saint Clair Shores in Michigan
David Ethan Kahn, 2011-2012 DO Assistant Professor- Christiana Care Health System
Ahmed Fathy, 2011-2012 MD Assistant Professor- Wright State Univ.
Ciro Ramos-Estebanez, 2011-2013 MD Assistant Professor- Case Western Resrv.
Stuart Glassner, 2011-2013 DO Assistant Professor/ Director Fellowship program- UF
Yazan Alderazi, 2012-2013 MD Neurointerventional Fellow- Rutgers New Jersey Medical School
George Selas, 2012-2014 MD Research Fellow U of Miami
Henry Kesler, 2013-2014 MD Assistant Professor- Thomas Jefferson Univ. Dept Of Neurosurgery
Indira De Jesus, 2013-2015 MD Intensivist- Baptist Health system
Juan Perez Barcena, 2013-2015 MD Attending- Son Dureta University Hospital
Aleksandr Shikhman, 2014-2015 MD 

Requirements
The trainee must:
1. Have a current valid and unrestricted license to practice medicine in the US or Canada.
2. Be a graduate of a residency program in neurology, neurological surgery, internal medicine, anesthesiology, surgery, or emergency medicine accredited by the Accreditation Council for
Graduate Medical Education (ACGME) or the Royal College of Physicians and Surgeons of
Canada (RCPSC).

Application Deadline
Applications are received via San Francisco match. Application registration begins in October and applications are received until end of March 

The training provides clinical critical care and neurocritical care skills consistent with the requirements of the UCNS curriculum. In addition there is training in neuromonitoring – ICP measurement, brain oximetry (Licox), microdialysis, jugular bulb oximetry, EEG, and Swan Ganz data interpretation. The candidate should be BE/BC in Neurology/ Neurosurgery/ Internal Medicine/or Anesthesiology.

Board Exam Requirements
General eligibility criteria for graduates of UCNS-accredited fellowships and Practice Track reexamination applicants:
1. Applicants must be a Diplomate in good standing of the American Board of Medical Specialties (ABMS) in one of the following: Neurology, Neurological Surgery, Internal Medicine, Anesthesiology, Surgery, Emergency Medicine, Pediatrics or equivalent certification by the Royal College of Physicians and Surgeons of Canada (RCPSC).
2. Applicants must hold a current, active, valid, unrestricted, and unqualified license to practice medicine in at least one jurisdiction in the United States, its territories, or Canada, and in each jurisdiction in which they practice.
A license to practice medicine is not “current, active, valid, unrestricted and unqualified” if, in any manner to any extent whatsoever, one or more of the following applies. The license is:
a. under probation;
b. conditioned, e.g., the physician is required to practice under supervision or with modification, or to obtain continuing education;
c. limited, e.g., to specific practice settings;
d. institutional, temporary, or educational;
e. inactive as a result of an action taken by or a request made by a medical licensing board.

Educational & Other Experience
Rotations/Electives:
• MICU- medical ICU
• TICU- Trauma ICU
• CCU-Coronary Care Unit
• CTICU- Cardiothoracic ICU
• Neurosurgery-  to the OR with cranial/ Trauma/ spine
• Anesthesia- intubations and percutaneous tracheostomy
• ID
• Neuroradiology
• EEG
• TCD ( 2 weeks)
• Stroke ( 2 or 4 weeks)
• Angio ( 2 or 4 weeks)
• Research

Research: We are involved in research in acute stroke brain trauma and spinal cord injury.

Call: On-call responsibilities are distributed evenly between the four Neurocritical fellows. The fellows currently rotate on 4-week blocks for a total of 14 blocks. During all blocks except vacation fellows will take one night call each week and have clinical responsibilities two weekends per month (or every other weekend if there are 5 weeks in a month

Kristine O’Phelan, M.D.

Kristine O’Phelan, M.D.
Program Director

Andrea Ruiz, BGS 
Program Manager
Phone: (305) 243-2742
Fax: (305) 243-8108

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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