The Neurocritical Care Fellowship program is 2 years in length. Approximately fifty percent of the program is devoted to clinical rotations in the NCCU (24 beds) at the Johns Hopkins Hospital and the NCCU at the Johns Hopkins Bayview Medical Center (14 beds). The other half the program is dedicated toward academic activities with emphasis on clinical and/or laboratory-based research under direct supervision and mentorship of a designated faculty member in the Division. Clinical rotations in the NCCU at JHH as well as the NCCU at Bayview Medical Center are in 1-2 week blocks. Other clinical rotations include a 2-week block in the Surgical ICU, Medical or Cardiac ICU as “observers” (participation in rounds and all academic activities but not directly responsible for patient care) and a 2-week block in the operating rooms for exposure to intra-operative monitoring and elective intubations/airway management.
Rounds are structured toward active participation with distinct roles for each member of the team (attending, fellow, resident, nurses, pharmacist, social worker). Detailed critical care rounds occur with a “systems-approach” to each patient and special emphasis is applied to bedside teaching as it pertains directly to patient care. Multiple goal-directed rounds occur through the course of the day (Combined neurosurgical rounds, critical care rounds, radiology rounds, evening rounds) and the fellows lead these rounds. The fellows spend the first year of the program developing patient care skills and teaching the ICU house-staff and nurses regarding the bedside care of patients.