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During the course of the two-year fellowship, only 52 weeks are clinical, which provides ample time for academic work.
All fellows are required to perform research. During the first months of training fellows begin clinical work and find research mentors among the division faculty.
In January of their first year, fellows present research ideas to the division faculty for review. Based on this presentation and the input provided during discussion, fellows submit an application to the Human Investigational Review Board or the Animal Use Committee.
In July and again in December of their second year, fellows present progress reports of their research.
Most of the faculty in the program author reviews and book chapters and provide editorial review for journals. Trainees may collaborate on such projects. The program gives all fellows the chance to present projects at national conferences and publish a journal article by the end of their training.
Training for procedural competency begins immediately in July of the first year with a Simulation Center series focused on common critical care interventions. Fellows practice non-invasive ventilation, direct laryngoscopy and endotracheal intubation, insertion of central and peripheral venous and arterial catheters.
They perform lumbar puncture and insertion of lumbar drains in the simulation environment several times before their clinical duties require performing these procedures for patients.
The Simulation Center also allows for structured exposure to emergency neurological life support (ENLS) events. Finally, fellows certify for advanced cardiovascular life support (ACLS) in the simulation environment using complex, realistic scenarios that provide more problem solving opportunities than the "megacodes" used in conventional ACLS certification testing.
Rotations at the neurocritical care units (NCCUs) at the Johns Hopkins Hospital (JHH) and the Johns Hopkins Bayview Medical Center (BMC) form the foundation of clinical training.
The rotations are structured in two-week blocks, a schedule that optimizes clinical immersion and continuity of care while also encouraging productivity during protected research time.
The curriculum allows for—and encourages—elective rotations to other critical care areas. The Johns Hopkins Hospital Medical Intensive Care Unit, the Johns Hopkins Hospital Surgical Intensive Care Unit and the R Adams Cowley Shock Trauma Center are popular choices.
Assigned rotations at either NCCU location do not exceed two weeks for fellows, and are not followed by other clinical rotations.