Neurocritical Care Fellowship
Overview of Clinical Services
The Division of Neurocritical Care at UT Southwestern is jointly supported by both the departments of Neurosurgery and Neurology & Neurotherapeutics. We have seven primary faculty members and several secondary faculty members from neurointerventional, neurosurgery, anesthesia, surgical, and pediatric critical care. We provide clinical care at the Neuro ICU at Zale Lipshy Neuroscience Center and Parkland Memorial Hospital.
The Neuro ICU at Zale Lipshy Neuroscience Center is a 20-bed ICU that is a large tertiary referral center for complicated vascular neurosurgical cases that include aneurysmal subarachnoid hemorrhage, AVMs, and DAVFs. Zale Lipshy received Advanced Comprehensive Stroke Center designation in 2013 and has a growing telestroke network.
We have a midlevel provider program with nurse practitioners and physician assistants who provide 24/7 in-house coverage. Our multidisciplinary rounds consist of nurses, respiratory therapists, pharmacists, and nutritionists. Parkland Memorial Hospital is a large, county, Level 1 Trauma Center and is currently working toward comprehensive stroke center designation.
The new Parkland Hospital will open in the summer of 2015 with 862 single patient rooms and a dedicated, 12-bed Neuro ICU with adjacent CT imaging capacity. Both ICUs are equipped with the latest Philips© Intellivue monitors, bronchoscopy procedure carts, Sonosite© portable ultrasound, noninvasive cardiac output monitoring, surface/intravascular cooling techniques, and video laryngoscopy with Glidescope©.
Neurocritical Care Fellowship Curriculum
- 12-14 months – Neuro ICU
- 4 months – MICU, SICU, Trauma, and CCU
- 1 month – Anesthesia (Airway Proficiency)
- 1 month – Neurosonology
- 4-6 months – Elective/Research
Available electives: Neurosurgery, Epilepsy/EEG, Stroke, Medicine Specialty Services, Palliative Care, Emergency Point-of-Care Ultrasound, Neuroanesthesia, Neuro-Interventional Radiology, Bench Research
The curriculum represents a typical training pathway in our fellowship but adjustments can be made to better serve a candidate's career goals. Qualified fellows will have the opportunity to become Assistant Instructors their second year of fellowship.
Education and Didactics
We have weekly didactic conferences attended by faculty, fellows, residents and NP/PAs which include journal article exchange, lectures on neurological and general critical care, interesting case presentations, and M&M. Procedural skills are developed first with simulation for central venous cannulation, arterial cannulation, noninvasive ventilation, endotracheal intubation, and bedside critical care ultrasound. Training in EVD and intracranial monitor placement is supported by the Neurosurgery department. Fellows are expected to take part in monthly ICU quality improvement (QI) meetings and learn to develop their own QI projects.
We are involved in several clinical trials. We have a weekly Neurocritical Care/Neurotrauma research meeting to propose new research ideas, discuss ongoing progress of current research, and hear from invited presenters from other departments. We have several clinical research networks with the Texas Institute for Brain Injury & Repair, Lone Star Stroke Network, and the NIH-supported Neuro NEXT network. There is also opportunity for involvement in translational research with Dr. Sankalp Gokhale in the Neurorepair Lab and with neural engineering and cortical plasticity at UT Dallas Neuroscience.
Salary & Benefits
Salary is very competitive nationally and is commensurate with PGY-5 and PGY-6 training levels. The cost of living in Dallas is well below the median for large, metropolitan cities in the U.S. Fellows are given a generous yearly educational allowance for attending national meetings and extracurricular training. A total of 15 days (3 weeks) of vacation time are given per year. Additional medical, dental, and retirement benefits are available as well.
How to Apply
We participate in the Neurocritical Care Fellowship Match Program via the SF Match and receive applications via the Central Application System (CAS). For inquiries about the application process, fellowship positions listed outside the match or any questions about our program please email Stephen Figueroa, Associate Fellowship Director, Associate Fellowship Director, and Regina McGarry, Fellowship Administrative Assistant.
Cyrus Dastur, M.D. (University of California - Irvine) – Assistant Professor, Director of Neurocritical Care
Stanley Lue, M.D. (Swedish Medical Center, Seattle, WA) – Private Practice
Aashish Patel, D.O. (Phoenix, AZ) – Private Practice
Bappaditya Ray, M.D. (University of Oklahoma) – Assistant Professor
Stephen Figueroa, M.D. (UT Southwestern) – Assistant Professor, Associate Fellowship Director
Fazeel Siddiqui, M.D. (Southern Illinois University) – Assistant Professor
Ishwara Sankara, M.D. (University of Utah) – Assistant Professor