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 NeuroICU at Zale Lipshy Neuroscience Center and Parkland Memorial Hospital.  

The NeuroICU 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, 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 towards 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 NeuroICU with adjacent CT imaging capacity. Both ICUs are equipped with the latest Philips© Intellivue monitors, bronchoscopy procedure carts, Sonosite© portable ultrasound, non-invasive cardiac output monitoring, surface/intravascular cooling techniques and video laryngoscopy with Glidescope©.

Neurocritical Care Fellowship Curriculum

Two-year program accredited by United Council for Neurologic Subspecialties and the Texas Medical Board and developed based on UCNS Training Requirements and UCNS Curriculum.

  • 12 months – Neuro ICU
  • 4 months – MICU, SICU, Trauma & CCU
  • 1 month – Anesthesia (Airway Proficiency)
  • 1 month – Neurosonology
  • 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 candidates 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, non-invasive 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.

Research

We are involved in several clinical trials and the list can be seen here on our research page.  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 attendance of national meetings and extra-curricular 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@utsouthwestern.edu (Associate Fellowship Director) and regina.mcgary@utsouthwestern.edu (Fellowship Administrative Assistant).

Graduated Fellows

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