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 six primary faculty members and several secondary faculty members from neurointerventional, neurosurgery, neuroanesthesia, surgical, and pediatric critical care. We provide intensive care at both the Neuroscience Intensive Care Unit (Neuro ICU) at Zale Lipshy Pavilion—William P. Clements Jr. University Hospital and Parkland Memorial Hospital.
The Neuro ICU at Zale Lipshy Pavilion is a 20-bed ICU that is a large tertiary referral center for complicated vascular neurosurgical cases that include aneurysmal subarachnoid hemorrhage, arteriovenous malformation, moya moya, and dural fistula. UT Southwestern received Advanced Comprehensive Stroke Center designation in 2013 and it is the only such center in the Dallas-Fort Worth region.
As the only major academic program in the DFW area, we receive many transfers from surrounding areas for patients who need a higher level of care. We are currently building a new neuroscience tower at Clements University Hospital which will house a 26-bed Neuro ICU for the Peter O’Donnell Jr. Brain Institute.
We have a large Advanced Practice Provider Program with Advanced Practice Nurses and Physician Assistants. Our multidisciplinary rounds consist of Critical Care Nurses, Respiratory Therapists, dedicated ICU Pharmacists, Case Managers, and Nutritionists.
Parkland Memorial Hospital is a Dallas County Level I Trauma Center and a comprehensive stroke center. The new Parkland building opened in 2015 and has 862 single-patient rooms and a dedicated 12-bed Neuro ICU with adjacent advanced CT imaging capability that was featured in the Neurocritical Care Society’s publication, Currents.
Both ICUs are equipped with the latest Philips© Intellivue monitors, bronchoscopy procedure carts, Sonosite© portable ultrasound, noninvasive cardiac output monitoring, surface and intravascular cooling techniques, and video laryngoscopy with Glidescope© and McGrath©.
Neurocritical Care 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. We train applicants from neurology, internal medicine, emergency medicine, and anesthesia residency training.
- 52-62 weeks – Neuro ICU
- 12-16 weeks – Medical, Surgical, and Cardiothoracic ICU
- 4 weeks – Anesthesia (airway proficiency at beginning of fellowship)
- 4 weeks – Neurosonology
- 22-28 weeks – Elective/Selective/Research
Available electives: Neurosurgery, ICU EEG Monitoring, Stroke, Infectious Disease, Palliative Care, Emergency Critical Care Ultrasound, Neuroanesthesia, Neuro-Interventional Radiology.
This represents a typical training pathway in our fellowship but adjustments can be made to better serve a candidate's career goals.
We offer a UCNS-accredited one-year fellowship for applicants with training in critical care medicine and neurosurgery.
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, debates, 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 meetings and develop their own Quality Improvement projects.
We are involved in several clinical trials and the list can be seen here at Neurocritical Care Research. We have monthly Neurocritical Care/Neurotrauma research meetings to propose new research ideas, discuss ongoing progress of current research, and invite presenters from other departments.
Fellows are expected to design their own study during fellowship and present their work in abstract or publication form. An example of such work was recently published in Neurocritical Care. We have several clinical research networks with the Texas Institute for Brain Injury & Repair, Lonestar Stroke Consortium, the NIH supported Neuro NEXT network and the SIREN network for trauma and emergency neurological trials. We were the lead site for the BOOST-2 study and will be part of BOOST-3. There are also opportunities for bench and translational research at UT Southwestern and off-campus neural engineering and cortical plasticity research at UT Dallas Neuroscience.
Salary and Benefits
Salary is very competitive nationally and is commensurate with PGY-5 and PGY-6 training levels. Fellows are given a generous yearly educational allowance to attend national meetings and extra-curricular training. A total of 15 days (three weeks) vacation time are given per year. Additional medical, dental, and retirement benefits are also available.
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, Fellowship Director, or Regina McGary, Fellowship Administrative Assistant.
Junaid Kalia, M.D. (Aurora Health Care – Wisconsin) – Private Practice
Noly Pierre-Louis, M.D. (Medical Center of Plano – Texas) – Fellowship in Neurointerventional Stroke
Shraddha Mainali, M.D. (Ohio State University) – Assistant Professor
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
Zac Mahdavi, M.D. (Texas Health Harris Methodist Hospital Fort Worth) - Private Practice
Aashish Patel, D.O. (JFK Medical Center) – Private Practice
Claudia Perez, M.D. (Texas Health Harris Methodist Hospital Fort Worth) - Private Practice
Bappaditya Ray, M.D. (University of Oklahoma) – Assistant Professor
Stephen Figueroa, M.D. (UT Southwestern) – Assistant Professor, Neurocritical Care Fellowship Director
Fazeel Siddiqui, M.D. (Southern Illinois University) – Fellowship in Neurointerventional Stroke
Ishwara Sankara, M.D. (University of Utah) – Assistant Professor
Mohamed Osman, M.D. (Texas Health Harris Methodist Hospital Fort Worth) - Private Practice
Adam Willis, M.D., Ph.D. (San Antonio Military Medical Center) – Assistant Professor
Bethany Lussier, M.D. (UT Southwestern) – Assistant Professor
Ahmed Salem, M.D. (Baylor University) – Critical Care Fellowship
Lalith Premachanra M.D. (Mercy Health Care) – Critical Care Fellowship
Jia Romito, M.D. (UT Southwestern) – Assistant Professor, Anesthesia and Neurocritical Care
Matthew Wilkerson M.D. (Christus St Michael Hospital) – Private Practice