Curriculum

Clinical training

The Neurosurgery Critical Care Enfolded Fellowship provides the necessary skills for efficient delivery of high-quality care to critically ill patients, particularly those with neurological and neurosurgical illness in the ICU.

Fellows become competent in critical care management and procedures for these patients in the ICU. In addition, fellows have the opportunity to learn about the business and administrative aspects of ICU-based care necessary for successful implementation of quality care and quality-improvement initiatives.

The curriculum also covers the processes and accrediting bodies for delivery of acute stroke patient care.

Rotation schedule

RotationLength
Neurosurgical/Neurocritical care (Neuro ICU) at parent site (either Rochester, Minnesota or Jacksonville, Florida) 9 months
Offsite Neurosurgical/Neurocritical care (Neuro ICU) at opposite sister site (either Rochester, Minnesota or Jacksonville, Florida) 3 months

Rotation descriptions

Fellows spend 12 months in neuro/critical care during this program, of which a combination will be determined in both Rochester and Florida depending on the applicant's preferred location.

To add educational diversity to the program, trainees spend a minimum of three months of training at each location. For example, Rochester neurosurgery residents must spend at least three months in Florida; Florida trainees must spend at least three months in Rochester.

Each month, fellows have primary responsibility to the assigned clinical rotation, with specific goals and learning objectives that are reviewed at the beginning and end of each rotation.

Didactic training

Clinical conferences, seminars, small discussion groups, journal clubs, didactic courses and one-on-one instruction are integral parts of the Neurosurgery Critical Care Enfolded Fellowship.

Conferences

Throughout the fellowship, trainees participate in and periodically present at weekly conferences, including:

  • Neurosurgery/Neuroscience Lecture series
  • Neurocritical care conferences
  • Critical care conferences (medical, surgical, transplant)
  • Intensive care unit conferences
  • Electroencephalogram conferences

Additional conferences include:

  • Transcranial Doppler conferences
  • Medical Grand Rounds
  • Neurology Grand Rounds

Mayo Clinic's departments of Neurology, Neurosurgery and Critical Care Medicine offer journal clubs and conferences that are available to fellows as well.

During research elective rotations, fellows are required to attend Center for Clinical and Translational Science (CCaTS) webcasts, which include topics on statistical design and research methodology.

Evaluation

To ensure that trainees acquire adequate knowledge and develop cognitive and procedural skills, performance is monitored carefully during the course of the program. Trainees are evaluated by a supervising faculty member after each clinical rotation, and meet with the program director to review these evaluations.

Trainees also have opportunities to regularly evaluate the faculty.