Beth Israel Deaconess Medical Center/Harvard Medical School Program
Location:
Boston, MASpecialty:
Neurocritical care (multidisciplinary)ACGME Code:
5502418004The Neurocritical Care fellowship at Beth Israel Deaconess Medical Center (BIDMC) affiliated with Harvard Medical School offers a well-structured, multidisciplinary approach to training in neurocritical care. The program is geared towards providing fellows with comprehensive exposure to patient management in the neurocritical care setting, combining both clinical training and research opportunities.
Program Overview
The fellowship program is designed for those who have completed an ACGME-accredited residency in neurology, anesthesia, internal medicine, or a related field. It emphasizes intensive clinical training in the management of patients with severe neurological and neurosurgical conditions, including traumatic brain injury, aneurysmal subarachnoid hemorrhage, intracerebral hemorrhage, and status epilepticus, alongside the complexities of associated multi-organ dysfunction.
Curriculum and Rotations
The curriculum includes comprehensive rotations between the intensive care unit, neurocritical care, neurology consultations, and subspecialty electives. Significant emphasis is placed on gaining experience in various critical care domains, including management of mechanical ventilation, use of monitoring techniques like intracranial pressure monitoring, and the application of therapeutic hypothermia.
During the first year, fellows will typically participate in rotations that include:
- Neurocritical Care Unit: Direct management of patients with acute neurological issues.
- Neurosurgery: Collaboration with neurosurgeons for post-operative care of neurosurgical patients.
- Neurology Consult Service: Engage with neurology consultations across diverse clinical scenarios.
- Elective Rotations: Options in neurointervention, neuropharmacology, and palliative care to tailor the fellowship experience to individual interests.
Research Opportunities
Fellows are encouraged to engage in research activities, contributing to various ongoing projects within the department. BIDMC is known for its robust research environment, and fellows will have access to mentoring in both clinical and basic science research. Collaborative research opportunities with both the neurology and neurosurgery departments enhance the educational experience.
Training Sites
The neurocritical care fellowship primarily takes place at BIDMC, one of the flagship teaching hospitals of Harvard Medical School. Additionally, fellows may have rotations at Boston Children's Hospital, providing exposure to pediatric neurocritical care environments.
Visa Support
The program provides visa sponsorship for fellowship candidates. Specifically, it can sponsor J-1 and H-1B visas, helping international graduates navigate the process of working in the United States as a fellow.
Competitiveness and Applicant Requirements
The fellowship is highly competitive, attracting a wide array of applicants, including those fresh from residency and international medical graduates (IMGs). Special application requirements include the need for a valid ECFMG certificate for IMGs, and there may be a maximum limit on any failed USMLE Step exams, which potential applicants should be aware of in preparing their applications.
Diversity Commitment
BIDMC is committed to fostering diversity and inclusion within medical training. The program aims to attract a diverse cohort of fellows, reflecting the patient population served, and incorporates initiatives to support inclusivity within their training environment.
Conclusion
Website
Coordinator
Program
Program Size
Composition
Quality of Life
First year average hours per week:
60hrsFirst year max cons. hours on duty:
12hrsFirst Year Salary:
$93,228First Year Paid Vacation:
-First Year Paid Sick Leave:
-Training
Fellowship Rate:
-Faculty to Residents Ratio:
6.5XResidents career path:
Admission
Min. Step 2 Score:
-Visa Sponsorship:
-YOG Cutoff:
1Location
Boston, MA
Housing - Rental Prices
Crime - All Violent Offences
Living in Boston, MA
- Crime Rate and Safety: Boston has a relatively higher crime rate compared to some other cities in the U.S., especially in certain neighborhoods. It's important to be aware of your surroundings and take necessary precautions, especially at night.
- Fun Activities: Boston is known for its rich history, cultural attractions, and vibrant arts scene. Residents can enjoy visiting historical sites, museums, theaters, parks, and various festivals throughout the year.
- Climate: Boston experiences all four seasons with cold winters and hot summers. Be prepared for snowfall in the winter and humidity in the summer.
- Races and Population: Boston is a diverse city with a mix of races and cultures among its population. Residents can experience a lively multicultural atmosphere.
- Education: Boston is home to several prestigious educational institutions, including Harvard University and MIT. Residents have access to top-notch educational opportunities.
- Cost of Living: Boston is known for its relatively high cost of living, especially when it comes to housing and healthcare. It's advisable to budget carefully to manage expenses.
- Proximity to Bigger Cities: Boston is located approximately 4 hours drive from New York City. New York City offers a different urban experience with its own cultural attractions, dining scene, and entertainment options.
- Pros: Rich history, cultural diversity, top educational institutions, vibrant arts scene.
- Cons: High cost of living, higher crime rate in certain areas.
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