Cleveland Clinic Foundation Program

Neuroendovascular Intervention Fellowship Overview

The Neuroendovascular Intervention (NIR) fellowship program at the Cleveland Clinic was established to provide advanced training in the field of neuroendovascular intervention. It is a two-year program accredited by the ACGME, structured to equip fellows with comprehensive skills in diagnostic and therapeutic neuroangiography.

To be eligible for this fellowship, applicants must have successfully completed an ACGME-accredited residency in Neurosurgery, Radiology (followed by a Neuroradiology fellowship), or Neurology (followed by either Vascular Neurology or Neurocritical Care fellowship). This diverse eligibility strengthens the collaborative approach within the training.

Curriculum and Training Structure

The fellowship is structured into a preparatory first year and a more independent second year. The first year focuses on enhancing the trainee's exposure to diagnostic neuroangiography while incorporating essential aspects of clinical Neurosurgery and Neurology. Key objectives include delivering excellent patient care, demonstrating proficiency in performing and interpreting diagnostic neuroangiography, and developing competency in managing endovascular cases on the ward.

During the second year, fellows transition to a more independent role, participating actively in procedures as a first assistant while being supervised by senior staff. The training emphasizes hands-on experience, ensuring that all procedures are initially conducted by staff members for teaching purposes before fellows assume greater responsibility.

Research Opportunities

Research is integral to the fellowship program, with fellows encouraged to participate in both basic and clinical research. They are supported in presenting findings at local and national meetings, as well as preparing manuscripts for publication. Regular evaluations are conducted on a quarterly basis to track the fellows' progress and provide feedback for continual improvement.

Unique Aspects of the Program

Fellows are part of a collaborative environment involving various specialties including NICU, Neurology, Neurosurgery, and Vascular Surgery. They are expected to engage actively in clinical conferences, patient management rounds, and didactic teaching sessions. Regular interdisciplinary interactions particularly enhance the fellows' educational experience.

The program also boasts state-of-the-art facilities and resources, including access to a comprehensive digital imaging archive and the latest imaging technologies for both diagnostic and interventional procedures, significantly enriching the training.

Visa Support

The Cleveland Clinic program sponsors H1B and O-1 visas for international applicants, while it does not offer J-1 visa sponsorship. This provision allows for a broader range of international medical graduates to apply while ensuring proper visa support throughout their training period.

Competitiveness and Application Requirements

The program is considered highly competitive, with emphasis on the quality of prior training and the specific eligibility criteria. Applicants must have a valid Ohio Medical License and should have completed USMLE Step 3 as part of their qualifications. Additionally, applicants need to demonstrate solid performance records and academic achievements to be considered favorably.

Diversity and Inclusion

The Cleveland Clinic emphasizes diversity and inclusion within its medical education programs. The institution actively fosters an inclusive environment that values individuals regardless of their background. This commitment is crucial for enhancing the learning experience and fostering professional growth among all participants.