University of Michigan Program
Location:
Ann Arbor, MISpecialty:
Neurocritical care (multidisciplinary)ACGME Code:
5502518004The University of Michigan Medical School offers a UCNS-accredited fellowship in Neurocritical Care designed to train specialists in managing critically ill patients with neurological and neurosurgical conditions. This fellowship aligns with the university's commitment to providing high-quality education and mentorship in a multidisciplinary training environment.
The fellowship is highly competitive, with only one position offered per year. Applicants must have successfully completed residency training in one of the following fields: neurology, neurosurgery, internal medicine, emergency medicine, anesthesiology, or surgery, either in the United States or Canada.
Regarding application specifics, the program welcomes applications through the SFmatch common application system for neurocritical care. Additionally, applicants must be U.S. citizens, permanent residents (green card holders), or in possession of a J-1 visa sponsored through ECFMG, as the program does not support other visa types.1
Fellowship Overview
The fellowship is structured to provide ample clinical and academic mentorship. Fellows benefit from graded autonomy, ensuring they are well-prepared to transition into independent neurocritical care practice. The curriculum features didactic critical care training, alongside clinical simulator-based instruction, facilitating experiential learning.
Fellows will gain substantial experience in managing a variety of acute conditions, including but not limited to:
- Subarachnoid hemorrhage
- Intracerebral hemorrhage
- Acute ischemic stroke
- Neuromuscular respiratory failure
- Status epilepticus
- Severe traumatic brain injury
- Fulminant hepatic failure with intracranial hypertension
- Postoperative care of complicated neurosurgical patients
Skills such as intracranial pressure monitoring, management of hemodynamic support, mechanical ventilation, and the application of continuous EEG in the ICU are emphasized during training.
Rotations and Training Experience
Fellows participate in various mandatory rotations, including time in the neuro-ICU. Specific training also includes advanced airway management and perioperative neurosurgical management. The fellowship incorporates rotation through the Emergency Department Critical Care Center (EC3), where fellows manage critical patients in diverse scenarios such as sepsis, congestive heart failure exacerbations, diabetic ketoacidosis, and cardiac arrest.
Additionally, exposure to extracorporeal membrane oxygenation (ECMO) is provided, along with care for patients with severe acute respiratory distress syndrome (ARDS) in a dedicated 20-bed unit. The curriculum also mandates experiences in the Cardiac Care Unit and the Cardiovascular ICU, where fellows manage advanced congestive heart failure and postoperative cardiac cases.
Elective rotations in subspecialties like stroke, EEG, and interventional neuroradiology are available, allowing fellows to tailor their training based on interests and career goals.
Research opportunities abound in neurointensive care, neurosurgery, and acute ischemic stroke, with fellows expected to present original research at national conferences 1.
The Neurocritical Care Environment
The University of Michigan Health System is renowned globally as an academic medical center, drawing referrals from various regions and providing exposure to a broad array of critical illness scenarios. The 15-bed Neuro-ICU is staffed by UCNS-certified neurointensivists and provides a multidisciplinary environment with coverage from various specialties, enhancing the learning experience with collaborative care models.
Salary and Benefits
Fellows receive competitive salaries that align with House Officer levels of training as per the HOA contract. The program also offers generous benefits aimed at enhancing the overall fellowship experience.
Life in Ann Arbor
Beyond the clinical training, fellows will find Ann Arbor a vibrant place to live. The community offers year-round outdoor activities, a thriving cultural scene, and a family-friendly atmosphere, making it an attractive location for medical professionals and their families alike.
Website
Director
Craig A Williamson, MDClinical Associate Professor Appointed Since July 2024Coordinator
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Ann Arbor, MI
Housing - Rental Prices
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Living in Ann Arbor, MI
- Crime Rate and Safety: Ann Arbor is known for being a safe city with a relatively low crime rate compared to other cities of its size.
- Fun Activities: Ann Arbor has a vibrant cultural scene with plenty of art galleries, restaurants, and live music venues. Outdoor enthusiasts can enjoy parks and nature trails.
- Climate: Ann Arbor experiences four distinct seasons with cold winters and warm summers. Residents can enjoy the changing seasons.
- Races and Population: Ann Arbor has a diverse population with a mix of races and ethnicities, contributing to a rich cultural environment.
- Education: Ann Arbor is home to the University of Michigan, offering educational opportunities and cultural events.
- Cost of Living: The cost of living in Ann Arbor is relatively high compared to other cities in Michigan, mainly due to the university's influence on the local economy.
- Proximity to Bigger Cities: Detroit is approximately 45 minutes away by car from Ann Arbor. Detroit offers a more urban experience with a wide range of activities and cultural attractions.