Skip to main content

Neurocritical Care Fellowship

The Indiana University School of Medicine’s ACGME-accredited Neurocritical care fellowship program provides clinical training in trauma, neurological, neurosurgical and neurovascular disorders at one of the largest Neurocritical Care Units in the country at IU Health Methodist Hospital/Academic Health Center, covering the entire spectrum of neurological disorders.

The neurocritical care unit provides highly advanced critical services including:

  • Neurotrauma (Level 1 Trauma Center)
  • Comprehensive (Level 1) stroke care
  • Advanced neuro-intervention for intra-cranial vascular diseases
  • Advanced tertiary level neuro and general critical care services including advanced heart failure, ECMO and transplant services
  • Support for highly active neurosurgery and neurology residency programs.

Program Description

The neurocritical care program at IU School of Medicine offers a one- or two-year track for training at Indiana University Health Methodist Hospital/Academic Health Center.

Clinical Care

IU Health Methodist Hospital houses a 33 bed neurocritical care unit, covering the entire spectrum of neurological disorders. Physicians who staff the unit are either Board certified by the United Council for Neurologic Subspecialties in Neurocritical Care and/or Critical Care Medicine by the American Board of Internal Medicine OR the Society of Neurological Surgeons Committee on Advanced Subspecialty Training Awards Subspecialty Certification in Neurocritical (CAST-Certification).

All neuroscience critically ill patients are seen, evaluated and rounded on by the neurocritical teams that include faculty attending staff, neurocritical care or critical care fellow, advanced level providers and residents (senior and junior levels from neurosurgery, neurology or emergency medicine).

Instruction is offered in several formats including: one-on-one with attending at time of admission, daily bedside rounds, didactic lectures, reading assignments and bedside literature searches. Fellows are also encouraged to discuss cases with consultants, review studies in radiology, and observe procedures to gain knowledge from other specialties.

The neurocritical care unit provides highly advanced critical services including but not limited to:
  • Intra-cranial pressure monitoring
  • External ventricular catheter management
  • Continuous Electroencephalography
  • Brain tissue oxygen monitoring
  • Portable CT scans of the brain
  • Transcranial dopplers
  • Comprehensive stroke care
  • Advanced neuro-intervention for intra-cranial vascular diseases
  • Neurotrauma services for traumatic brain and spine injuries

General critical care services at IU Health Methodist Hospital include:

  • Continuous Renal Replacement Therapy
  • Extracorporeal membrane Oxygenation
  • Complex ventilator management
  • Transplant services (Heart, lung)
  • Advanced Pulmonary Hypertension Therapies
  • Level 1 vascular surgery care
  • Tertiary level cardiothoracic surgery
  • Cardiac medical care including level 1 STEMI care
  • Advanced Heart failure services including mechanical circulatory devices
  • Tertiary level care of critically ill medical patients
  • Level 1 trauma services
Dr. Angela Richardson meets with a patient in the clinic

Neurosciences at IU

In addition to their clinical training at the neurocritical care unit, neurocritical care fellows will have the opportunity to be part of the IU Health Neuroscience Center which is a state-of-the-art facility that unites all the specialties that involve nervous system disorders:

  • Neurology
  • Neurosurgery
  • Psychiatry
  • Physical Medicine and Rehabilitation
  • Neuropsychology
  • Neuroradiology
  • Neurophysiology (EEG, EMG and Evoked Potentials) laboratory

The adjoining IU Neurosciences Research building enables clinicians, basic scientists and physician scientists to collaborate in an environment that is rarely achieved in academic medicine. This department has a rich tradition in academic neurology with a national reputation in neurological education and neuroscience research. Neurocritical care fellows will be pivotal in the clinical support of neurosurgical and neurological patients and will have a vital link with their residency training programs.