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Sahar F. Zafar, M.B.B.S
Message from the Director
Welcome to the Massachusetts General Hospital, Brigham and Women's Hospital, and Harvard Medical School Fellowship Training Program in Neurocritical Care.
We are proud to be not only the country’s oldest neurocritical care training program, but also one of its most innovative. The outstanding care, clinical and research innovations, and clinical and research leadership provided and generated by our graduates have played a significant role in the transformation of acute and preventative care for patients across the world. To support this educational mission, we have built a program that stretches beyond the walls of the ICU, encompassing training in telemedicine, airway management, bedside emergency ultrasound, transcranial ultrasonography, general critical care, EEG and electrophysiology, bronchoscopy, formal simulation training, international health, guideline and protocol development for clinical practice innovation, and a major component of independent elective time for reinforcing these diverse clinical skills or for mentored academic research in a wide variety of settings.
A unique aspect of our program is the strong individualized mentorship provided to each trainee. I devote substantial effort to the career development of our fellows, recognizing that each of you comes to us with different backgrounds, different strengths and different goals. I work with fellows individually, getting to know them and helping each one of them to identify a uniquely tailored career direction that will lead to substantial professional contributions as well as personal satisfaction. We welcome applicants with a variety of long-term goals, including future clinicians who may be a clinical leader of an intensive care unit, a champion of clinical innovation, an independent federally-funded investigator, or a leader spreading the international mission of neurocritical care federally-funded research. We nonetheless believe that learning and applying a scientifically-based rigorous approach to data analysis, at the bedside and in research, is the foundation for providing outstanding care to the patients of today and improving the care of patients of tomorrow.
Our clinical fellows interact with a variety of faculty, fellows from colleague training programs, as well as a large group of research fellows who join our community to pursue and support cutting-edge clinical research.
We invite you to visit us and help us innovate by joining our team.
What Our Fellowship Offers Prospective Trainees
Hospitals & Leadership
Fellows in this program will train at the Massachusetts General Hospital and Brigham and Women’s Hospital and will have access to additional training at Spaulding Rehabilitation Hospitals. Fellows will have significant interaction and collaboration with physicians, nurse practicioners, clinical nurse specialist, therapists, nutritionists, specializing in neurology, epilepsy and neurophysiology, neurosurgery, other critical care disciplines, radiology, neuro-interventionalists, and rehabilitation medicine.
Faculty, Massachusetts General Hospital
Per United Council for Neurologic Subspecialties (UCNS) eligibility requirements, applicants must be a graduate of a residency program in neurology, neurological surgery, internal medicine, anesthesiology, surgery, or emergency medicine accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the Royal College of Physicians and Surgeons of Canada (RCPSC).Applicants from a non-neurology background/residency are advised to include a detailed description of their relevant neurology training and experiences in the letter of intent submitted with their CV. Non-neurologist applicants should also include letter of reference authored by a neurologist with whom they have worked and who can speak to their clinical knowledge and skills.Applicants are also required to successfully complete USMLE Step II CK, CS, and Step III. Canadian physicians and Doctors of Osteopathy who are eligible for licensure may substitute successful completion of LMCC/MCCQE and COMLEX examinations, respectively, in lieu of USMLE examinations.Our program does accept ECFMG certified physicians and sponsors both J1 and H-1B visas for trainees.
Neurocritical Care Fellowship Training Program Curriculum
Neurosciences ICU Staff
A patient's room in the NeurocriticalCare Facility in Mass GeneralNeurosciences ICU
Mission and Goals
Acute Stroke Neurology
Independent Elective/Selective Time (10-18 wk)
Weekly ConferencesWeekly Conference with teleconferencing available as needed.
Formal Procedural Training
Quantitative EEG andIntegrated Neuromonitoring
The MGH Lunder Neuro-ICU (www.mghneuroicu.org) opened for patient care in September 2011. The Neurosciences ICU occupies the entire 6th floor of the Lunder Building. Stepping off the elevator, into the Neuro ICU Atrium, the building’s centerpiece is calming and inspiring. The building was designed and constructed using green features and strategies for energy conservation, water efficiency, carbon dioxide emission reductions and sustainable resources to provide the utmost care for our patients and provide a natural environment that can help promote healing. The Atrium has floor-to-ceiling glass walls, and a dozen hanging plants that filter in natural light. Allowing city and river views, bamboo-rimmed patient room line the perimeter of the sixth floor. Clinically, the expansion allowed for a neuromonitoring suite, intended for EEG readings, MRI’s, and CT scans in-house to ensure timely diagnosis and treatment, and less travel for the ICU patients. Along with the expansion of space, all of our inpatient rooms offer specialized features such as ceiling mounted equipment and incorporate imaging stations within the same patient room. These features will allow maximum flexibility within the patient care space and gives the staff the ability to adjust the room according to patient needs
The Brigham and Women’s Hospital Neurological Intensive Care Unit is a 20-bed unit, where patients are managed by the Allan H. Ropper Neuro-ICU Service. The Brigham and Women’s Hospital (BWH) Department of Neurology provides comprehensive neurological care for patient communities locally, nationally and all over the world. The Department’s multidisciplinary staff encompasses65 clinical faculty and over 350 department members strives to provide patient-focused, world-class medical care for the entire spectrum of neurological diseases. The unit enjoys close collaboration between neurology and neurosurgical team members, and state-of the art technology including on-premisis EEG and neuroimaging facilities.
Partner Training Programs
Research opportunities are available throughout our hospital and university network. Prospective applicants are encouraged to form mentored relationships with individual investigators with oversight by program leadership.
Neurocritical Care Studies
COSBIDDetermine whether occurrence of CSD is associated with development of new infarcts and neurological deterioration after aSAH/TBI/MHS Co-PIs: Eric Rosenthal, MD; Brandon Westover, MD
MOCHAInvestigate the prognostic value of advanced serial assessments (eg EEG, MRI) for predicting long-term outcome in comatose cardiac arrest patients treated with therapeutic hypothermia Co-PIs: Eric Rosenthal, MD; Ona Wu, PhD
RESPONSEDetermine if early advanced MRI and EEG predict recovery in patients with acute traumatic coma PI: Brian Edlow, MD
SAGE-547Safety of SAGE-547 (allopregnanolone) in subjects in super-refractory status PI: Eric Rosenthal, MD
ATACH-II (Phase III) Efficacy of intensive blood pressure control PI: Josh Goldstein, MD PhD
iDEF (Phase II) Safety and futility of DFO infusion PI: Josh Goldstein, MD PhD
GAMES-RP (Phase II)Safety and efficacy of IV glyburide in patients at risk of developing malignant cerebral edema PI: Taylor Kimberly, MD PhD
MR WITNESS (Phase II)Safety of IV-tPA using an MRI algorithm to estimate time of stroke onset for patients with unknown stroke onset PI: Lee Schwamm, MD
POINT (Phase IV)Efficacy of aspirin plus clopidogrel versus aspirin alone in preventing major ischemic vascular events following TIA or minor ischemic stroke PI: Scott Silverman, MD
RHAPSODY (Phase II)Safety of ascending doses of 3K3A-APC (activated protein C) in patients with moderate to severe acute ischemic stroke who received IV tPA PI: Natalia Rost, MD
SHINE (Phase III)Efficacy of intensive insulin treatment in hyperglycemic patients PI: Chris Anderson, MD
SALVORole of pre-stroke statin use on ischemic tissue fate and clinical outcomesPI: Natalia Rost, MD
Update: November 2017The MGH/BWH/HMS Neurocritical Care Fellowship uses the SF Match Central Application Service (CAS) for document collection. Applicants for our July 2019 start should submit all materials via CAS – application documents no longer need to be sent individually to our program address.
The following materials will be requested of you, by CAS:
The SF Match CAS instruction manual, available through your SF Match online profile will provide additional information regarding application requirements and the submission of application documents.
If you have any questions regarding the application process, or encounter any problems/concerns related to submitting your application through CAS, please contact:
Mia Falco, Program Coordinator Email: firstname.lastname@example.orgPhone: 617-643-2108
The application deadline for our 2019-2021 program is February 1st.
Neurocritical Care Fellowship
Lunder 6, Neurosciences Intensive Care Unit
MGH/BWH/HMS Neurocritical Care Fellowship
Program Director: Sahar F. Zafar, M.B.B.SProgram Coordinator: Mia FalcoFor questions regarding our fellowship program or application process, including the use of CAS for application submission, please contact Mia Falco (email@example.com).
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