Coronavirus COVID-19 Updates: uc.edu/publichealth
The program in Endovascular Surgery is focused on the subspecialty that uses minimally invasive catheter-based technology along with radiologic imaging and clinical acumen to diagnose diseases of the central nervous system, head, neck and spine. At the University of Cincinnati College of Medicine (UCCOM), this CAST approved program is focused upon educating the next generation of Neurointerventionalists by providing a comprehensive program that will ensure proficiency and expertise in the skills and judgment required to care for patients with this complex series of diseases.
Goals and Objectives
This fellowship offers one year of graduate medical education in Endovascular Surgery to those candidates who have fulfilled preliminary criteria as defined below. Should the candidate not meet this criteria, a supplementary program shall be offered and require successful completion to a minimum level of COMPETENCY.
The preliminary training curriculum includes the following:
Advanced CNS endovascular training year requirements:
The advanced training curriculum includes the following:
The Sponsoring Institution is the University of Cincinnati College of Medicine in the city of Cincinnati, OH and shall serve as the PRIMARY CLINICAL SITE.The UC Office of Graduate Medical Education, and the Departments of Neurological Surgery,
Neurology and Radiology have supported and continue to support this fellowship.
Programs within the aforementioned departments integrate in the education of fellows in Endovascular Surgery.
At present, with the anticipated complement of ONE fellow per year to be accepted to this program, the fellow is dedicated to the primary site alone for all clinical, educational and research activities.
The University of Cincinnati Medical Center continues to improve its state-of-the-art imaging facilities and endovascular facilities. UCMC has 3 high-speed 1.5 and 3 Tesla MRI for inpatient and outpatient use with DWI and PWI capabilities. Two emergency CT scanners (256-slice) with CT perfusion and CT angiography and two additional in-patient CT scanners (256-slice) with CTA and CTP capabilities are available 24/7. Ultrasound and transcranial Doppler is available for patients in an in-patient, out-patient and emergent settings. In addition, UCMC has two newly-installed biplane angiography machines with rotational imaging, advanced 3-D road-mapping, and Dyna-CT capabilities.
The fellows enjoy the opportunity to participate in the care of patients treated with the most current devices for thrombectomy, AVM embolization and aneurysm treatment. Five HDE protocols and three endovascular clinical trials are currently active at UCMC, with several others undergoing an approval process.
Of note, fellows have the unique opportunity to participate in cerebrovascular anatomical research in the Department of Neurological Surgery’s Goodyear Microsurgery Lab, which consists of 5 fully-equipped, microscope-based stations for cadaveric dissections of latex injected heads and spine. Neuronavigation, advanced imaging and endoscopy supplement the facilities for advanced projects and technology innovation. Additionally, we host various workshops throughout the year in this lab with participating industry sponsors, where fellows and residents trial the latest endovascular equipment on various cerebrovascular model systems.
The combined Endovascular surgery program and the stroke program at UC provide a plethora of diverse and complex illnesses. The endovascular service receives, on average 3 in-patient consults daily while also evaluating 2-3 patients daily for out-patient procedures. Though ischemic stroke and subarachnoid hemorrhage comprise the majority of our in-patient consultations, as a level I trauma center focused on better understanding blunt cerebrovascular injury (BCVI), the fellow is exposed to extensive BCVI evaluation and management. The fellow will also be exposed to management of hemorrhagic head and neck pathology, such as epistaxis or extracranial bleeding secondary to blunt trauma.
Fellows in this program are part of a team of educators. It is expected (and evaluated) that fellows provide education to nurses, technologists, students and residents from the neurosciences and radiology. They are also expected to integrate education through presenting and participating in quality assurance and performance improvement programs.
In addition to the one-on-one education offered during the day-to-day patient care interactions, fellows are exposed to a radiation physics lecture program, divided into twelve one-hour lectures, to cover fundamental and advanced principles of radiation physics, biology and safety to include an understanding of CT, ancillary vascular imaging modalities and the effects of radiation to patients and personnel. This course in radiation physics will supplement the fundamental principles learned in the preparatory years such that all trainees on the Endovascular service will have a standardized curriculum of training and fund of knowledge at the time of successful completion of the fellowship program.
With four primary teaching/core faculty (Drs. Charles Prestigiacomo, Aaron Grossman, Peyman Shirani, and Matthew Smith) dedicated to performing procedures exclusively at UCMC, the fellow has unfettered access to didactic and research opportunities. Daily rounds of the endovascular service with image-based reviews, weekly imaging-based endovascular conferences and journal clubs are mandatory for faculty as much as they are mandatory for fellows. Fellows will undergo closely supervised training (direct supervision) over the course of the 12 months by all core faculty members with immediate, post-procedure team-based feedback (the “Debrief”).
Department ofNeurosurgery231 Albert Sabin WayPO Box 670769Cincinnati, OH 45267-0515
Mailing AddressUniversity of Cincinnati College of MedicineDepartment of NeurosurgeryPO Box 670515Cincinnati Ohio 45267-0515