Neurocritical Care

PROGRAM OVERVIEW

The Department of Neurological Surgery at the University of Washington (UW) is offering a one-year CAST and UCNS accredited Neurocritical Care Fellowship. The Neurocritical Care Fellow is appointed as an Acting Instructor in the Department of Neurological Surgery.

The goal of the fellowship is to train superb clinical and academic leaders in Neurocritical Care that will flourish in our multidisciplinary clinical and research environment. Graduates of this program will be competent in all aspects of Critical Care, with special competence in Neurocritical Care. Progressive independence in patient evaluation and management is encouraged during the course of the fellowship.

The fellowship’s main clinical home is at Harborview Medical Center (HMC) in Seattle, Washington. HMC is the sole level 1 adult and pediatric trauma and burn center for the entire WWAMI region (Washington, Wyoming, Alaska, Montana and Idaho) and a Comprehensive Stroke Center. The Neurocritical Care Service at HMC houses the bulk of their patients in a dedicated 30-bed Neuroscience ICU, but will care for patients throughout the critical care areas of the hospital.

Fellows will also rotate in a variety of other critical care units, including the Trauma/Surgical ICUs, Medical/Cardiac ICUs and BMT/Onc ICUs as well as Pediatric ICUs at HMC, University of Washington Medical Center (UWMC) and Seattle Children’s Hospital (SCH).

A major highlight of our fellowship is the extensive training in point of care critical care ultrasound throughout fellowship, with direct guidance from faculty and a dedicated curriculum that will transform trainees into expert sonographers.

While the major focus of the fellowship is preparing the trainee for independent practice in neurocritical care, fellows will also have the opportunity to participate in the surgical care of patients with neurocritical illness.

Our major strengths are the clinical volume and complexity of patients; as a comprehensive stroke center and the only Level I trauma center in the region, Harborview routinely receives complex referrals from across the Pacific Northwest and Alaska. Moreover, program faculty represent multiple training backgrounds and departments, ensuring a rich, multidisciplinary environment for training in neurocritical care.

Trainee Position Description and Essential Functions

ACCREDITATION

Accredited by the Committee on Advanced Subspecialty Training (CAST)

Sections

Fellowship positions are now filled and/or applications now closed:

  • 2026-2027

  • 2027-2028

  • 2028-2029

ELIGIBILITY REQUIREMENTS

Applicants for the Neurological Surgery Neurocritical Care Fellowship must meet the following eligibility criteria:

  • Successful completion of an ACGME-accredited Neurosurgery Residency Program or Canadian equivalent prior to fellowship start date

  • Completion of all prerequisite residency and/or fellowship training required for advanced neurocritical care education

  • Board eligible or board certified in Neurological Surgery

  • Ability to obtain and maintain a Washington State medical license appropriate for fellowship training and clinical responsibilities, including:

  • Physician and Surgeon License, or

  • Other license type permitted by institutional and state regulatory requirements

  • Completion of USMLE Step 3 (or equivalent qualifying examination) prior to appointment

  • ECFMG Certification required for international medical graduates, if applicable

  • Demonstrated eligibility for hospital credentialing and clinical privileges

  • Applicants must be legally authorized to work in the United States at the time of appointment

  • The fellowship does not sponsor visas; applicants requiring visa sponsorship are not eligible for appointment

APPLICATION REQUIREMENTS

Applicants to the Neurological Surgery Neurocritical Care Fellowship must submit a complete application package for consideration. Required application materials include:

  • Letter of interest

  • Current curriculum vitae (CV)

  • Three letters of recommendation

  • Additional supporting documentation may be requested at the discretion of the program

HOW TO APPLY

Interested applicants should send application materials to: nsfellowship@uw.edu

SELECTION PROCESS

Applications are reviewed once all required materials have been received. The selection process is based on a comprehensive evaluation of the applicants’:

  • Clinical and critical care performance

  • Experience managing critically ill neurosurgical patients

  • Academic achievements and scholarly activity

  • Professionalism, leadership, communication, and multidisciplinary teamwork

  • Commitment to neurocritical care, academic neurosurgery, and patient safety

  • Overall preparedness for advanced fellowship training

Selected candidates whose qualifications, training background, and career goals align with the objectives of the fellowship will be invited to participate in the interview process.

The interview process provides applicants with an opportunity to discuss:

  • Clinical and ICU experience

  • Neurocritical care interests and career goals

  • Research and academic activities

  • Educational objectives and professional development

  • Commitment to multidisciplinary critical care and academic neurosurgery

ACCOMMODATIONS

Applicants who require disability accommodation for the interview may request an accommodation from the UW Disability Services Office. In the event that such an accommodation is requested, the UW Disability Services Office will inform the GME Office and the Program of the request in order to facilitate an appropriate accommodation, if indicated.

APPOINTMENT LENGTH, SALARY AND BENEFITS

Appointment Length

12 months (July 1 – June 30)

Salary

At the University of Washington, clinical fellows are frequently appointed with the academic title of Acting Instructor, which designates a transitional, faculty-level status during advanced training.

  • Current annual base salary for Acting Instructors: $120,000 ($10,000 per month)

  • Clinical fellows may be eligible for additional clinical activities, such as moonlighting or Saturday surgeries, subject to approval by the Chair and School of Medicine, which, if approved, will provide additional compensation.

Benefits

UW Faculty Leave Policies

UW Benefit Summary for Fellows

Contact Information:

For more information about the UW Neurocritical Care Fellowship Program, please contact: nsfellowship@uw.edu.

 FELLOWSHIP FACULTY

Neurological Surgery:

Picture of Dr. Randall Chesnut

Randall Chesnut, MD

Fellowship Co-Director
Professor, Neurological Surgery
Integra Endowed Professor in Neurotrauma
Professor, Orthopaedics & Sports Medicine
Adjunct Professor, Global Health
chesnutr@uw.edu

Picture of Dr. Robert Bonow

Robert Bonow, MD

Fellowship Associate Director
Assistant Professor, Neurological Surgery
rbonow@uw.edu
 

 

Adjunct Faculty:

Picture of Dr. Sarah Wahlster

Sarah Wahlster, MD

Fellowship Co-Director
Associate Professor, Neurology
Associate Professor, Neurological Surgery
Associate Professor, Anesthesiology and Pain Medicine
wahlster@uw.edu

 Picture of Dr. Thabele (Bay) Leslie-Mazwi

Thabele (Bay) Leslie-Mazwi, MD

Professor and Chair, Neurology
Warren and Jermaine Magnuson Endowed Chair in Medicine for Neurosciences
Co-Director, Neurosciences Institute
tml01@uw.edu

 Picture of Dr. Nicholas Johnson

Nicholas Johnson, MD

Associate Professor, Emergency Medicine and Pulmonary, Critical Care, and Sleep Medicine
nickj45@uw.edu

Picture of Dr. Abhijit Lele

Abhijit Lele, MD

Associate Professor, Anesthesiology and Pain Medicine
Director, NeuroICU at Harborview Medical Center
abhijit2@uw.edu

Picture of Dr. Victor Lin

Victor Lin, MD

Acting Instructor, Neurology
viclin8@uw.edu

Picture of Dr. Pratik Patel

Pratik Patel, MD

Assistant Professor, Anesthesiology and Pain Medicine
pratikv@uw.edu

Picture of Dr. Michael Souter

Michael Souter, MB, ChB

Professor, Anesthesiology and Pain Medicine
Chief of Anesthesia at Harborview Medical Center
msouter@uw.edu

Picture of Dr. Vasisht Srinivasan

Vasisht Srinivasan, MD

Acting Assistant Professor, Emergency Medicine
vasishts@uw.edu

Picture of Dr. James Town

James Town, MD 

Assistant Professor of Pulmonary, Critical Care and Sleep Medicine
townj@uw.edu

 

 

Current Fellow(s):

 

Dominic Siler, MD, PhD | UW Department of Neurological Surgery

Acting Instructor

 *To see where are past fellows are now click here.

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