Willis Knighton Health
Physician - Fellow
Willis Knighton Health, Shreveport, Louisiana, us, 71150
INTRODUCTION:An endovascular neurosurgery fellowship program is essential for several reasons:1. Specialized Training: It provides neurosurgeons, neurologists and neuroradiologist with advanced training in minimally invasive techniques to treat vascular diseases of the brain and spinal cord.2. Skill Development: Fellows gain hands-on experience with complex procedures such as aneurysm coiling, stenting, and thrombectomy, which require precise skills and expertise.3. Improved Patient Outcomes: Minimally invasive techniques typically result in fewer complications, shorter recovery times, and better overall outcomes for patients.4. Advancement of the Field: Fellows are often involved in research and innovation, contributing to the advancement of endovascular techniques and treatments.5. Meeting Demand: There is a growing demand for specialists trained in endovascular neurosurgery due to an increase in the prevalence of cerebrovascular diseases.6. Interdisciplinary Collaboration: Training programs often involve collaboration with other specialties, such as interventional radiology and neurology, enhancing comprehensive patient care.These programs ensure that fellows are well-prepared to provide the best possible care for patients with vascular conditions of the nervous system.
DURATION:The program shall offer two years of graduate medical education in endovascular neurosurgery.
PREREQUISITE TRAINING/ SELECTION CRITERIA:All incoming fellows will apply for Louisiana state license or training Permits (Licensure), complete all hospital credentialing application requirements.
FELLOW APPOINTMENTS:Both National and International Graduates from following specialties are eligible:From Neurosurgery background:International Graduates: Should be ECFMG certified, should be board certified in their home country or possess an unrestricted medical license to practice their specialty in their country.United States Graduates: Must have completed their training in ACGME or state accredited residency program.From Radiology background:International Graduates: Should be ECFMG certified, should be board certified in their home country or medical license to practice their specialty unrestricted in their country.ANDa. Completed a residency in diagnostic radiologyANDb. Completed a fellowship (subspecialty residency) in neuroradiology.ANDc. Completed six months rotation in neurologic surgery or vascular neurology or neuro-intensive care. This may be completed during the radiology residency.United States Graduates: Must have completed their training in ACGME or state accredited residency program.ANDa. Completed a residency in diagnostic radiologyANDb. Completed a fellowship (subspecialty training) in neuroradiology.ANDc. Completed six months rotation in neurologic surgery or vascular neurology or neuro-intensive care. This may be completed during the radiology residency.From Neurology background:International Graduates: Should be ECFMG certified, should be board certified in their home country or medical license to practice their specialty unrestricted in their countryANDa. Completed a residency in neurologyANDb. Completed a one-year vascular/stroke neurology program or one year in Neurocritical care programUnited States Graduates: Must have completed their training in ACGME or state accredited residency programANDa. Completed a residency in neurologyANDb. Completed a one-year vascular/stroke neurology program or one year in Neurocritical care program
RESOURCES:TEACHING STAFF:Dr Ashish Sonig MD FAANS FCNS, Dr. Sonig completed neurosurgical residency and fellowship in Endovascular Neurosurgery from University of Buffalo in New York. He is a Board Certified ( ABNS) neurosurgeonFACILITIES:The facility, Neurovascular Institute is located at 2727 Hearne Avenue , Suite 320 Shreveport , LA 71103 This includes state of the art angiography suite, with the latest Phillips Azurion 7 B20/15 biplane , intensive care units. In patient units, step down and OP units, CT, MRA, MRI, CTA and an emergency room and two primary stroke centers to support a main thrombectomy ready center. Both, the institution and the program will jointly ensure the availability of adequate resources for fellow education, as defined in the specialty program requirements.
EDUCATIONAL PROGRAM (BASIC CURRICULUM)The curriculum will allow fellows to progress at their respective pace. Based on their prior experience and case load a process of mentoring and monitoring occurs to progress learning based on type and difficulty of cases. Evaluations are conducted semiannually to review case completion and also evaluate competencies, overall knowledge is assessed by observation and ability to satisfactorily perform case reviews and develop acceptable treatment plans.Year 1- basic competencies in understanding endovascular imaging, stroke management and intervention and completion of a minimum of 100 diagnostic angiogram. Research protocol which initiations adding to their endovascular and stroke knowledge.Year 2- Completion of sufficient cases in endovascular as outlined below to become proficient. Assumes a major role in all endovascular cases. Makes patient care plans in both stroke and endovascular treatment and the management of disease using the 6 competencies outlined by the GME.I. Patient Care.II. Medical Knowledge.III. Practice Based Learning and Improvement.IV. Systems Based Practice.V. Professionalism.VI. Interpersonal Skills Communication.During the second year of fellowship, the senior year, they are expected to work as lead fellow in endovascular management of following pathologies.a. Aneurysmsb. Arteriovenous malformationc. Atherosclerotic disease of the cervical vesselsd. Occlusive vascular disease and acute infarctione. intracranial neoplasmsf. Vascular anomalies of the head and neckg. Neoplasms of the head and neckIn addition, when they have neurosurgical background, they will be expected to maintain their open surgical skill set by assisting in open cerebrovascular and bed side emergency procedures.During both First year and second yr. of training they are expected to follow the 6 core competencies and continues active participation in research projects , manuscripts and research summaries for presentation at national meetings and publication in peer reviewed journalsSUPERVISION AND EVALUATION:All fellows are under direct supervision by the assigned faculty member during the procedures. Also, during rounds, the faculty will be monitoring/ mentoring the fellows' interactions with the patient, hospital staff, physician extenders, other fellows, residents, and medical students. These factors are integrated into the semi-annual evaluations. Semiannual evaluations are conducted and include monitor the skills and competencies each fellow, including the 6 GME competencies. Case logs are assessed to assure volume and variety of exposure to cases.
DURATION:The program shall offer two years of graduate medical education in endovascular neurosurgery.
PREREQUISITE TRAINING/ SELECTION CRITERIA:All incoming fellows will apply for Louisiana state license or training Permits (Licensure), complete all hospital credentialing application requirements.
FELLOW APPOINTMENTS:Both National and International Graduates from following specialties are eligible:From Neurosurgery background:International Graduates: Should be ECFMG certified, should be board certified in their home country or possess an unrestricted medical license to practice their specialty in their country.United States Graduates: Must have completed their training in ACGME or state accredited residency program.From Radiology background:International Graduates: Should be ECFMG certified, should be board certified in their home country or medical license to practice their specialty unrestricted in their country.ANDa. Completed a residency in diagnostic radiologyANDb. Completed a fellowship (subspecialty residency) in neuroradiology.ANDc. Completed six months rotation in neurologic surgery or vascular neurology or neuro-intensive care. This may be completed during the radiology residency.United States Graduates: Must have completed their training in ACGME or state accredited residency program.ANDa. Completed a residency in diagnostic radiologyANDb. Completed a fellowship (subspecialty training) in neuroradiology.ANDc. Completed six months rotation in neurologic surgery or vascular neurology or neuro-intensive care. This may be completed during the radiology residency.From Neurology background:International Graduates: Should be ECFMG certified, should be board certified in their home country or medical license to practice their specialty unrestricted in their countryANDa. Completed a residency in neurologyANDb. Completed a one-year vascular/stroke neurology program or one year in Neurocritical care programUnited States Graduates: Must have completed their training in ACGME or state accredited residency programANDa. Completed a residency in neurologyANDb. Completed a one-year vascular/stroke neurology program or one year in Neurocritical care program
RESOURCES:TEACHING STAFF:Dr Ashish Sonig MD FAANS FCNS, Dr. Sonig completed neurosurgical residency and fellowship in Endovascular Neurosurgery from University of Buffalo in New York. He is a Board Certified ( ABNS) neurosurgeonFACILITIES:The facility, Neurovascular Institute is located at 2727 Hearne Avenue , Suite 320 Shreveport , LA 71103 This includes state of the art angiography suite, with the latest Phillips Azurion 7 B20/15 biplane , intensive care units. In patient units, step down and OP units, CT, MRA, MRI, CTA and an emergency room and two primary stroke centers to support a main thrombectomy ready center. Both, the institution and the program will jointly ensure the availability of adequate resources for fellow education, as defined in the specialty program requirements.
EDUCATIONAL PROGRAM (BASIC CURRICULUM)The curriculum will allow fellows to progress at their respective pace. Based on their prior experience and case load a process of mentoring and monitoring occurs to progress learning based on type and difficulty of cases. Evaluations are conducted semiannually to review case completion and also evaluate competencies, overall knowledge is assessed by observation and ability to satisfactorily perform case reviews and develop acceptable treatment plans.Year 1- basic competencies in understanding endovascular imaging, stroke management and intervention and completion of a minimum of 100 diagnostic angiogram. Research protocol which initiations adding to their endovascular and stroke knowledge.Year 2- Completion of sufficient cases in endovascular as outlined below to become proficient. Assumes a major role in all endovascular cases. Makes patient care plans in both stroke and endovascular treatment and the management of disease using the 6 competencies outlined by the GME.I. Patient Care.II. Medical Knowledge.III. Practice Based Learning and Improvement.IV. Systems Based Practice.V. Professionalism.VI. Interpersonal Skills Communication.During the second year of fellowship, the senior year, they are expected to work as lead fellow in endovascular management of following pathologies.a. Aneurysmsb. Arteriovenous malformationc. Atherosclerotic disease of the cervical vesselsd. Occlusive vascular disease and acute infarctione. intracranial neoplasmsf. Vascular anomalies of the head and neckg. Neoplasms of the head and neckIn addition, when they have neurosurgical background, they will be expected to maintain their open surgical skill set by assisting in open cerebrovascular and bed side emergency procedures.During both First year and second yr. of training they are expected to follow the 6 core competencies and continues active participation in research projects , manuscripts and research summaries for presentation at national meetings and publication in peer reviewed journalsSUPERVISION AND EVALUATION:All fellows are under direct supervision by the assigned faculty member during the procedures. Also, during rounds, the faculty will be monitoring/ mentoring the fellows' interactions with the patient, hospital staff, physician extenders, other fellows, residents, and medical students. These factors are integrated into the semi-annual evaluations. Semiannual evaluations are conducted and include monitor the skills and competencies each fellow, including the 6 GME competencies. Case logs are assessed to assure volume and variety of exposure to cases.