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program residents through their program directors. The surveys were sent out at three different time points in the year: December 2015, January 2016 and February 2016. We collected 100 responses from IM residents. When asked who was eligible to apply for NCC fellowship programs, 73 percent of responders thought neurology, neurosurgery, anesthesiology, IM and EM. 11 percent stated neurology only, and 15 percent thought only neurology, neurosurgery and anesthesia residents can could apply for the fellowship. When asked about the duration of fellowship, we found that 12 percent thought the fellowship is one year, 41 percent answered two years and 47 percent answered three years. Which specialty (ies) can train in NCC? We also surveyed NCC Fellowships’ program directors (20/ 52 NCC Fellowship programs responded) and found that only 12 fellows from an IM background and 10 from an EM background were trained in the last five years. 5) What could the NCS do to increase exposure/interest of other specialties to the care of neurocritically ill patients and to the field of neurocritical care? Aware of ENLS? IM and EM residents appear to have little knowledge of neurocritical care fellowship as evidenced by their survey responses. However, even more concerning is that when asked about their knowledge of ENLS, only 7 percent knew about ENLS while 93 percent did not! A lack of awareness of the existence of ENLS could affect the quality of care provided for neurological emergencies by non-neurology trained physicians. Additionally, for the specialty to grow and fill unmatched fellowship positions, current training outreach strategies to non- neurology trainees may need to be improved. We think NCS can outreach to non-neurology residency programs by targeting the marketing of the ENLS training courses to IM, EM and other specialties. Such an outreach would serve multiple purposes: provide better quality of care provided for neurological emergencies by non-neurology trained physicians, increase the awareness of residents from non-neurology residencies of neurocritical care as a possible career path and ideally encourage residents from non-neurology residencies to apply for neurocritical care fellowship. This will hopefully serve the growing need for neuro-intensivists around the US and world. Given the results of this study and further anecdotal evidence, the NCS Resident Fellow Committee will be working on outreach efforts to non-neurology trainees with the goal of increasing the growth and future success of neurocritical care and ultimately the NCS. 29


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