Blog Viewer

Preparing to Take Off the Training Wheels: Practice Management in Neurocritical Care

By Currents Editor posted 09-16-2021 06:36


By Shweta Goswami, MD; Eunice J Lee, MD; Rachael Scott, PharmD, BCCCP; Naomi Niznick, MD; Sasha Yakhkind, MD; Pouya Ameli, MD, MS; and Marc Babi, MD

The role of practice management education—an umbrella term to describe salary negotiation, billing and coding, law and malpractice, and so on—has been lacking in residency and fellowship programs across the country. In fact, prior surveys have indicated a nearly universal lack of confidence in these topics among trainees across different specialties. Meanwhile, some specialties such as family medicine have shown that formal practice management training is an effective approach in improving coding compliance, productivity, and patient outcomes.

This prompted the NCS Trainee Section Leadership to search for any studies or resources related to practice management specifically for neurocritical care. We conducted a literature search in practice management education for critical care, including the keywords “practice management,” “contract negotiation,” or “ethics,” within “(neuro)critical care” and “education.” While there were studies related to clinical neurocritical care education across multiple training levels and specialties (for both physicians and nurses), there were no published reports on practice management education in neurocritical care or critical care. Additionally, there were no published reports examining the readiness of critical care trainees to practice independently.

To remedy the lack of research and curricula on practice management, a joint effort from the NCS Trainee Section, Fellowship Directors Section, and NCS Board of Directors has led to the development of a dedicated lecture series on the topic. A series of guest speakers and panelists will be invited to present and discuss various topics within practice management. The purpose of the lecture series is to prepare neurocritical care providers from a variety of backgrounds, including APPs, pharmacists, and physicians, for independent practice. Topics will include law and malpractice, team building, dealing with difficult patients, hospital metrics and rankings, job search and contract negotiation, billing and coding, and diversity, equity, and inequality. The session will consist of a lecture by one of our experts in the field and then a Q&A session with a group of panelists to follow. Additionally, the trainee section will administer a voluntary post-lecture survey to objectively measure the degree of confidence in the specific subject matter to gauge effectiveness of this educational initiative.

The first lecture in the series is scheduled to take place on September 23, 2021 at 5PM CST/ 6PM EST, and all lectures will be hosted online. The tentative schedule is listed in the table below, with specific dates still to be determined for subsequent lectures in the series. 

Registration is free to all NCS members and $10 for non-members.

Register Today


By Panayiotis (Panos) N. Varelas, MD, PhD, FAAN, FNCS May has arrived and even in Upstate New York, nature is changing fast, few days after the last (maybe?) snow. There are already little buds in the trees and even some flowers. Everything is changing, with eternal cycles that repeat themselves, ...
Peter J. Papadakos MD, FCCM, FCCP, FAARC, FNIV Director Critical Care Medicine, University of Rochester The global pandemic has had a major impact on ICU utilization. We have all experienced major shortfalls in being able to admit critically ill patients to properly staffed critical care units. ...
Brianna Burlock, MD, MPH; Eric C. Lawson, MD ( @EricLawson90 ) Moderator: @gdomeni Authors: @GreerWaldrop, @sas_mdphd , @MeganRx1 Link to Twitter Thread: March’s Twitter journal club, done in conjunction ...