UCNS Certified YES NO UCNS Eligible Role in Curriculum: UCNS Certified YES NO UCNS Eligible Role in Curriculum: UCNS Certified YES NO UCNS Eligible Role in Curriculum: UCNS Certified YES NO UCNS Eligible Role in Curriculum: UCNS Certified YES NO UCNS Eligible Role in Curriculum: UCNS Certified YES NO UCNS Eligible Role in Curriculum: UCNS Certified YES NO UCNS Eligible Role in Curriculum: UCNS Certified YES NO UCNS Eligible Role in Curriculum: Attach a one page curriculum vitae (Appendix B) for each of the faculty listed above (use Appendix B form). CVs using the NIH format Biographical Sketch format will NOT be accepted. SECTION 5. FACILITIES AND RESOURCES (Program Requirements V, G) A. Facilities 1. Facilities and resources for training See Section 2 for institution numbers. Are the following office space and resources available? Inst Inst Inst Inst Faculty and Resources 1 2 3 4 YES NO YES YES NO YES a. Neurocritical Care Faculty Offices and Facilities NO NO Is there administrative support for the Fellowship & YES NO YES YES NO YES Program Director? NO NO b. Fellow Offices and Resources YES NO YES YES NO YES Does each fellow have his/her own office? NO NO YES NO YES YES NO YES Are the offices for groups of fellows? NO NO YES NO YES YES NO YES Is there dedicated administrative support for fellows? NO NO
YES NO UCNS Certified UCNS Eligible Role in Curriculum: YES NO UCNS Certified UCNS Eligible Role in Curriculum: YES NO UCNS Certified UCNS Eligible Role in Curriculum: YES NO UCNS Certified UCNS Eligible Role in Curriculum: YES NO UCNS Certified UCNS Eligible Role in Curriculum: YES NO UCNS Certified UCNS Eligible Role in Curriculum: YES NO UCNS Certified UCNS Eligible Role in Curriculum: YES NO UCNS Certified UCNS Eligible Role in Curriculum: Attach a one page curriculum vitae (Appendix B) for each of the faculty listed above (use Appendix B form). CVs using the NIH format Biographical Sketch format will NOT be accepted. SECTION 5. FACILITIES AND RESOURCES (Program Requirements V, G) A. Facilities 1. Facilities and resources for training See Section 2 for institution numbers. Are the following office space and resources available? Faculty and Resources Inst 1 Inst 2 Inst 3 Inst 4 a. Neurocritical Care Faculty Offices and Facilities YES NO YES NO YES NO YES NO Is there administrative support for the Fellowship & Program Director? YES NO YES NO YES NO YES NO b. Fellow Offices and Resources Does each fellow have his/her own office? YES NO YES NO YES NO YES NO Are the offices for groups of fellows? YES NO YES NO YES NO YES NO Is there dedicated administrative support for fellows? YES NO YES NO YES NO YES NO
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