The Sun Never Sets On ICPNT!

W. Andrew Kofke, MD, MBA, FNCS
Chair, ICPNT

W. Andrew Kofke, MD, MBA, FNCS
W. Andrew Kofke, MD, MBA, FNCS

ICPNT Update
ICPNT has been making reasonable progress and evidence of growth on several fronts.  The ICPNT accreditation committee met recently, resulting in the accreditation of nine new programs and reaccreditation of one program.

New Programs
Presently, 23 neuroanesthesia fellowship programs have undergone evaluation and accreditation or pending accreditation by ICPNT. See the world map and the box.


  • Beijing Tiantan Hospital, Capital Medical University, China
  • Cleveland Clinic Foundation, USA
  • Columbia University Medical Center, USA
  • Cornell University, USA
  • Duke University, USA
  • Northwestern University, USA
  • Princess Alexandra Hospital, Australia Technical University, Munich, Germany
  • Toronto Western Hospital, University of Toronto, Toronto, Canada
  • Universitario Fundación Santafe, Bogotá Colombia
  • Universitat de Barcelona, Barcelona, Spain
  • University College of London, UK
  • University of British Columbia, Vancouver, Canada
  • University of Colorado, USA
  • University of Florida, Gainesville, USA
  • University of Michigan, USA
  • University of Pennsylvania, USA
  • University of Washington, USA
  • Vanderbilt University Medical Center, USA

ICPNT Accreditation Programs

ICPNT now comprises an international educational network of perioperative neuroscience fellowships. We anticipate continued progress in the educational activities and resource sharing such that all programs in the world should consider becoming accredited to enable a better experience for your fellows and their future patients. The application requires a letter of intent submitted on the ICPNT web page, from which access to the application will be enabled during the next application cycle.

Research Presentations and Publications
ICPNT is proving to be a platform for educational research. An abstract describing the ICPNT program was presented at SNACC and ASA. Moreover, the ICPNT has been a helpful platform for the assessment of the international impact of COVID-19 on neuroanesthesia training. The impact of the Global SARS-COV-2 (Covid-19) Pandemic on Neuroanesthesia Fellowship Programs Worldwide and the Potential Future Role of ICPNT Accreditation are now in press in the JNA (Rajan S, et al.).

Notably, Douglas et al. from UCL, London, UK, presented an abstract summarizing their experience with ICPNT fellowship accreditation at the SNACC Annual Meeting 2020. They concluded that ICPNT accreditation had been an overwhelmingly positive experience for their program. This may form the basis for an international survey of the impact of the accreditation experience.

ICPNT Activity at 2020 SNACC Annual Meeting
ICPNT provided a central role in educational activities at SNACC. Notably, garnering patient safety CME, ICPNT supported a well-attended session on crisis management in neuroanesthesia. The agenda that was presented follows:

Moderators: Rafi Avitsian, MD, FASA; W. Andrew Kofke, MD, MBA, FNCS
Presenters: Amie Hoefnagel, MD; John F. Bebawy, MD; Chanhung Z. Lee, MD, PhD; Rafi Avitsian, MD, FASA; Jamie L. Uejima, MD

9:00 AM – 9:20 AM EDT
Intraoperative Brain Swelling
Amie Hoefnagel, MD

9:20 AM – 9:40 AM EDT
Intraoperative Aneurysm Rupture
John F. Bebawy, MD

9:40 AM – 10:00 AM EDT
Intraoperative Seizure
Chanhung Z. Lee, MD, PhD

10:35 AM – 10:55 AM EDT
Autonomic Dysreflexia
Rafi Avitsian, MD, FASA

10:55 AM – 11:15 AM EDT
Intracranial Bleed in Neuro IR
Jamie L. Uejima, MD

ICPNT ran an informational session for program directors, both accredited and non-accredited.  This meeting outlined the history of ICPNT, recent publications, and plans. The slide set is available upon request to Andrew Kofke here.

Worldwide Educational Seminars
The Neuroanesthesia Program Relations Committee, now led by Dr. Shobana Rajan, is developing an educational curriculum with contributions from around the world.

The ICPNT educational activities are becoming an integral element of the SNACC meeting.  This year, the virtual format enhanced international participation. The virtual technology should be usefully applied for future ICPNT SNACC educational activities, making the activities available to all ICNPT accredited program faculty and fellows as a benefit of membership. In addition, we anticipate a schedule of webinars presented by the various accredited programs from around the world.

We anticipate a healthy cross-fertilization, across borders, of various elements of neuroanesthesia practice and science. Perhaps eventually, ICPNT can sponsor a worldwide recurring neuroanesthesia grand rounds on a regular basis in the form of journal clubs, case discussions, research, and discussion of hot topics in neuroanesthesiology.

Anyone eager to contribute to these activities should contact Shobana Rajan here.

ICPNT is functionally a component of SNACC. This has been necessitated by the startup financial, regulatory, and legal support of the existing SNACC infrastructure. Moreover, a strategic goal of SNACC is to develop more as an international society. Bylaws are presently being drafted by the SNACC BOD, led primarily by past president Jeff Pasternak. The bylaws will address the role of ICPNT within SNACC and outline procedures for the selection of ICPNT leadership and membership.

Notably, the overall intent is to establish ICPNT as a semi-autonomous entity within SNACC. While it is expected that Program Directors of ICPNT accredited programs should be SNACC members, this will not be a requirement for core faculty, although it is expected that core faculty will participate in a neuroscience society, local or international, related to clinical practice or perioperative neuroscience.

Next Steps
ICPNT is undergoing a review of procedures and improving the application and assessment process. International interest is continuing. We anticipate increasing value to those in the accredited program from participation in the growing ICPNT education network in neuroanesthesia.

Valuable suggestions and input were provided by ICPNT EC members Drs. Chanhung Lee and Shobana Rajan.

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