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Vascular Neurology Fellowship

Curriculum


The goal of the Vascular Neurology fellowship is to provide comprehensive  training in the diagnosis, management, and research of patients with wide spectrum of cerebrovascular disease.  Emphasis will be placed on education and development of skills required to manage patients with cerebrovascular disease. During the period of training (one year), the Vascular Resident will be trained in the following areas of vascular neurology: 


  • Ability to provide detailed history and neurological examination of the stroke patient including use of the National Institute of Health Stroke Scale (NIHSS) Scoring System.
  • Treatment of stroke patients in both an in-and out-patient setting
  • Training in management of cerebrovascular patients in the intensive care unit 
  • Appropriate use of neuroimaging techniques such as CT, MRI, CT Perfusion, CT angiography
  • Appropriate use of ultrasound techniques including carotid duplex Doppler and transcranial Doppler for diagnosis and treatment of stroke patients
  • Involvement in clinical trials and research related to cerebrovascular disease
     
     By the end of their training period, the Vascular Resident is expected to:
  • Be able to take a detailed history including vascular risk factors of the stroke patient and perform the NIHSS
  • Articulate neuroanatomy as it applies to localization of symptoms of stroke
  • Be facile with current stroke therapies available for the stroke patient presenting within therapeutic time windows
  • Participate in clinical trials and basic research for treatment of cerebrovascular disease
  • Participate in teaching neurology residents and students regarding stroke evaluation and manangement 
  • Understand  neurointerventional approaches in the treatment of stroke patients
  • Utilize appropriate neuroimaging techniques in the diagnosis and evaluation of  stroke:
    • Magnetic Resonance Imaging (MRI)
    • MRI Diffusion-weighted Imaging (DWI)
    • MRI Perfusion-weighted Imaging (PWI)
    • MRI SPECT
    • MR Angiography (MRA)
    • Computed tomographic (CT) scans
      • Head CT
      • CT Angiography (CTA)
      • CT Perfusion (CTP)
  • Be facile with ultrasound techniques including carotid duplex Doppler and transcranial Doppler in the assessment of the stroke patient
    •  Carotid duplex Doppler
    •  Normal carotid U/S
    • Carotid U/S detection of stenosis
    • Carotid U/S detection of occlusion/dissection
    • Transcranial Doppler (TCD)
    • Ability to do 16 vessel TCD 
    • TCD normal flow velocities
    • Use of continuous TCD for emboli detection
    • Use of TCD to detect PFO
    • Use of TCD adjunctive therapy for thrombolytics