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 Institutes of Health Stroke Scale (NIHSS) Scoring System.
  • Treatment of stroke patients in both inpatient and outpatient settings
  • Training in management of cerebrovascular patients in the Intensive Care Unit
  • Appropriate use of neuroimaging techniques such as CT, MRI, CT Perfusion, and 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 management
  • Understand neuro-interventional 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