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Curriculum and Rotations

Fellows are trained by faculty with expertise in clinical stroke management, surgical management of stroke and cerebrovascular disorders, vascular surgery, interventional neuroradiology, stroke imaging, neurosonology, and neurorehabilitation. Our curriculum provides fellows with individual mentorship and guidance to foster well-trained and proficient clinicians qualified to practice vascular neurology in clinical or academic positions.

Clinical Rotations

PGY-5
RotationBlocks
Inpatient Stroke Unit4
Stroke Consult2
Neuroimaging1.5
Elective2
Neurosonology.5
Neuro Critical Care1
Vascular Neuro-Ophthalmology.5
Stroke Research.5
Vascular Neurosurgery1
Night call 1 day/week from home for 13 Blocks
1 weekend call from home per Block

Under the guidance of faculty during the inpatient stroke rotation, fellows supervise a team of neurology residents, nurses, a pharmacist and rehabilitation specialists. Care is provided to patients admitted to the stroke service with TIA, ischemic stroke and hemorrhagic stroke.

The neuroimaging rotation familiarizes fellows with diagnostic angiography and advanced imaging of stroke. Fellows are exposed to interventional procedures, such as clot retrieval, intra-arterial thrombolysis, intracranial and extracranial arterial stenting. Fellows have the opportunity to assist neurointerventional faculty with some procedures.

During the neurosonology rotation, fellows are trained to conduct and interpret transcranial Doppler ultrasonography. Fellows are also trained to recognize normal and abnormal carotid ultrasounds.

During consult months, fellows provide consultative services to stroke patients throughout our hospital. This includes consults to our emergency department, where fellows have the opportunity to evaluate patients for acute interventional stroke therapies. In addition, fellows have the opportunity to consult on the inpatient trauma service and the intensive care unit. Supervision is provided by both neurosurgical faculty and stroke faculty.

While rotating through the neurocritical care unit, fellows assist with the management of complex vascular cases, such as aneurysmal subarachnoid hemorrhage, malignant middle cerebral artery infarction basilar artery thrombosis and acute intracranial hemorrhage. Fellows also learn how to care for patients who are post neuro-interventional procedures.

The two-week vascular neuro-ophthalmology rotation takes place at the UF Eye Institute, under the supervision of a neuro-ophthalmologist. The emphasis on this rotation is to enhance the fellows' ability to diagnose vascular ocular syndromes such as ischemic optic neuropathy, retinal artery occlusion and carotid-cavernous fistula.

Conferences

Teaching conferences are incorporated into the curriculum. These conferences complement enhanced learning experiences as provided by fellow clinical service.

  • Research conference once per month
  • Journal club twice per month
  • Clinical stroke teaching conference twice per month
  • Basic cerebrovascular neuroscience once per month
  • Interdisciplinary case conference once per month
  • Bioethics conference once per quarter
  • Stroke program quality improvement once per month

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