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