This will be a 1-4 week elective to help the fellow gain experience with taking calls from the UW Access Center and the VA AOD triage. This elective will be primarily done during the day and in conjunction with the on-call attending physician. The fellow will be involved in telephone calls and will also directly observe or, if they have met the criteria as stated in the fellowship manual, performing telestroke consultations.
By the end of this elective, the fellow should feel comfortable taking calls from providers who are requesting guidance on the evaluation and treatment of patients with potential cerebrovascular diseases. The fellow should understand the potential limitations of not being able to directly interview and examine patients with acute neurological deficits and should start to develop skills to help them discuss the case with referring providers to get the necessary information to help advise on giving IV thrombolytics, obtaining more imaging studies locally when possible, and when it is necessary to transfer the patient to our hospital for a higher level of care.
Objectives and Evaluation Matrix
As with all of the fellowship rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation.
This will be coordinated with the on-call attending. Ideally it will be for most of the daytime call hours (8AM-8PM).
There are two optional working case conferences that may be of interest to fellows on the access call elective.
- Neurovascular conference occurs on the 2nd and 4th Mondays of each month at 1600 in the Juhl conference room, 4th floor near the Atrium elevators. It is an interdisciplinary working conference mostly involving complex aneurysm and AVM cases.
- Stroke Case Conference occurs on the 2nd and 4th Thursdays of each month at 1530 in the Neurology conference room (MFCB 7114). This is a working conference for complex inpatient and outpatient stroke cases, primarily involving neurology stroke faculty.
The number of work hours per week is estimated to be 50-60; there are no weekend duties.
American stroke association guidelines: http://my.americanheart.org/professional/guidelines.jsp
Bogousslavsky, J., & Caplan, L. R. (2001). Uncommon causes of stroke. Cambridge, UK; New York, NY, USA: Cambridge University Press.
Mohr, J. P., Wolf, P. A., Grotta, J. C., Moskowitz, M. A., Mayberg, M., & von Kummer, R. (Eds.). (2011). Stroke pathophysiology, diagnosis, and management (5th ed.). Philadelphia, PA: Elsevier/Saunders.
Stroke Trials Registry. This website contains summaries of many completed and ongoing clinical trials. http://www.strokecenter.org/trials/
Latest revision: 07-22-2019