Introduction:
During this 1-4 week rotation, fellows will attend outpatient stroke clinics at the UW and VA hospitals and may attend related clinics, such as vascular neurosurgery and physiatry.
Goals:
The goal of this rotation is for fellows to develop skill in the outpatient evaluation and management of patients with known or suspected cerebrovascular disease. The emphasis is on evaluating spells concerning for TIA and stroke, the rational selection and interpretation of diagnostic studies, and the development of stroke mechanism-specific secondary stroke prevention regimens.
Objectives and Evaluation Matrix:
As with all of the neurology 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.
| # | Description | Milestones |
| 1 | Evaluate patients who have been diagnosed with stroke or have symptoms consistent with stroke, formulate their cases, and propose appropriate diagnostic and therapeutic plans | PC1, PC2, PC4, PC5, MK1, MK2, MK4, MK5, MK6, MK7, SP1, SP3, SP4, PL1, PR2, IC1, IC2 |
| 2 | Appropriately order and interpret neuroimaging studies | MK3, SP4 |
| 3 | Counsel patients and their families regarding their diagnoses, prognoses, and treatment options | SBP4, PR1, IC1, IC2 |
| 4 | Clearly document and place orders in Health Link and follow up on the results of tests | SBP3, PR2, IC3, IC4 |
Schedule:
A schedule of your week will be sent to you via email at least one week in advance. If there are other areas you would like to explore with this elective, please give a minimum of 3-4 weeks advance notices so there is time to coordinates schedules. Some of these other areas are listed below, but open to other suggestions as well.
- Physiatry
- Neuro-ophthalmology
- Neuroradiology
- Neuroendovascular (Wednesday clinic)
- Vascular neurosurgery
Mandatory Conferences
- Stroke Case Conference occurs every Friday at noon. The virtual link is included in the weekly send out. Fellows will present cases at least 6 times a year.
Optional Conferences
There are two optional working case conferences that may be of interest to fellows on the Stroke service.
- 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.
Work Hours
The number of work hours per week is estimated to be 40-50; there are no weekend or call duties assigned to the service.
Suggested References
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: 07/01/2024, Jamie Elliott, MD, PhD
