Advanced Training in Vascular Neurology
The Vascular Neurology Fellowship at University Hospitals Cleveland Medical Center, in collaboration with Case Western Reserve University, is a one-year, Accreditation Council for Graduate Medical Education (ACGME)-accredited, individualized training program that is designed to develop expertise in the diagnosis, management and prevention of vascular neurologic disorders while caring for a diverse population of patients with a wide variety of neurovascular conditions.
Goals and Objectives of the Vascular Neurology Fellowship
The Vascular Neurology Fellowship is aligned with our University Hospitals mission "To Heal. To Teach. To Discover." and to deliver innovative, integrated and individualized care. The program aims to train our future leaders and directors of stroke centers that will deliver the highest quality care to their patients, as we would wish for our own families.
The Vascular Neurology Fellowship is an individualized Fellowship that aims to train the next generation of Vascular Neurologists and to develop the skills needed to pursue their career objectives. To that end, fellows are assigned a mentor that aligns with their career objectives. Whether you plan an academic career or to be a Program Director at a Primary Stroke Center, we can provide you with the skills to design and run clinical trials, understand how to participate in and run a system of stroke centers and to head a stroke center.
For those pursuing a career in epidemiology or clinical trials UH Cleveland Medical Center, in collaboration with Case Western Reserve University, offers a Graduate Certificate and a Master's in Science through the Clinical Research Science Program (CRSP). For those wishing to pursue further training in endovascular surgical neuroradiology, this fellowship fulfills the prerequisite of one year of vascular neurology in an ACGME-approved program.
Training at University Hospitals Cleveland Medical Center
Training takes place at UH Cleveland Medical Center, a comprehensive care academic medical center with 1,032 beds, including the Reinberger Neuroscience Intensive Care Unit. Founded in 1866, this renowned academic medical center is intricately linked to the history of Cleveland and nurtured and supported by the city's great industrial families of the late 19th and 20th centuries. It is the hub of the University Hospitals Health System of 18 hospitals and over 40 ambulatory centers employing 4,700 physicians and over 25,000 employees, which makes it one of the most integrated health care systems in the nation.
University Hospitals has been recognized for its clinical excellence as an academic medical center by the U.S. News & World Report, Healthgrades, Vizient, Ethisphere and Most Wired. It is a Magnet Award and Beacon Gold Award winner and has achieved the highest Get With the Guidelines-Stroke awards since they were first offered.
Comprehensive Stroke Center Excellence
The Comprehensive Stroke Center at University Hospitals Cleveland Medical Center was one of the earliest in the nation to be designated as a Comprehensive Stroke Center by the Joint Commission and the American Heart/Stroke Association. The experienced faculty and staff treat patients with the most complex strokes and cerebrovascular conditions and coordinate stroke care across the health system. University Hospitals is affiliated with Case Western Reserve University School of Medicine.
Each year the inpatient Stroke Service responds to approximately 1100 stroke alerts and discharges 1000 patients representing 60% of stroke discharges in the health system. Compliance with GWTG metrics is 98-100% for stroke patients overall, with subtypes- 65% ischemic, 24% with intracerebral hemorrhage and 11% with subarachnoid hemorrhage. To date UH Cleveland Medical Center is on track for 135 IV tPA patients and 105 thrombectomies for 2021. Our IV-tPA utilization is 25% with door to needle times averaging 36 minutes for ED and 42 minutes for in-house BATs. Symptomatic intracranial hemorrhage complicates 0% of tPA patients and thrombectomy-treated patients who average 6 hours from last-known-well to presentation.
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