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Thrombolytic Utilization in Ischemic Stroke Is Significantly Higher in US Hospitals with Neurology Residency Program (S02.006)
CONCLUSIONS: Stroke care at NR hospitals is associated with an increased thrombolytic utilization rate. The increased tPA utilization at NR between 2002-2006 may be related to the rapid increase in Primary Stroke Centers across the country.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Grant has nothing to disclose. Dr. Valsamis has nothing to disclose. Dr. Levine has received personal compensation in an editorical capacity for MEDLINK.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moradiya, Y., Grant, J., Valsamis, H., Levine, S. Tags: S02 Acute Stroke Therapy Source Type: research

Thrombolytic utilization for ischemic stroke in US hospitals with neurology residency program
Conclusions: Acute stroke care in NR hospitals is associated with an increased thrombolytic utilization. The disparities between the thrombolysis rate in NR and that in OT and NT hospitals are greater among elderly patients.
Source: Neurology - December 2, 2013 Category: Neurology Authors: Moradiya, Y., Crystal, H., Valsamis, H., Levine, S. R. Tags: Medical care, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Spanish Version of the National Institutes of Health Stroke Scale: Awareness and Use in the United States. A Survey Study (P6.023)
Conclusion: Neurology and Emergency medicine training programs are generally not aware of the availability of the NIHSS Spanish version. There is a need to increase awareness and to promote the use of the Spanish version of the NIHSS and to address the validation of its use by interpreters given the large and expected increase in the population of Hispanics.Disclosure: Dr. Villalobos has nothing to disclose. Dr. Barnes has nothing to disclose. Dr. Maud has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Piriyawat has nothing to disclose. Dr. Rodriguez has nothing to disclose. Dr. Cruz-Flores has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Villalobos, E., Barnes, S., Maud, A., Qureshi, I., Piriyawat, P., Rodriguez, G., Cruz-Flores, S. Tags: Ischemic Stroke Diagnosis Source Type: research

A call for formal telemedicine training during stroke fellowship
During the 20 years since US Food and Drug Administration approval of IV tissue plasminogen activator for acute ischemic stroke, vascular neurology consultation via telemedicine has contributed to an increased frequency of IV tissue plasminogen activator administration and broadened geographic access to the drug. Nevertheless, a growing demand for acute stroke coverage persists, with the greatest disparity found in rural communities underserved by neurologists. To provide efficient and consistent acute care, formal training in telemedicine during neurovascular fellowship is warranted. Herein, we describe our experiences in...
Source: Neurology - May 8, 2016 Category: Neurology Authors: Jagolino, A. L., Jia, J., Gildersleeve, K., Ankrom, C., Cai, C., Rahbar, M., Savitz, S. I., Wu, T.-C. Tags: All Health Services Research, All Cerebrovascular disease/Stroke, All Education CONTEMPORARY ISSUES: INNOVATIONS IN EDUCATION Source Type: research

Comment: Telemedicine training during stroke fellowship
In 2009, the American Heart Association recommended the implementation of telemedicine within stroke systems of care.1 Telestroke services have expanded throughout the United States, and have led to improvements in access to care, recombinant tissue plasminogen activator utilization, and cost-effectiveness. Medical trainees must be educated to utilize these new technologies and health care delivery models. There is limited information on the training of telemedicine providers and what education is necessary. A recent article recommended telemedicine-related enhancements to Accreditation Council for Graduate Medical Educati...
Source: Neurology - May 8, 2016 Category: Neurology Authors: Lynch, J. Tags: All Health Services Research, All Cerebrovascular disease/Stroke, All Education CONTEMPORARY ISSUES: INNOVATIONS IN EDUCATION Source Type: research

Non-Neurologist Self Assessment of Emergency Neurology Proficiency and Interest in a Novel Intensive Stroke and Neurocritical Care Training Program: The X-CHANGE Program (P1.045)
Conclusions:Hospital based non-neurology physicians have significant exposure to critically ill neurological patients. Many are not comfortable with important fundamental skills, such as the neurological exam. There is strong interest in a proposed intensive training program emphasizing bedside teaching. Based upon these results, we are developing a formal intensive training program for practicing non -neurology physicians called the "Cross-disciplinary Cerebrovascular HospitAl NeuroloGy Education" program.Disclosure: Dr. Yee has nothing to disclose. Dr. Ke has nothing to disclose. Dr. Wong has nothing to disclose. Dr. Bar...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Yee, A., Ke, M., Wong, C., Barazangi, N., Tong, D., Chen, C. Tags: Graduate Medical Education Research Source Type: research

Does Resident Level of Training Affect Time to tPA Treatment? (P4.292)
CONCLUSIONS: While no overall difference was seen in DTN or RWT between different levels of training, there was significant variance in resident work time between the junior residents. Future analysis will focus on specific areas of variance in order to direct future training initiatives.Disclosure: Dr. Bishop has nothing to disclose. Dr. Guzik has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bishop, L., Guzik, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Ischemic Stroke Treatment Source Type: research

Longer Door to Needle Times When Fellows Administer Tissue Plasminogen Activator via Telemedicine (P2.359)
Conclusions: DTN was longer over TM than in our ED. While our findings imply that NFVs may have taken a longer time to administer IV tPA, further studies are needed to determine what are the causative factors and how to address them.Disclosure: Dr. Jagolino has nothing to disclose. Dr. Bozorgui has nothing to disclose. Dr. Cossey has nothing to disclose. Dr. Ankrom has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Irani has nothing to disclose. Dr. Vahidy has nothing to disclose. Dr. Savitz has received research support from NIH T32 grant. Dr. Wu has received personal compensation for activities with Genentech.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Jagolino, A., Bozorgui, S., Cossey, T., Ankrom, C., Patel, J., Irani, M., Vahidy, F., Savitz, S., Wu, T.-C. Tags: Education Research: Graduate Medical Education Source Type: research

Clinical Neuroscience Podcasts for Family Medicine, Internal Medicine, and Neurology Residents: A Needs Assessment Study (P1.312)
CONCLUSIONS: There was much interest in clinical neuroscience podcasts among residents in Family Medicine, Internal Medicine, and Neurology. We identified features and content that can be incorporated into our proposed podcasts to specifically address the needs of our potential audience.Disclosure: Dr. Brust has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Brust, T., Yeung, M. Tags: Neurology Education: Graduate Medical Education Source Type: research

Exploring Self-Reported Lifestyle and Career Choices Among Vascular Neurology Fellows (P2.304)
CONCLUSIONS: This survey is the first systematic attempt to describe lifestyle and career choices of vascular neurology trainees. Although less than half of the programs responded, none of the queried trainees aspired to a career in private practice, consistent with the academic profile of their training programs.Disclosure: Dr. Bulic has nothing to disclose. Dr. Levine has received personal compensation for activities with NCME and as a medical legal consultant. Dr. Levine has received personal compensation in an editorial capacity for Medlink, and for editing a book on TIAs. Dr. Khandelwal has nothing to disclose. Dr. Au...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bulic, S., Levine, S., Khandelwal, P., Auerbach, E., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research

Simulation Boot Camp For Neurology Residents: A Unique Experience From A Training Perspective (P1.307)
CONCLUSIONS:High fidelity simulations are effective tools for neurology residents, allowing them to manage neurological emergencies in a safe and reproducible environment. hence, may improve resident performance in actual patient care scenarios. Utilization for onboarding of rising PGY2 residents appears to provide a great benefit to the learnersDisclosure: Dr. Tariq has nothing to disclose. Dr. Irfan has nothing to disclose. Dr. Willging has nothing to disclose. Dr. Hurliman has nothing to disclose. Dr. Lisa has nothing to disclose. Dr. Hart has nothing to disclose. Dr. Dolan has nothing to disclose. Dr. Tiryaki has recei...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Tariq, N., Irfan, M., Willging, J., Hurliman, E., Lisa, F., Hart, D., Dolan, C., Tiryaki, E. Tags: Neurology Education: Graduate Medical Education Source Type: research

Simulation-Based Medical Education in Acute Neurologic Emergencies (P1.059)
Conclusions:Our data confirms the utility of SBME in acute neurologic disorders to improve resident confidence, clinical knowledge, teamwork, and communication skills. This experience allows us to improve future simulations by focusing on updated guidelines and a detailed analysis of resident performance.Disclosure: Dr. Ansari has nothing to disclose. Dr. Swor has nothing to disclose. Dr. Moreno has nothing to disclose. Dr. Park has nothing to disclose. Dr. Holder has nothing to disclose. Dr. Koo has nothing to disclose. Dr. Poblete has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Ansari, M., Swor, D., Moreno, G., Park, K., Holder, D., Koo, B., Poblete, R. Tags: Undergraduate Medical Education Research Source Type: research

High-Fidelity Simulation Versus Traditional Didactic Techniques for Teaching Neurological Emergencies to Neurology Residents: A Feasibility Study. (P1.323)
CONCLUSIONS: Simulation based learning offers promise as a tool for objectively assessing some of the ACGME competencies that are more difficult to evaluate via traditional means. Studies with larger N and longer follow-up are needed to assess the efficacy, learner-retention and satisfaction rates among groups.Study supported by AAN education grant 2013.Disclosure: Dr. Agarwal has nothing to disclose. Dr. Dangayach has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Roque has nothing to disclose. Dr. Cappaert has nothing to disclose. Dr. Fowler has nothing to disclose. Dr. Claassen has nothing to disclose. Dr. ...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Agarwal, S., Dangayach, N., Patel, P., Roque, A., Cappaert, M., Fowler, D., Claassen, J., Mayer, S. Tags: Neurology Education: Graduate Medical Education/Undergraduate Medical Education Source Type: research

An Unusual Case Of Cadasil With Occipital Lobe Involvement (P6.006)
CONCLUSION: We discuss the unique features of a rare case of occipital lobe predominant CADASIL lacking the typical anterior temporal lobe involvement. This case exemplifies the heterogeneity of clinical findings that may be associated with NOTCH3 mutations.Disclosure: Dr. Mishra has nothing to disclose. Dr. Rao has nothing to disclose. Dr. Flippen has received personal compensation for activities with MAP Pharmaceuticals/Allergan. Dr. Flippen has received personal compensation in an editorial capacity for the Journal of Graduate Medical Education and Up-To-Date. Dr. Flippen has received Dr. Fogel has received personal com...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mishra, S., Rao, N., Flippen, C., Fogel, B., Hathout, G., Thomas, M., Kattan, J., Trikamji, B. Tags: Treatments, Therapeutics, and Biomarkers Poster Discussion Session Source Type: research

Simulation of Neurological Emergencies for Milestones-Based Learning and Assessment (P2.357)
CONCLUSIONS: Simulations of neurological emergencies can increase resident comfort in several aspects of care and can be used to reliably assess resident competence based on the Neurology Milestones.Disclosure: Dr. Loomis has nothing to disclose. Dr. Robeson has nothing to disclose. Dr. DiCapua has received personal compensation for activities as a consultant. Dr. Dodge has nothing to disclose. Dr. Evans has nothing to disclose. Dr. Moadel has nothing to disclose. Dr. Cruz has nothing to disclose. Dr. Moeller has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Loomis, C., Robeson, K., DiCapua, D., Dodge, K., Evans, L., Moadel, T., Cruz, L., Moeller, J. Tags: Education Research: Graduate Medical Education Source Type: research

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