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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

Different Clinical Manifestations of MELAS in a Single Family (P5.073)
Conclusions: In 1992, diagnostic criteria for MELAS included symptom onset prior to 40-years of age. Numerous case reports have found patients presenting with MELAS after age 40 with genetic confirmation of the mutation. Today, the criteria have been eased and a diagnosis of MELAS should be considered in the appropriate clinical setting at any age.Disclosure: Dr. Koshy has nothing to disclose. Dr. Kamins has nothing to disclose. Dr. Mishra has nothing to disclose. Dr. Flippen has received personal compensation in an editorial capacity for the Journal of Graduate Medical Education and UpToDate. Dr. Singh has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Koshy, S., Kamins, J., Mishra, S., Flippen, C., Singh, S. Tags: Hereditary Muscle Diseases: Genetics and Phenotype 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

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

The bed cycling test: a new bedside test to detect mild unilateral cerebral dysfunction of the lower limb (P6.021)
Conclusions: The BCT test is a useful additional clinical bedside test to detectsubtle unilateral cerebral lesions, especially when regular neurological examination is unremarkable. The BCT is easy to perform and can be added to the neurological routine examination.Disclosure: Dr. Feil has nothing to disclose. Dr. Boettcher has nothing to disclose. Dr. Lezius has nothing to disclose. Dr. Hoegen has nothing to disclose. Dr. Huettemann has nothing to disclose. Dr. Muth has nothing to disclose. Dr. Eren has nothing to disclose. Dr. Schoeberl has nothing to disclose. Dr. Zwergal has nothing to disclose. Dr. Bayer has nothing t...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Feil, K., Boettcher, N., Lezius, F., Hoegen, T., Huettemann, K., Muth, C., Eren, O., Schoeberl, F., Zwergal, A., Bayer, O., Strupp, M. Tags: Ischemic Stroke Diagnosis 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

Trends in Cerebral Palsy in Saskatoon, Canada in the Last Four Decades (P6.330)
Conclusions: The KCC database is a valuable resource for longitudinal CP studies. Although improvements in care have resulted in a decreased burden of disability there remains scope for further improvements, especially in improving long term visual function.Disclosure: Dr. Sawicka has nothing to disclose. Dr. Rooks has nothing to disclose. Dr. Dzus has nothing to disclose. Dr. Norton has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sawicka, K., Rooks, K., Dzus, A., Norton, J. Tags: Child Neurology and Developmental Neurology: Other Source Type: research

Vascular Neurologists as Directors of Stroke Centers in the United States Brief Reports
Conclusions— Vascular neurologist led about one-third of stroke centers. There is opportunity for vascular neurologists to increase their role in stroke center directorship.
Source: Stroke - August 24, 2015 Category: Neurology Authors: Ramirez, L., Krug, A., Nhoung, H., Kazaryan, S., Gasparian, G., Perese, J., Razmara, A., Liebeskind, D. S., Majersik, J. J., Sanossian, N. Tags: Other Stroke Treatment - Medical Brief Reports 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

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

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

European Stroke Organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage
ConclusionThese guidelines inform the management of ICH based on evidence for the effects of treatments in RCTs. Outcome after ICH remains poor, prioritizing further RCTs of interventions to improve outcome.
Source: International Journal of Stroke - August 1, 2014 Category: Neurology Authors: Thorsten Steiner, Rustam Al‐Shahi Salman, Ronnie Beer, Hanne Christensen, Charlotte Cordonnier, Laszlo Csiba, Michael Forsting, Sagi Harnof, Catharina J. M. Klijn, Derk Krieger, A. David Mendelow, Carlos Molina, Joan Montaner, Karsten Overgaard, Jesper Tags: Guidelines Source Type: research

Determining the barriers and facilitators to adopting best practices in the management of poststroke unilateral spatial neglect: results of a qualitative study.
Conclusion: It is estimated that upwards of 40% of patients experience poststroke USN in the acute phase, and we have evidence of poor early management. This study identified several modifiable factors that prepare the ground for the creation and testing of a multimodal knowledge translation intervention aimed at improving clinicians' best practice management of poststroke USN. PMID: 24985390 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - May 1, 2014 Category: Neurology Authors: Petzold A, Korner-Bitensky N, Salbach NM, Ahmed S, Menon A, Ogourtsova T Tags: Top Stroke Rehabil 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

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