The vascular neurology fellowship program is
ACGME accredited that is aimed at providing comprehensive subspecialty training
for graduates of neurology residency-programs in the field of Vascular
Neurology. The training will last a total of 12 months, which will be distinct
from and follow after three years of training in an accredited neurology
residency program. During the 12 months, the resident will be expected to
progressively gain the knowledge and skills necessary for the prevention,
evaluation and treatment of a wide range of diseases that result in vascular
injury to the nervous system. These conditions will include:
- Acute ischemic stroke
- Intracerebral
hemorrhage
- Aneurysmal
subarachnoid hemorrhage (SAH)
- Complications of
vascular disease, including raised intracranial pressure, sepsis,
respiratory failure and venous thrombosis
- Large vessel cerebral
atherosclerosis
- Cardiogenic
and aortic arch embolism to the brain and spinal cord
- Small cerebral artery
occlusive disease
- Hemodynamic/
hypoperfusion related brain ischemia
- Arterial dissection of
cerebral vessels
- Cerebral venous
thrombosis
- Vasculopathies
including inflammatory, infectious, toxic vasculopathies
and Moya-moya diseases
- Hereditary and acquired hypercoagulable states
- Disseminated
intravascular coagulation, thrombotic
thrombocytopenic purpurea, other hematological
disorders
- Antiphospholipid
antibody syndromes
- Substance abuse related cerebrovascular disorders
- Hypertensive encepahalopathy
- Migraine associated
stroke
- Genetic and metabolic cerebrovascular disorders
- Aneurysms, Vascular
malformations and fistulas
The trainees entering the vascular neurology
program will be expected to fulfill a basic core of mandatory rotations, but
elective time will be offered to accommodate individual training requirements
and career goals.
Core rotations:
- Vascular Neurology
In-patient Service – 3 months
- Neurological ICU – 3
months
- Neurosonology
– 1 month
- Neuroradiology
– 2 months
- Cerebrovascular
Research – 2 months
In addition, each resident will be on call
monthly for vascular neurology emergencies, and attend vascular neurology
out-patient clinics year-round.
Educational Goals & Objectives of
Individual Rotations:
During the individual rotations, the resident is expected to progressively gain knowledge and skills specific to each rotation.
This two-year combined fellowship in Neurosciences Critical Care and Stroke provides comprehensive training in critical care and cutting edge stroke management for graduates of neurology residency-program. Additionally, this is the only program which offers extensive training in transesophageal echocardiography (TEE) and cardiac hemodynamics by using the most advanced ultrasound technology. Clinical and basic research form integral parts of the fellowship training. Fellows who successfully complete the fellowship will have the option to enter into the endovascular neurology fellowship program at UMDNJ.
Endovascular Surgical Neuroradiology Fellowship
Definition:
Endovascular neurosurgical field is a
subspecialty that uses catheter technology, angiography, and clinical expertise
to diagnose and treat diseases of the central nervous system. The unique
clinical and invasive nature of this subspecialty requires special training and
skills. This field combines the best diagnostic and therapeutic techniques
available to deal with complex cerebrovascular
diseases.
Objectives:
In this subspecialty, the objective of training
is to give residents an organized, comprehensive, supervised, full-time
educational experience in diagnostic techniques and imaging of cerebrovascular diseases and endovascular neurosurgical
techniques. This experience includes the management of patients with
neurological disease, the performance of endovascular neurosurgical procedures,
and the integration of endovascular neurosurgical therapy into the clinical
management of patients.
The goals are to ensure that:
- The trainee is able to
practice independently in the field of endovascular neurosurgical
radiology upon graduation.
- The trainee is skilled
in the techniques of catheter technology and interpretation of cerebrovascular radiology with excellent diagnostic,
clinical and imaging capability.
- The trainee is
knowledgeable in the treatment of both hemorrhagic and ischemic strokes.
- The trainee is able to
provide excellent pre-procedural, intra-procedural and post-procedural
care to the patient including cerebrovascular
aspects of critical care management.
- The trainee would
demonstrate the competency and understanding of complex pathophysiology of cerebrovascular
anatomy and its correlation and application in clinical setting for the
best patient care.
Training in endovascular neurosurgical field
would be conducted in an environment conducive to investigative studies of a
clinical or basic science nature.
Duration of Training:
The program shall offer 1-2 years of fellowship. The candidates may enter directly in the second year of the training if they have fulfilled all the cognitive, procedural and judgment requirements of a first year fellow.
Stroke Research/Clinical Trials Fellowship
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
