Vascular Neurology

Mission Statement Fellowship DirectorShawna Cutting, MD, MS: Fellowship Director

Our goal is to foster exceptional training in vascular clinical neurology and the opportunity for clinical research in the vascular neurosciences. We aim to provide our vascular neurology fellows with exposure to all aspects of vascular neurology and neuroscience with increasing autonomy and attainment of the positive characteristics of the six core competencies necessary to become outstanding independent practitioners of vascular neurology.

Program Overview

The Advanced Comprehensive Stroke Center at Rhode Island Hospital is affiliated with Alpert Medical School of Brown University. We are Joint Commission certified and recognized by the American Heart/Stroke Association  as a Gold Plus/Target Stroke Center. We consist of a dedicated team of physicians, allied health professionals and support staff that provide primary and consultative care to patients with neurovascular disorders in a tertiary care setting. Our mission is to provide exceptional care to patients with vascular neurologic disease; participate in the education and development of residents, fellows, and medical students; to advance clinical research in the vascular neurosciences; and to promote dissemination of information about stroke in the community.

Out center offers a seamless array of acute preventive and tertiary care backed by excellence in research and education. The hospital is a non-profit organization and the largest employer in Rhode Island. There are over 700 beds, over 1800 physicians, over 600 house officers, and over 140,000 emergency department visits annually.

Rhode Island Hospital has a dedicated TIA unit in the emergency department, a 20-bed stroke unit, a dedicated 18-bed neurocritical care unit, 24/7 neurointerventional care, and neurovascular surgery. Over 800 patients with ischemic stroke, over 200 patients with intracerebral hemorrhage, over 200 patients with transient ischemic attack, and approximately 80 patients with subarachnoid hemorrhage are seen annually. Over 200 patients receive intravenous thrombolysis each year (one quarter of all ischemic stroke patients), with a median delivery time of 40 minutes. Approximately 130 intra-arterial procedures for acute stroke are performed annually.

Research studies are performed for ischemic stroke (prevention, acute treatment, and rehabilitation) and intracerebral hemorrhage. The research team includes the research coordinator and 5 research assistants who help with enrollment in clinical trials 24/7.

There are 6 trainees per year in the neurology residency and 10 students from the Alpert Medical School of Brown University each month who are actively involved in the care of stroke patients. 

Prerequisites

  • Successful completion of an ACGME-accredited neurology residency
  • A current curriculum vitae
  • professional photo
  • personal statement
  • three letters of reference (one must be from the residency program director) should be uploaded to the ERAS website

We participate in the match by ERAS.  Our NRMP number is 1677188F0Click here to view the match calendar

Accreditation Status

The program is accredited by the ACGME. Our program number is 1884318001

Length of training

1 year, July 1st-June 30th

Training schedule

  • 5 months Vascular Neurology Inpatient duty
  • 1 month neuro-ICU
  • 2 months neurosonology
  • 1 month neuroradiology
  • 1 month neurorehabilitation
  • 2 months research/elective
  • 1 half day of clinic per week
  • 4 weeks of vacation

On Call

While on the vascular neurology inpatient rotation, fellows will take 2 weekdays of call per week and 1 weekend day call.  There is no call while on other rotations. Call responsibilities include leading vascular ward rounds, supervising code strokes with residents directly or indirectly, and attending cerebral angiograms when possible.

Educational Conferences

Click here to view a description of all recurring conferences on the residency page


Monday
Tuesday
Wednesday
Thursday
Friday
Saturday or Sunday
8-9
Morning report
Morning report Neurology Grand Rounds (Joint EM/Vascular Neurology quarterly)
Morning report Morning report Vascular Wards Rounds (only when on wards rotation)
9-10
Vascular Ward Rounds Start Vascular Ward Rounds Start
Vascular Ward Rounds Start
Vascular Ward Rounds Start
Vascular Ward Rounds Start
 
10:30-11:30
Cerebrovascular conference




11-12





12-1
Noon conference Noon conference
Neuroradiology rounds
Noon conference
Noon conference
1-2


Stroke Center Meeting (M&M presented once monthly by fellow)

2-5
Vascular Wards Signout @4:30pm Vascular Wards Signout @4:30pm
Vascular Neurology Fellow Clinic/Vascular Wards Signout @4:30pm
Vascular Wards Signout @4:30pm
Vascular Wards Signout @4:30pm
 

Faculty & Staff

A roster of our faculty and staff can be found on the Comprehensive Stroke Center page