The Advanced Comprehensive Stroke Center at Rhode Island Hospital is affiliated with The Warren Alpert Medical School of Brown University. We are Joint Commission certified Comprehensive Stroke Center 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.
Our 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 700 beds, 1800 physicians, 600 house officers, and over 150,000 emergency department visits annually. Our stroke faculty consists of 7 vascular neurologists at Rhode Island Hospital and 2 neurohospitalists/vascular neurologists at The Miriam Hospital.
Rhode Island Hospital has a 24/7 TIA unit in the emergency department, a 20 bed stroke unit, an 18 bed closed neurocritical care unit, 24/7 neurointerventional care, and 5 neurointerventional radiologists. We are the only hospital in the United States to have an MRI in the ED with an adjacent biplane angiosuite which is dedicated to mechanical thrombectomy cases. Over 1100 patients with ischemic stroke, over 250 patients with intracerebral hemorrhage, and over 80 patients with subarachnoid hemorrhage are seen annually. Over 220 patients receive intravenous thrombolysis each year, with a median delivery time of 40 minutes. Over 280 mechanical thrombectomies are performed annually.
Research studies are performed for ischemic stroke (prevention, acute treatment, and rehabilitation) and intracerebral hemorrhage. We are a site for NIH StrokeNet and enroll patients in both industry and government-sponsored trials. The research team includes the research coordinator and 5 department-funded research assistants who help with enrollment in clinical trials.
There are 6 trainees per year in the neurology residency and 10 students from the Warren Alpert Medical School of Brown University each month who are actively involved in the care of stroke patients.
- Successful completion of an ACGME-accredited neurology residency
- 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
Length of training
1 year, July 1st-June 30th
- 24 weeks Vascular Neurology Inpatient service
- 6 weeks Consults at The Miriam Hospital (Primary Stroke Center)
- 4 weeks Neuro-ICU
- 2 weeks Neurosonology
- 2 weeks Neuroradiology / Neurointerventional Radiology
- 1 week Neurorehabilitation
- 1 week Telestroke
- 7 weeks Elective (6 track specific)
- 1 week of CME
- 4 weeks of Vacation
- 1 half-day of clinic per week (on most rotations)
As of 2020, fellows have the option to select a track to enhance and focus their training. The four tracks are within Endovascular, Neurorehabilitation, Neurohospitalist, and Research. Tracks will be distinguished within the vascular neurology fellowship by track specific electives, and completion of a designated track will be noted on your fellowship certificate.
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 and sample vascular inpatient schedule
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 Start (on inpatient service only)|
|9-12||Vascular Rounds||Vascular Rounds||Vascular Rounds||Vascular Rounds||Vascular Rounds|
|12-1||Noon conference||Noon conference||Neuroradiology rounds||Noon conference||Noon conference|
|1-2||Cerebrovascular Teaching / Journal Club (monthly)|
|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|
|4-5||Neurovascular Webinar SEries (monthly)|
|5-6||PFO conference (monthly)|
Faculty & Staff
A roster of our faculty and staff can be found on the Comprehensive Stroke Center page
How to Apply
Please contact Dr. Christoph Stretz (Fellowship Director) at [email protected] or call 401-444-8806.