Minifellowship in Stroke and Vascular Neurology 2022
This course is designed to enhance knowledge and expertise of physicians practicing in the field of stroke. It will help develop a workforce of neurologists with training in stroke.
Training the “NEUROLOGISTS OF TOMORROW”
A Neurology Fellow Blended Education Program
Course Description:
This course is designed to enhance knowledge and expertise of physicians practicing in the field of stroke. It will help develop a workforce of neurologists with training in stroke that can guide, supervise and facilitate stroke care at all levels of healthcare.
Course methodology:
This is an innovative and pioneering work in teaching methodology. Blended learning means a blend of self-directed learning, online interaction, formative feedback and face to face skills development. Participants will have online education and interactive guidance with feedback every week, required tasks and assignments to be submitted online, providing them complete freedom on when to do them, where to do them and how to do them.
Target Audience:
Neurology trainees and Recent Graduates of Neurology Training Programs
Goals:
Course Directors:
M. Fareed K. Suri,
Stroke Director,
St Cloud Hospital Minnesota
Shahid Rafiq MD
Stroke Director,
West Virginia University of School of Medicine
Danish Bhatti MD FAAN,
Associate Professor,
University of Nebraska Medical Center
Director International Neurology Program
Final Exam
Case discussion 1 - Jan 16th 2022
Case discussion 2 - Jan 23rd 2022
Case discussion 3 - Jan 29th 2022
Case discussion 4 - Feb 6th 2022
Case discussion 5 - Feb 12th 2022
Case discussion 6 - Feb 20th 2022
Case discussion 7 - Feb 27th 2022
Case discussion 8 - March 6th 2022
Case discussion 9 - March 12th 2022
Case discussion 10 - March 26th 2022
Case discussion 11 - April 3rd 2022
Case Discussion 12 - April 5th 2022
Case Discussion 13 - April 9th 2022
Case Discussion 14 - April 16th 2022
Case Discussion 15 - April 23rd 2022
Case Discussion 16 - May 7th 2022
Case Discussion 17 - May 15th 2022
Case Discussion 18 - May 21st 2022
Case Discussion 19 - May 29th 2022
Case Discussion 20 - June 4th 2022
Case Discussion 21 - June 12th 2022
Case Discussion 22 - June 18th 2022
Case Discussion 23 - June 26th 2022
Case Discussion 24 - July 16th 2022
Case Discussion 25 - July 24th 2022
Case Discussion 26 - July 30th 2022
Case Discussion 27 - Aug 7th 2022
Case Discussion 28 - Aug 13th 2022
Case Discussion 29 - Aug 21st 2022
Case Discussion 30 - Aug 28th 2022
Case Discussion 31 - Sep 4th 2022
Case Discussion 32 - Sep 17th 2022
Case Discussion 33 - Sep 26th 2022
Pre-Test
INTRODUCTION
OBJECTIVES
Lecture 1
Lecture 2
Lecture 3
Lecture 4
Required Reading
Optional Reading
Optional Reading
Assignment
Post test
INTRODUCTION
Pretest
Lecture 1: Risk Factors 1
Lecture 2: Risk Factors 2
Lecture 3: Risk Factors - Cardioembolic
Lecture 4: Risk Factors - Extracranial Athero
Lecture 5: Risk Factors - Other Etiologies
Lecture 6 - AHA 2021 Stroke Prevention Guidelines
Lecture 7: Risk Factors - 4 Cases
Required Reading - 1
Optional Reading - 1
Optional Reading - 2
Optional Reading - 3
Optional Reading - 4
Optional Reading - 5
Optional Reading - 6
Optional Reading - 7
ASSIGNMENT
Post test
INTRODUCTION & Objectives
Lecture 1: ACUTE STROKE ASSESSMENT SCALES
Pre test for Lacunar strokes and small vessel disease
Lecture 2(2022):Lacunar syndromes and small vessel disease
Lecture 3: TIA and Stroke mimics
Pre-test for Large vessel disease
Lecuture 4(2022): Large vessel disease
Required Reading: Lacunar strokes and infarcts a review - CM Fisher 1982
Required Reading: Lacunes small deep cerebral infarcts - C Miller Fisher - 1965
Required Reading: Oxfordshire classification of stroke - Lancet 1991
Required Reading: TOAST Classification - Stroke 1993
Required Reading: stroke mimics
Optional reading: Hereditary cerebral small vessel disease - 2017
Inherited and Uncommon Causes of Stroke - Continuum 2017
Optional reading: Cochrane review
Optional reading: CNS small vessel disease - Neurology 2019
Optional reading: Lacunar infarction and small vessel disease - Caplan 2015
Optional reading: Non atherosclerotic large vessel cerebrovascular arteriopathies - 2013
Optional reading: Systematic review for LVO scales
Optional reading: Pathophysiology of lacunar stroke - history mystery and modern interpretation - 2019
Optional reading: Update on cerebral small vessel disease - 2016
Optional Reading: 2021 Guidelines for prevention of stroke - American Heart Association/American Stroke Association
Optional Reading: 2021 Guidelines for prevention of stroke - corrections
Post test : Lacunar strokes and small vessel disease
Post test: Large vessel disease
Module 3: Assignment 1
Module 3: Assignment 2
Module 3: Assignment 3
Module 3: Assignment 4
Introduction & outline
Pre test: Module 4
Lecture 1 - Module 4 - Arterial Cerbrovascular Anatomy
Lecture 2 - Module 4 - Spinal Vascular Anatomy
Lecture 3 - Module 4 - Venous Vascular Anatomy
Required reading - Neurovascular anatomy – A practical guide
ASSIGNMENT: Module 4
Post test: Module 4
Introduction & Objectives
Pre test - module 5
Lecture 1 - module 5 - Neuroradiology of Stroke Part I
Lecture 2 - module 5 - Neuroradiology of Stroke Part II
Lecture 3 - module 5 - Neuroradiology of Stroke III
Lecture 4 - module 5 - Interesting and difficult cases scenarios
Required Reading - 1
Required Reading - 2
Required Reading - 3
Required Reading - 4
Required Reading - 5
Required Reading - 6
Required Reading - 7
Required Reading - 8
Required Reading - 9
Recommended Optional Reading - 1
Recommended Optional Reading - 2
Optional Reading - 1
Optional Reading - 2
Optional Reading - 3
Optional Reading - 4
Optional Reading - 5
Optional Reading - 6
Optional Reading - 7
Assignment module 5
Post Test - module 5
Introduction
Pre test - Module 6
Lecture 1 - Module 6 - Thrombolysis for Acute Ischemic Stroke
Lecture 2 - Module 6 - Thrombectomy for Acute Ischemic Stroke
Lecture 3 - Module 6 - In-hospital monitoring and Management of Complications
Required Reading - Thrombolysis trials- Pooled analysis of 9 trials
Required Reading - Contraindications for TPA- AHA/ASA 2015
Required Reading - AHA/ASA Guidelines 2019 update
Required Reading - Thrombectomy 6 to 24 Hours after Stroke
Required Reading - Thrombectomy for Stroke at 6 to 16 Hours with Selection
Required Reading - Periprocedural Management During Stroke Thrombectomy
Required Reading - Endovascular Thrombectomy for Acute Basilar Artery Occlusion
Required Reading - Endovascular therapy for acute ischaemic stroke
Required Reading - Concept of Ischemic Penumbra
Optional Reading - Collateral circulation
Optional Reading - Collateral window
Optional Reading - Concept of Mismatch
Optional Reading - ESO IVT Guidelines 2019
Optional Reading - ESO MT guidlines 2019
Optional Reading - TNK Meta Analysis
Optional Reading - TPA 4.5-9 hours
Optional Reading - WAKE UP
Additional Reading Material Module 6
Assigment 1 - Module 6
Assignment 2 - Module 6
Post Test - Module 6
Introduction
Lecture 1 - Secondary Stroke Prevention 1
Lecture 2 - Secondary Stroke Prevention 2
Required reading - Efficacy and safety of using dual vs single antiplatelet in secondary stroke prevention
Required reading - AHA/ASA Secondary stroke prevention guidelines-2021
Required reading - Guideline disparities in cervical artery dissection management
Required reading - PFO closure- Meta analysis
Required Reading - Stroke prevention after cryptogenic stroke
Required Reading - Inherited Thrombophilias
Additional Reading Material - Module 7
Module 7 - Assignment 1
Module 7 - Assignment 2
Introduction and Objectives
Intruduction Module 8
Pre Test - Module 8
Lecture 1 - Management of intracerebral hemorrhage
Lecture 2 - Etiology of intracerebral hemorrhage
Required Reading - AHA Guidelines for Acute ICH
Required reading - Intracerebral hemorrhage – Adnan Qureshi
Optional reading - Charcot-Bouchard Aneurysm review
Optional Reading - Anticoagulation resumption after ICH
Optional Reading - Post ARUBA
Optional Reading - Management of intracerebral hemorrhage
Optional Reading - Etiology of intracerebral hemorrhage
Assignment module 8
Post Test - Module 8
Introduction & Objectives
Pre test - module 9
Lecture 1 - Epidemiology and clinical presentation
Lecture 2 - Early Management and Stabilization
Lecture 3 - Delayed complications and clinical monitoring
Required Reading - International subarachnoid aneurysm trial (ISAT)
Required Reading - Unruptured Intracranial Aneurysms
Optional Reading - Subarachnoid haemorrhage
Assignment Module 9
Post Test - Module 9
Introduction & Objectives
Pre-Test - module 10
Lecture 1 - Cerebral Vasculitis
Lecture 2 - Cerebral vein thrombosis
Lecture 3 - Infective endocarditis
Lecture 4 - Cerebrovascular dissections
Required reading - Cerebral Venous Thrombosis
Required Reading - Cavernous Sinus Thrombosis
Post-Test - Module 10
Introduction & Objectives
Pre-Test - module 11
Lecture 1-Non-Inflammatory Arteriopathies
Lecture 2-Substance Abuse
Lecture 3-Antiphospholipid Syndrome
Lecture 4-Thrombophilias
Assignment - module 11
Post-Test - module 11
Introduction and Objectives
Pre module survey- Module 12
Pre test - module 12
Download Assignment Template
Lecture 1 - Disability etiquettes in stroke care
Lecture 2 - Introduction to Assignment
Lecture 3 - EBM resources in stroke rehab
Lecture 4 - Insights on Stroke Rehabilitation
Lecture 5 - AHA Guidelines Stroke rehabilitation
Required Reading - Role of Neurologists in Stroke : Different schools of thought
Required reading - Board Review Stroke Rehabilitation
Optional reading - AHA Guidelines Stroke Rehabilitation
Optional reading - Canadian Best Practice Recommendations
Optional reading - Cochrane (on very early mobilization)
Optional reading - EBRSR evidence summary (Refer to Conclusions)
Optional reading - Evidence based toolkit for upper limb recovery
Optional reading - Gait rehabilitation technology in stroke (review)
Optional reading - Neural repair treatments (review)
Optional reading - Neuroplasticity _ stroke - interesting read
Optional reading - Neuroplasticity basis of stroke rehab
Optional reading - Pharmcological augmentation + Rehab (review)
Optional reading - Use of AFO post stroke (best practice statement)
Assignment module 12- Stroke Rehabilitation
Post test module 12
Post module survey 12
Introduction & Objectives
Pre test - module 12b
Download Assignment Template
Lecture 1 : Rethinking Art of Spasticity Treatment
Lecture 2 - Spasticity - Integrated Statement and Universal Model of Care
Lecture 3 - BoNTx Spasticity
Required Reading-Post stroke spasticity
Required Reading-Appropriate positioning
Required Reading-Chemodenervation and nerve blocks
Optional Reading-A unified global approach in spasticity Rx
Optional Reading-Taxonomy of spastic peresis
Optional Reading - Updates on PSS World Congress 2021
Optional Reading-Overview Spasticity-PSS
Optional Reading-Pathophysiology of Spasticity
Optional Reading-Consensus statements-guidelines-BSRM-RMSANZ
Optional Reading-Evidence Cochrance-MDT-Non Pharmacologial
Optional Reading-Immobility Hazards-positioning-mobility
Optional Reading-Anticoagulation in spasticity Rx
Optional Reading-Surgical Treatments Spasticity
Assignment - Module 12b
Post test - module 12b
Required Reading-Hypercoagulability and Stroke
Stroke Core Measures: The Science behind it
Primary Stroke Centre
Assignment - module 13
Introduction
Introduction to Research Module
Blinding and Randomization
How Make Randomized List In Excel
Electronic Data Format
Causal Diagram
Counfounding
Sample Studies
Research Module Lecture - October 23rd 2022
Research Module Lecture - November 13th 2022
Research Module Lecture - November 27th 2022
Research Module Lecture - Decemeber 11th 2022
Research Module Lecture - January 22nd 2022
Research Module Lecture - January 29th 2022
Lecture 1
Lecture 2
Lecture 3
Lecture 4
Lecture 5
Datasets
Datasets
Muhammad Fareed Khan Suri
Danish Bhatti MD FAAN
Shahid Rafiq MD