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:

  1. To enhance the knowledge and expertise of physicians practicing in the field of stroke.
  2. To develop workforce of neurologists with training in stroke that can guide, supervise and facilitate stroke care at all levels of healthcare.
  3. To help facilitate the appropriate, ethical, and safe use of thrombolysis therapy.
  4. To facilitate establishment of stroke centers of various levels.


Course Directors:

M. Fareed K. Suri,
Stroke Director,
St Cloud Hospital Minnesota

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Shahid Rafiq MD
Stroke Director,
West Virginia University of School of Medicine

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Danish Bhatti MD FAAN,
Associate Professor,
University of Nebraska Medical Center
Director International Neurology Program

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Course curriculum

  • 1

    Final Exam

    • Final Exam
  • 2

    Case Discussions

    • 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
  • 3

    Introduction

  • 4

    Module 1: Understanding Scientific Literature and Epidemiology of Stroke

    • Pre-Test

    • INTRODUCTION

    • OBJECTIVES

    • Lecture 1

    • Lecture 2

    • Lecture 3

    • Lecture 4

    • Required Reading

    • Optional Reading

    • Optional Reading

    • Assignment

    • Post test
  • 5

    Module 2: Understanding Scientific Literature and Epidemiology of Stroke

    • 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
  • 6

    Module 3: Clinical syndromes, presentations. atypical variants, stroke mimics

    • 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
  • 7

    Module 4: Cerebrovascular Neuroanatomy

    • 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
  • 8

    Module 5 : Neuroimaging

    • 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
  • 9

    Module 6 - Ischemic Stroke- Acute Management

    • 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
  • 10

    Module 7 - Ischemic Stroke- Secondary Prevention

    • 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
  • 11

    Module 8 - Intracerebral Hemorrhage

    • 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
  • 12

    Module 9 - Subarachnoid hemorrhage

    • 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
  • 13

    Module 10-Uncommon Stroke Etiologies

    • 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
  • 14

    Module 11-Uncommon Stroke Etiologies - Part 2

    • 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
  • 15

    Module 12a - Stroke rehabilitation

    • 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
  • 16

    Module 12b - Stroke spasticity

    • 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
  • 17

    Module 13 - Stroke systems of care

    • Required Reading-Hypercoagulability and Stroke

    • Stroke Core Measures: The Science behind it

    • Primary Stroke Centre

    • Assignment - module 13
  • 18

    Module 14 - Research study design and basic epidemiology

    • 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
  • 19

    Module 15 - Univariate Analysis

    • Lecture 1

    • Lecture 2

    • Lecture 3

    • Lecture 4

    • Lecture 5

    • Datasets

    • Datasets

Course Directors

Muhammad Fareed Khan Suri

MD, MSc Director Stroke Program St Cloud Hospital

Course Director

Danish Bhatti MD FAAN

Dr Danish Bhatti is a Movement Disorders Neurologists Associate Professor at University of Central Florida and teaches physicians internationally. Dr Bhatti directs an online mini-fellowship in Movement Disorders since 2017 with over 80 Neurologists trained from over 13 countries. Dr Bhatti directs annual training camps and workshops in Movement Disorders regionally, nationally and internationally including use of botulinum toxin and Deep Brain Stimulation therapy. Dr Bhatti has a strong interest in online and blended learning and has designed and directed hybrid workshops on neurological examination and botulinum toxin injections including workshops at American Academy of Neurology annual meetings. He has been recognized with A.B. Baker Teacher Recognition Award by American Academy of Neurology, International Best Teacher Award from Pakistan Society of Neurology and Impact in Education for Innovative practices award, a campus-wide award at University of Nebraska

Shahid Rafiq MD

Dr. Rafiq received his training in Neurology from Seton Hall University, NJ Neuroscience Institute in Edison, NJ. He completed his fellowship in Clinical Neurophysiology at the University of Texas, Health Science Center in San Antonio, TX. Before coming to the United States, Dr. Rafiq first practiced medicine in Pakistan and South Africa. Such vast experience provided him with a broad background in treating his patients in addition to concentrating on his areas of expertise. He is a clinical faculty member of West Virginia University School of Medicine and West Virginia University School of Osteopathic Medicine. The medical students from these institutions come to have clinical rotations with him in hospitals and clinics. These teaching assignments are the source of his continued interest in education, new interventions, and Neurological research. He is an active member of the American Academy of Neurology, American Academy of Sleep Medicine, and American Stroke Association/American Heart Association.

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