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The fellows enjoy a broad range of curricular activities during the 12-month fellowship year.  Monthly rotations include:  stroke service (6), outpatient clinic (2), neurosonology (0.75), cardiac sonology (0.25), physiatry (0.5), neurocritical care (1), clinical research (1).  The Stroke Service provides educational opportunities to care for patients with acute stroke including thrombolytic and hemostatic therapies, as well as management of neurovascular illnesses in the ICU and inpatient (floor) settings.  The outpatient clinic provides educational opportunities to evaluate patients with complex chronic neurovascular conditions such as prior stroke, carotid and intracranial stenosis, cerebral aneurysm and cerebral AVMs.  It also provides the opportunity to evaluate patients with urgent neurovascular symptoms in the outpatient setting.  The neurosonology rotation provides the opportunity to learn the principles and techniques, as well as the opportunity to perform carotid and intracranial ultrasonography.  Fellows can elect to perform a sufficient number of procedures to qualify to sit for the American Society of Neuroimaging Neurosonology examination.  The cardiac sonology rotation provides the opportunity to learn the principles, indications and techniques of transthoracic and transesophogeal echocardiography.  The physiatry rotation provides the opportunity to evaluate and follow patients in the recovery of neurologic diseases and emphasizes exposure to modalities for rehabilitation after stroke.  The neurocritical care rotation provides the opportunity to learn principles and evaluate and treat patients with the full range of neurologic and neurosurgical critical illness.  The clinical research rotation provides an opportunity, typically done early in the fellowship year, to develop and start a research project which will be continued throughout the academic year.

Fellows rotate on-call, weekly, taken from home, where they supervise the on-call resident, patients with cerebrovascular disease.  This includes supervision of patients with acute cerebrovascular disease where they come into the hospital to administer thrombolytic therapy, as required.