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Curriculum

In addition to daily clinical responsibilities, the curriculum includes opportunities for involvement in clinical trials, translational research and telemedicine protocols. The curriculum also provides exposure to the administrative aspects of hospital-based practice necessary for successful implementation of quality improvement initiatives and achieving and maintaining certification from accrediting bodies. The curriculum is designed to abide by the ACGME-mandated work hour limits and this will be monitored on a continuous basis by the fellowship program director. Elective time is incorporated into the curriculum to provide the necessary flexibility to tailor the program to the fellow's individualized learning plan.

The 12-month curriculum will include the following core rotations:

Rotation Duration
Neurology General Inpatient 5 months
Neurology Critical Care 3 months
EEG/Epilepsy Monitoring Unit 1.5 months
Elective 1.5 months
Endovascular Neurosurgery 1 month

Each month, the Fellow will have primary responsibility to the assigned clinical or elective rotation. Each rotation has specific goals and learning objectives and will be reviewed at the beginning and end of each rotation. A sample block rotation follows:

July August September October
Neurology
General
Inpatient
Neurology General
Inpatient
Neurology Critical Care EEG/EMU
November December January February
EEG/EMU-2 wks
Elective – 2wks
Elective Neurology
General
Inpatient
Endovascular Neurosurgery
March April May June
Neurology Critical Care Neurology General Inpatient Neurology Critical Care Neurology General Inpatient

In addition to the specific clinical rotation to which the fellow is assigned, the fellow will be expected to be intimately involved in concurrent clinical, educational, and scholarly activities over the course of the 12-month training period:

  • Clinical Procedures – Transcranial Doppler and EEG interpretation.
  • Clinical Trials – Screening and enrollment into ongoing clinical trials at Mayo Clinic Hospital.
  • Didactics/Case Conferences – Monthly Cerebrovascular Case Conference (Fellow-led conference in conjunction with Neuroendovascular Fellow).
  • Stroke Center Clinical Practice Committee– Monthly meeting to review Joint Commission inpatient stroke quality metrics.
  • Hospital Practice Team Committee – Monthly meeting to review issues related to practice, finance, and administration of hospital practice.
  • Scholarly activities- Fellows will be encouraged to publish original research, review articles, and to engage in mentored peer-review of manuscripts considered for publication in neurohospitalist journals.
  • Clinical Documentation - Learn the basics of proper clinical documentation necessary to support billing and reimbursement

At the conclusion of the fellowship, you will be well-prepared to provide evidence-based inpatient neurological care for a wide-spectrum of disease processes in an academic or community setting. You will also be prepared to lead quality-improvement initiatives, outcomes-based research projects, and direct efforts for achievement of institutional accreditation for primary stroke center certification by Joint Commission.

Evaluation

To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout this program. You are formally evaluated by your supervising faculty member following the completion of each clinical rotation; and then meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.

  • ART590068