Mayo Clinic's neurological clinical material is rich and varied, offering you the opportunity to see both common and unusual neurological and neurosurgical problems.
The clinical component of the Vascular Neurology Fellowship involves evaluating and managing patients with all forms of cerebrovascular disorders, performing and interpreting noninvasive cerebrovascular studies, and participating in clinical treatment trials.
Your clinical training includes rotations in the outpatient cerebrovascular clinic in the Department of Neurology and on the inpatient stroke and cerebrovascular disease hospital service. The inpatient experience includes the opportunity to care for patients with cerebrovascular diseases in the Neurology/Neurosurgery Intensive Care Unit, including those with acute ischemic stroke, subarachnoid hemorrhage and intracerebral hemorrhage.
Because Mayo is the primary cerebrovascular disease and stroke care provider for a large geographical area, the hospital practice includes local patients with common and uncommon cerebrovascular disorders. In addition, as a tertiary referral center, Mayo sees national and international patients who are referred for all types of cerebrovascular disorders.
In the outpatient cerebrovascular clinic rotation, you have the opportunity to evaluate patients new to Mayo Clinic who are referred directly to the Department of Neurology, and also consultations referred from other Mayo health care providers. Patients seen in the clinic present with a wide range of cerebrovascular disorders. Common diagnoses include asymptomatic carotid occlusive disease, transient ischemic attack, cerebral infarction of all types and mechanisms, intracranial aneurysms and vascular malformations, vasculitis, and a variety of other cerebrovascular disorders.
Mayo Clinic has an active telestroke practice. You have the opportunity to evaluate patients remotely, participating in the telestroke program.
Your training includes cerebrovascular conferences and other clinical conferences in the Department of Neurology, including:
- Weekly Neurology Grand Rounds
- Bimonthly hospital-based case conference
- Weekly rotating subspecialty conference
- Semiweekly cerebrovascular therapeutics conference
The Division of Cerebrovascular Diseases participates in each of these rotating conferences. The evidence-based medicine program, case conferences, visiting faculty conferences, and all didactic courses are open to both residency program members and fellows in all subspecialties.
The research component of the Vascular Neurology Fellowship includes using clinical epidemiological techniques and population databases to develop research protocols, organizing and completing at least one clinical research project, and undergoing formal training in medical research methodologies. Dedicated research time is available during your one- or two-year fellowship.
You work with mentors among the vascular neurology faculty as you decide on your research project(s), develop data collection forms, collect data, analyze the data, and submit abstracts and manuscripts.
Additional skills you acquire include:
- Writing research grants
- Handling clinical research data in a computerized format
- Editing and validating data sets
- Analyzing and reporting results
There is a formal clinical and patient-oriented research training program in Mayo Clinic Graduate School of Biomedical Sciences. You may take courses of your choosing within this program to enhance your skills in all aspects of clinical research. The Mayo Clinic Center for Clinical and Translational Science (CCaTS) also is a resource.
To ensure that you acquire adequate knowledge and develop your technical skills, your performance is monitored carefully during the course of your program training.
At the completion of each rotation, fellows are evaluated by the faculty to whom they were assigned. This is accomplished through Mayo Clinic's Residency Management System, MedHub. MedHub is linked to the six core competencies identified by the Accreditation Council for Graduate Medical Education (Patient Care, Medical Knowledge, Interpersonal Skills and Communication, Professionalism, Practice-Based Learning and Improvement, and Systems-Based Practice).
Completed faculty evaluations are reviewed by the program director, who assigns a pass/fail grade based on the scores and comments by the faculty member. Upon approval of the evaluation by the program director, the evaluation immediately becomes available electronically to the fellow in the MedHub system.