Stroke Observership Program

At Massachusetts General Hospital, Harvard Medical school, Boston, MA USA

• Found in 1811

• Third oldest general hospital in USA

• The oldest and largest in New England

• Rank number 5th of America’s best hospital edition 2007

• Rank number 4th of America’s best hospital in specialty of Neurology and Neurosurgery

• Top 5 of world report

• 900 bed medical center

• 46,000 inpatient, 1.5 m patient visit and 80,000 ER visit annually

• The largest teaching hospital of Harvard Medical School

Department of Neurology• 156 Staff• 4 general neurology ward and 1 Neuro-ICU• Stroke service 22 staff• 5 patient care - Acute stroke service - Neurocritical care - TeleStroke service - Inpatient stroke service - Stroke rehabilitation - Out patient stroke service

Key Person

• Karen L Furie MD, MPH

Director of stroke service

• Aneesh B Singhal ,MD

Director of stroke and ICU observership program

• Lee H Schawmm, MD

Vice Chairman, Director of acute stroke service

Log Rotation

• Duration 6 months• OPD stroke with stroke expert 1 time per week• Acute stroke consultation service

- Emergency case

- Teleconsultation• Neuro-ICU service : all acute vascular patient • Stroke IPD service

Log Rotation

• Neuro- vascular lab:

- study and reading of TCD and carotid duplex ultrasound

• Neuro- intervention treatment

- Coiling

- IA thrombolysis

- Clot retrieval

Activities

• Weekly stroke/ICU conferences on Wednesday and Thursday afternoons

• Neurology Department Grand Rounds in the historic Ether Dome on Thursday mornings

• Neuropathology conferences on Friday mornings• Neuroradiology rounds on Thursday afternoons• Neurovascular conferences on Friday mornings• Monthly Vascular Center rounds.