Abstract Details

Title Developing a Pilot Program to Increase Stroke ��ɫ�� Among Internal Medicine Residents

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P17 - Poster Session 17 (11:45 AM-12:45 PM)

Poster/Presentation
Number 13-002

Objective To present a program to increase stroke exposure and education for internal medicine residents at an unopposed community hospital. This will be a unique training opportunity, allowing medicine residents to work directly under a neurologist’s supervision.

Background Training for a medicine resident is primarily in hospital-based medicine, where stroke is encountered on an almost daily basis. The hospitalist service plays an integral part in stroke management, working closely with physicians in emergency medicine, neurology, and critical care. Given the high incidence of stroke and the shortage of stroke neurologists, hospitalist involvement in stroke will need to be increased. Programs providing support for emergency room physicians and advanced practitioners are implemented throughout the country, however, there is little evidence in the published medical education literature that medicine residents and hospitalists have access to similar training. Internal medicine residency is a prime opportunity for future hospitalists to increase their knowledge and confidence with stroke.

Design/Methods We propose a program for medicine residents to gain training in stroke management. Residents will work as first responders to all Code Strokes, working with providers in stroke care. Residents will be responsible for initial evaluation of stroke patients, working with the Stroke Team to plan subsequent interventions. Formal education will be comprised of didactics and case conferences, which will cover the various presentations and categories of stroke, evaluation, and treatment options. Simulation will also be used so that residents can familiarize themselves with the application of the NIHSS and guidelines for interventions.

Results A review of the current stroke education literature demonstrates that few attempts for this type of program have been attempted before. Furthermore, similar programs in other fields have demonstrated success.

Conclusions The conclusions will be based on analysis of the data, but it is hoped that the program will demonstrate proof of concept through surveys and feedback.

Authors/Disclosures
Gilad Muth, DO (Albany Medical Center) PRESENTER	Dr. Muth has nothing to disclose.
Rebecca Stainman, MD (Nemour's Children's Health)	Dr. Stainman has nothing to disclose.
	No disclosure on file
	No disclosure on file
Richard Libman, MD, FAAN (Northwell Health)	Dr. Libman has nothing to disclose.

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