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Abstract Details

The State of Telestroke 好色先生 in Vascular Neurology Fellowships: Current Practices and Future Directions
好色先生, Research, and Methodology
P11 - Poster Session 11 (11:45 AM-12:45 PM)
15-019
To describe current telestroke education practices in vascular neurology fellowships to identify variability, barriers, and opportunities for developing standardized training guidelines.

Telestroke has become a vital aspect of acute stroke care, yet its incorporation into vascular neurology fellowship training remains unclear. As current ACGME program requirements do not standardize telestroke training for vascular neurology fellows, understanding current practices in telestroke education is critical to guiding the development of standardized educational curricula.
We surveyed ACGME-accredited vascular neurology fellowship program directors using an anonymous online survey. The survey evaluated institutional practices and educational structures related to telestroke, including supervision models, perceived adequacy of training, and barriers to fellow engagement. Descriptive statistics were used.
Sixty-seven/115 (58%) program directors responded. Nearly all (61/67) reported that their institution provided telestroke services, with 49.3% providing both video and telephone consults, 28.4% providing video consults only, and 13.4% providing telephone consults only. At most programs (62/67, 93%), fellows participated in at least 1 telestroke-related experience, including video (65.7%) and phone (50.7%) consultations, orientation training in telestroke skills (43.3%), didactics (22.4%), and simulation (10.4%). Supervision models included fellow shadowing (40.3%) and fellow-led encounters with (53.7%) and without (28.4%) direct observation by the attending physician. The majority of programs (64.2%) felt training adequately prepared fellows for independent telestroke practice, while 9.0% disagreed and 16.4% were unsure. Barriers to increased fellow participation in telestroke included direct supervision requirements (23.9%), credentialing challenges (20.9%), and need for program letters of agreement with spoke hospitals (17.9%). Programs reported additional funding (26.9%) and credentialing staff support (25.4%) as top resources that would help expand telestroke exposure for fellows.

Telestroke exposure for vascular neurology fellows is widespread yet heterogeneous across programs. These findings support the need for standardization of telestroke curricula within vascular neurology fellowships. 
Authors/Disclosures
Nikita Chhabra, DO
PRESENTER 		Dr. Chhabra has nothing to disclose.
David S. Liebeskind, MD, FAAN (Neurovascular Imaging Research Core at UCLA) Dr. Liebeskind has received research support from Cerenovus. Dr. Liebeskind has received research support from Genentech . Dr. Liebeskind has received research support from Medtronic. Dr. Liebeskind has received research support from Stryker.
Amy K. Guzik, MD, FAAN (Wake Forest University Baptist Medical Center) Dr. Guzik has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Local law firms, available by request.
Darin Zahuranec, MD, MS (University of Michigan Health System) The institution of Dr. Zahuranec has received research support from NIH.
Brian Stamm, MD Dr. Stamm has received personal compensation in the range of $10,000-$49,999 for serving as a Physician with Veterans Health Administration.
Erika L. Weil, MD (University of Michigan) Dr. Weil has nothing to disclose.
Margaret L. McDermott, MD (UMHS Cardiovascular Center - Stroke) Dr. McDermott has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American College of Cardiology. Dr. McDermott has received personal compensation in the range of $500-$4,999 for serving as a Expert Reviewer with Michigan LARA. Dr. McDermott has a non-compensated relationship as a Consultant with Mitovation that is relevant to AAN interests or activities.
Robert M. Miller Mr. Miller has nothing to disclose.
Devin L. Brown, MD, FAAN (CVC) The institution of Dr. Brown has received research support from NIH.