Vascular Neurology Fellowship
The Stroke Program at Cedars-Sinai Medical Center, within the Department of Neurology, includes Patrick D. Lyden, MD, David Palestrant, MD, and Chad Miller, MD, all of whom are Board Certified in Vascular Neurology. A maximum of two fellows are accepted each year.
Fellows are supervised by the Stroke Faculty at all times, during clinics and Code Brain emergencies. Over time, the Fellows assume greater and greater independence in decision making, but are never unsupervised. The Fellows meet each week with Dr. Lyden to discuss overall progress. The Stroke Brain system generates about 10 calls per week. During daytime (8am to 5pm) the fellows are generally the first neurologist to evaluate the patients. About 20% of the Stroke Brain activations result in randomization of the patient into a clinical trial, with or without thrombolytic therapy.
In addition to seeing patients, the fellows are trained in clinical investigation to develop skills that enable a trainee to organize and participate in clinical investigations of their own. Fellows will assist in patient recruitment, conduct of the study, and compliance with all local, FDA and NIH regulations to assure patient protection, privacy, and accuracy of the data.
An opportunity to perform transcranial ultrasounds and read these with Dr. Lyden is available, using both duplex transcranial imaging and M-mode Doppler scanning. We provide an opportunity to attend the annual Society for Neuroimaging meeting at which time the fellows may take the competence examination in Neurosonology. While one year is not long enough to complete a quality laboratory project, it is critical that our fellows receive sufficient basic science exposure to learn how to properly evaluate the literature.
Cedars-Sinai is the largest non-profit medical center in the Western United States. With over 800 strokes per year, a 16-bed dedicated Neuro-ICU and a state-of-the-art Neuro-Intervential team, Cedars-Sinai is a superb opportunity for training in vascular neurology.