The stroke program at the Neurological Institute has provided clinical, research, and post-graduate opportunities in an eclectic style from its founding 1983. Over 50 trainees have had one or more years of such experiences, their number including both American and foreign clinicians. All but a handful now hold academic positions, many tenured, some are chaired professors, and at least 5 are now departmental chairs. SPOTRIAS provided qualitative and quantitative increases n opportunities for us. A more structured program could be put in place, one no longer controlled by the unpredictability in available funds for salary and planned committed time. The program now offers opportunities to take courses in epidemiology and clinical trial design at the Mailman School of Public Health, along with the time away from clinical duties to pursue them. The SPOTRIAS fellow also takes the lead in organizing and selecting the subjects and patients forthe weekly conferences, held midday on Fridays;joins or starts clinical research projects with one of more faculty, the success of which is reviewed twice yeariy with the SPOTRIAS faculty. The preparation and submission of abstracts for meetings are part of the responsibility, which is also reviewed by faculty. (S)he also participates in monthly SPOTRIAS meetings and in the collection of data and the analyses for publication. The range of cases is also reviewed monthly with a faculty supervisor to insure ample exposure to the disease states that comprise stroke. Weekly attendance in the Stroke Clinic adds to the experience.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Specialized Center (P50)
Project #
5P50NS049060-09
Application #
8521396
Study Section
Special Emphasis Panel (ZNS1-SRB-R)
Project Start
Project End
Budget Start
2013-08-01
Budget End
2014-07-31
Support Year
9
Fiscal Year
2013
Total Cost
$171,327
Indirect Cost
$60,917
Name
Columbia University (N.Y.)
Department
Type
DUNS #
621889815
City
New York
State
NY
Country
United States
Zip Code
10032
Willey, Joshua Z; Khatri, Pooja; Khoury, Jane C et al. (2013) Variability in the use of intravenous thrombolysis for mild stroke: experience across the SPOTRIAS network. J Stroke Cerebrovasc Dis 22:318-22
Boden-Albala, Bernadette; Quarles, Leigh W (2013) Education strategies for stroke prevention. Stroke 44:S48-51
Willey, Joshua Z; Stillman, Joshua; Rivolta, Juan A et al. (2012) Too good to treat? Outcomes in patients not receiving thrombolysis due to mild deficits or rapidly improving symptoms. Int J Stroke 7:202-6
Katan, Mira; Elkind, Mitchell S V (2011) Inflammatory and neuroendocrine biomarkers of prognosis after ischemic stroke. Expert Rev Neurother 11:225-39
Zarahn, Eric; Alon, Leeor; Ryan, Sophia L et al. (2011) Prediction of motor recovery using initial impairment and fMRI 48 h poststroke. Cereb Cortex 21:2712-21
Marchidann, Adrian; Marshall, Randolph S (2011) Treatment of carotid artery disease: endarterectomy or angioplasty? Curr Neurol Neurosci Rep 11:61-6
Willey, Joshua Z; Elkind, Mitchell S V (2011) Stroke: do statins improve outcomes after acute ischemic stroke? Nat Rev Neurol 7:364-5
Dhamoon, Mandip S; Moon, Yeseon Park; Paik, Myunghee C et al. (2011) The inclusion of stroke in risk stratification for primary prevention of vascular events: the Northern Manhattan Study. Stroke 42:2878-82
Boden-Albala, Bernadette; Carman, Heather; Moran, Megan et al. (2011) Perception of recurrent stroke risk among black, white and Hispanic ischemic stroke and transient ischemic attack survivors: the SWIFT study. Neuroepidemiology 37:83-7
Lazar, Ronald M; Minzer, Brandon; Antoniello, Daniel et al. (2010) Improvement in aphasia scores after stroke is well predicted by initial severity. Stroke 41:1485-8

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