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Year one – prerequisite training
The goals of year one of this fellowship are to teach the fellow more advanced endovascular anatomy of the vasculatures of the brain, spine and head and neck as it is pertinent to procedures, including the management of complex neurovascular patients including but not limited to ischemic and hemorrhagic disease entities. The fellow will develop increased proficiency in endovascular access and complete the performance of at least 200 catheter-based diagnostic and/or interventional cerebral angiographic procedures as primary operator. The fellow will gain in experience and competency in catheter techniques. The fellow will gain additional understanding of indications for diagnostic and interventional procedures as well as exposure to clinical trials patients and techniques as well as an introduction to innovative patient care pathway development (such as ProvenCare®) as well as comparative effectiveness research.

Year two – advanced NES training
The goals of the second year of this fellowship are to allow the fellow to gain a significant clinical experience culminating in the performance of a broad spectrum of diagnostic and interventional endovascular procedures as defined by core- competency requirements. Participation in the academic/educational medical knowledge and patient care training processes relative to NES, including satisfactory completion of milestone level 5 for cerebrovascular diseases is an essential part of this year and a multitude of clinical trials are open and in development in the neurovascular space with Drs. Dalal, Schirmer, Griessenauer, Zand and Martin.

Type   Frequency Duration (hours) 
 Neurosurgery grand rounds/topics  Bi-weekly  1
 Cerebrovascular case conference  Weekly
 Neurosurgery M&M  Monthly   
 NS journal club  Monthly   
 Stroke M&M  Monthly   
 Stroke core committees  Weekly
 Neurovascular research conference  Monthly     1