Vascular Neurology Fellowship

 

                                                                 

               Dr. Richard Goddeau, DO, FAHA - Fellowship Director

                              Associate Professor of Neurology

The award-winning UMass Stroke Service is staffed by seven Vascular Neurologists led by Dr. Brian Silver, Vice Chair of the Department of Neurology, Dr. Majaz Moonis, Director of Stroke Services, and Dr. Richard Goddeau, Director of the Vascular Neurology Fellowship.  UMass offers two positions annually in our ACGME-accredited Vascular Neurology Fellowship.  Fellows gain experience from an active clinical service and a comprehensive curriculum and be trained in acute stroke treatments, observational interventional neuroradiology, intensive care stroke management, remote stroke telemedicine, multimodality stroke imaging, primary/secondary stroke prevention, neurosonology (carotid ultrasound and TCD), cardiac imaging, and clinical research.

The Stroke Service is deeply committed to basic and clinical research, with core members having authored more than 500 peer-reviewed articles and several books and book chapters.  They serve as investigators on several multi-center clinical trials.

The UMass Memorial Medical Center is a cornerstone for medical care throughout central and western New England, a level I trauma center with 781 beds and more than 140,000 annual ED visits, the home of the LifeFlight emergency helicopter service, and the hub for an established telestroke program that brings neurovascular expertise into community hospitals.  There are more than 800 patients admitted to the UMass Stroke Service annually.  The dedicated NeuroICU located at the University Campus Lakeside Pavilion has 16 beds and a burn unit.  The 24 bed Neurology Floor features a 4-bed Step-down unit.  We are a certified Primary Stroke Center and have repeatedly been recognized with the highest honor for stroke care by the American Heart Association.

Curriculum:  The fellows enjoy a broad range of curricular activities during the 12-month fellowship year.  Monthly rotations include:  stroke service (6), outpatient clinic (2), neurosonology (0.75), cardiac sonology (0.25), physiatry (0.5), neurocritical care (1), clinical research (1).  The Stroke Service provides educational opportunities to care for patients with acute stroke including thrombolytic and hemostatic therapies, as well as management of neurovascular illnesses in the ICU and inpatient (floor) settings.  The outpatient clinic provides educational opportunities to evaluate patients with complex chronic neurovascular conditions such as prior stroke, carotid and intracranial stenosis, cerebral aneurysm and cerebral AVMs.  It also provides the opportunity to evaluate patients with urgent neurovascular symptoms in the outpatient setting.  The neurosonology rotation provides the opportunity to learn the principles and techniques, as well as the opportunity to perform carotid and intracranial ultrasonography.  Fellows can elect to perform sufficient number of procedures to qualify to sit for the American Society of Neuroimaging Neurosonology examination.  The cardiac sonology rotation provides the opportunity to learn the principles, indications and techniques of transthoracic and transesophogeal echocardiography.  The physiatry rotation provides the opportunity to evaluate and follow patients in the recovery of neurologic diseases and emphasizes exposure to modalities for rehabilitation after stroke.  The neurocritical care rotation provides the opportunity to learn principles and evaluate & treat patients with the full range of neurologic and neurosurgical critical illness.  The clinical research rotation provides an opportunity, typically done early on in the fellowship year, to develop and start a research project which will be continued throughout the academic year.

Fellows rotate on-call, weekly, taken from home, where they supervise the on-call resident, patients with cerebrovascular disease.  This includes supervision of patients with acute cerebrovascular disease where they come into the hospital to administer thrombolytic therapy, as required.

Benefits: Fellows are hired through the University of Massachusetts Medical School and are eligible for comprehensive health, dental, vision, life and disability insurance. Vacation, sick, and personal time allowances are also available to each fellow. Stipends are commensurate with PGY-level.  See Graduate Medical Education for more details.

Curricular innovations:  The fellowship features a dedicated research rotation to anchor the weekly research sessions.  In addition to the required weekly continuity clinic session, the fellowship offers augmented experience with stroke recovery, secondary prevention, and acute outpatient evaluation of complex neurovascular patients through the creation of a dedicated outpatient/clinic rotation.  As part of initiatives to provide exposure to research as well as quality assessment and improvement, the fellows maintain a comprehensive database of patients evaluated for stroke.  Going forward, the fellowship is expected to expand curricular opportunities to incorporate experience in a video-based acute telestroke rotation.

Graduate Performance:  We continue to be immensely proud of our Stroke Fellow alumni.  In additional to exemplary clinical care of our stroke patients, they have served as co-investigators for high impact clinical trials and have published original manuscripts, frequently as first author.  They have been highly sought after for employment both in academic faculty positions and with competitive private practice groups.  Board certification pass rate is 100%.
Faculty:

  • Raphael Carandang, MD: Neurointensivist, Vascular Neurologist, Director of Neurology Residency
  • Richard Goddeau, Jr., DO, FAHA: Vascular Neurologist, Director of Stroke Fellowship
  • Wiley Hall, MD: Neurointensivist, Director of NeuroICU and Telestroke Services
  • Nils Henninger, MD, PhD: Vascular Neurologist
  • Adalia Jun-O’Connell, MD: Vascular Neurologist
  • Majaz Moonis, MD, MRCCP(I), DM, FRCP(Edin),FAAN, FAHA, FAASM:  Vascular Neurologist, Director of Stroke Program and Stroke Prevention Clinic 
  • Susanne Muehlschlegel, MD, MPH, FNCS, FCCM: Neurointensivist and Vascular Neurologist
  • Marcey Osgood, DO: Neurointensivist
  • Ajit Puri, MD: Interventional NeuroRadiologist, Director NeuroInterventional Radiology Fellowship
  • Muhammad Ramzan, MD: Vascular Neurologist
  • David Rex, MD, PhD: Interventional NeuroRadiologist
  • Brian Silver, MD, FRCPC, FAHA, FAAN, FANA: Vascular Neurologist, Vice Chair Department of Neurology
  • Ajay Wakhloo, MD, PhD, FAHA: Interventional NeuroRadiologist, Director of Division of Interventional NeuroRadiology

Interested neurology residents should contact Dr. Richard Goddeau, Fellowship Director or Lois Holmes, Fellowship Coordinator at (508) 334-8173 or richard.goddeau@umassmemorial.org andlois.holmes@umassmemorial.org.

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