Both hospital settings for the Vascular Neurology Fellowship Program are among the most advanced and innovative in their respective peer groups. Individually, each hospital Stroke Program director is nationally and internationally recognized for their academic and clinical contributions and are members and leaders of numerous organizations, editorial boards of prestigious journals, and multi-center trials. Their work is funded by National Institutes of Health, Department of Defense, Department of Veterans Affairs, and other federal, private and non-profit organizations. The fellow will be exposed to the latest clinical information and the potential to interact with other leaders in vascular neurology throughout the region, state and nation.
Baylor St. Luke's Medical Center Stroke Program
Baylor St. Luke's is the major private teaching affiliated hospital of Baylor, and a DNV-certified and State of Texas designated Comprehensive Stroke Center and a Gold Plus Honor Roll of the AHA Target Stroke Program. There is a dedicated 40-bed Neurology floor, dedicated 20-bed neurocritical care unit, a 38-bed in-patient rehabilitation unit, and a neurosonology laboratory where ancillary staff is trained in the management of neurologic diseases.
The Baylor St. Luke's Vascular Neurology service is led by Jose I. Suarez, M.D. Dr. Suarez is a recognized, highly respected leader in neurocritical care with an international reputation in the management of subarachnoid hemorrhage. He has been honored with Top Doctors in America© and other recognition for his contributions. The focus of this program is acute stroke therapy through direct patient care, interaction with interventional Neuroradiology and tele-stroke. Numerous major multi-center trials as well as studies initiated locally are centered here.
Dr. Suarez is medical director of the neurocritical care unit. In addition there is a general neurology-hospitalist service staffed by seven BCM neurologists. Dr. Suarez led the National Institute of Neurological Disorders and Stroke-funded ALISAH trial testing the effectiveness of human albumin in subarachnoid hemorrhage and is an expert in many aspects of clinical trial design and execution.
He along with Drs. Eric M. Bershad and Chetan P.V. Rao have participated in a number of clinical trials of endovascular treatments for acute stroke and subarachnoid hemorrhage. All Baylor St. Luke's faculty are board-certified in vascular neurology (ABPN) and UCNS-certified in neurocritical care.
There is very close collaboration at Baylor St. Luke's between vascular neurology, neurocritical care, general neurology, neurosurgery, neuroradiology, emergency department, and physical medicine and rehabilitation.
Fellows will have the opportunity to attend a weekly interdisciplinary neurovascular conference, a vascular neurology conference, and neurocritical care conference. In addition, fellows will be interacting with neurology and neurosurgery residents and neurocritical care fellows rotating in the various units, and participate in the telestroke program.
Michael E. DeBakey VA Medical Center Stroke Program
The MEDVAMC is the primary teaching setting for the Department of Neurology's training programs, supporting 30 neurology resident and fellow positions. Twenty-seven neurologists are credentialed at the DeBakey VA Medical Center, making it the largest clinical neurology service in the VA system with three Centers of Excellence and multiple specialty and general neurology programs. Advanced MRI and PET imaging is present on campus for both research and clinical applications. There are six core clinicians who lead the stroke care at the VA. The focus is on differential diagnosis, acute and subacute therapy and secondary prevention.
The neurology service is led by Thomas A. Kent, M.D., FAHA, FANA, a clinician scientist who leads an active basic science, translational and clinical stroke research program. He is routinely selected as a Top Doctors in America©, Texas Monthly Super Doctor© and other honors for his clinical and academic contributions.
Dr. Mandava is the MEDVAMC Stroke Center director and director of the BCM vascular neurology fellowship, and a highly respected clinician educator. Dr. Roderic Fabian, M.D., is the MEDVAMC Stroke Laboratory director and an accomplished clinician scientist.
The newest addition to the MEDVAMC Stroke Service is Sharyl Martini, M.D., Ph.D., a fellowship trained vascular neurologist who recently returned to BCM where she previously obtained her medical and doctorate degree in genetics and is a member of national and international genetics of stroke consortiums.
Jane Anderson, Ph.D., APN, is the associate Stroke Center director and leads an excellent, well-funded secondary prevention and quality improvement research program with an emphasis on Health Service research. Stelios Smirnakis, M.D., Ph.D., is dual vascular neurology and neurocritical care certified, NIH-funded clinician scientist, who provides neuro-critical care consultations to the ICU's and other critically ill patients and bridges both hospital fellowship settings.
There is a close relationship between world-class vascular medicine (Addison Taylor, M.D., Ph.D.) and hematology/thrombosis (Perumal Thiagarajan, M.D.) to plan both acute and secondary prevention program for complex situations. These faculty members have contributed treatment protocols to several of the largest multi-center stroke trials related to hypertension and anti-platelet management. Weekly joint meetings between the stroke program and vascular medicine provide a setting to discuss and plan approaches to common clinical conundrums encountered in complex stroke patients and to problem solve system of care issues.
There are also close relationships with neuroradiology, and interventional neuro-radiology often participates in acute and subacute treatment planning. Cardiology provides "fast track" consults to the stroke service for evaluation of potential cardioembolic sources or co-morbid conditions. Rehabilitation shares the inpatient ward with neurology and provides a seamless transition to rehabilitation.
Vascular neurology fellows will have month long rotations. They will be spending four months on the inpatient/consult service at Baylor St. Luke's and four months on the inpatient/consult service at MEDVAMC. Each fellow will have four months of electives in neurosonology, neuroradiology (one to two months), and neurointerventional radiology (one to two months). Fellows have a longitudinal clinic one half day a week where they follow patients in an active out-patient setting.