Thank you for your interest in the Vascular Neurology Fellowship Program at the University of Iowa.
Our ACGME approved program will provide stroke fellows with an outstanding clinical and research education to become capable independent vascular neurologists who are ready for an academic career or community practice.
The program will provide you with exposure to a wide range of cerebrovascular patients of varied complexity. The vascular neurology program provides an environment that fosters not only intellectual curiosity and collaboration but also a commitment to teaching and patient care.
The program takes place within The University of Iowa's Comprehensive Stroke Center (UICSC). The UICSC is a leader in both developing and conducting trials that test promising therapies for the prevention, treatment, and recovery of stroke. Researchers at the UICSC have been at the forefront of translational and clinical research in cerebrovascular disease since the Cooperative Aneurysm study in the 1960s. The first dedicated stroke unit in the country was developed at our institution in the 1970s. In the 1980s our institution held Master Agreements in Stroke with NINDS. As part of this program, we have designed and directed Phase I, Phase II, and Phase III trials testing promising treatments for acute ischemic stroke and subarachnoid hemorrhage. An important accomplishment was the creation of the National Institutes of Health Stroke Scale (NIHSS), which was developed and tested by the NIH and investigators in Cincinnati and Iowa City. It is now the standard clinical assessment tool for determining the severity of neurological impairments with stroke and part of many clinical trials. Another accomplishment was the TOAST study (Trial of Org 10172 in Acute Stroke Treatment). TOAST was the first modern, Phase III trial of acute stroke treatment funded by an NINDS grant, which demonstrated the lack of effectiveness of anticoagulation in patients with acute ischemic stroke. The study also resulted in the creation of the TOAST classification of stroke subtype, which remains the primary system in use to categorize stroke mechanisms in trials, as well as in practice nationally and internationally.
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