Article Text

PO.11 How is stroke thrombolysis affecting neurology training?
  1. R Bosnell1,
  2. J E Alty2,
  3. D J Blackburn3,
  4. C E Burness4,
  5. R Chowdhury5,
  6. B C P Gosh6,
  7. B R Stanton7
  1. 1University Hospitals Birmingham, UK
  2. 2Leeds General Infirmary, UK
  3. 3University of Sheffield, UK
  4. 4Royal Hallamshire Hospital, Sheffield, UK
  5. 5Institue of Cognitive Neuroscience, Queen Square, UK
  6. 6Southampton University Hospital Trust, UK
  7. 7National Hospital for Neurology and Neurosurgery, UK


Introduction Targets for stroke thrombolysis coupled with the EWTD impose challenges in maintaining an on call rota, with some trainees moving to a full shift system. Knowledge of acute stroke is recognised in the 2010 neurology curriculum but no specific guidance on total time given to acute stroke training has been made. We sought to identify the current involvement in thrombolysis among UK neurology trainees and its perceived impact on training.

Methods A survey of 10 questions was emailed to all trainee members of the ABN.

Results 30 trainees responded representing 16 regions in the UK. Total time training varied from 4 months on a stroke unit to 5 years on a thrombolysis on call rota. In one region trainees had no exposure to thrombolysis. 56% of regions participated in a non resident on call. 86% of respondents felt thrombolysis was an important part of general neurology training, commenting that time spent on a rota should be limited so general neurology training is not effected. The intensity of antisocial hours strongly correlated with perception of the effect of thrombolysis on training and of stroke as a specialty.

Discussion Involvement in acute stroke care by neurology trainees shows marked variability. We feel thrombolysis is an important part of neurology training; a minimum time for acute stroke care should be stipulated. However rotas must be carefully designed in collaboration with trainees to minimise the impact on general neurology training.

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