Vascular Neurology Fellowship Program


This is a one-year ACGME accredited fellowship in Vascular Neurology (VN). We offer one VN fellowship position and have VN faculty from several backgrounds, including Stroke, Neuro-critical Care, Interventional Neuroradiology, Vascular Neurology and Vascular Neurosurgery. The VN fellowship is flexible based on educational needs of the applicant. The most common track consists of thirteen 4-week blocks. Six blocks of inpatient stroke service at the University Hospital (UH), six blocks of inpatient stroke service at the St. Luke's Baptist Hospital (SLBH), and one block of Neuro-critical Care. Exposure to endovascular neurosurgery and transcranial Doppler is integrated into the inpatient services; however, dedicated 4-week blocks can be arranged. UH is a 498 bed Level I trauma center that services all of South Texas and is the main teaching hospital for the University of Texas Health Science Center (UTHSC). SLBH is the neuroscience center for the Brain and Stroke Network at Baptist Health System and is staffed by the Departments of Neurology and Neurosurgery at the UTHSC.


Throughout the year, the fellow participates in three half-day vascular neurology clinics: UH, SLBH, and Medical Arts & Research Center (MARC). Each clinic provides continuity of care and is unique in the types of patients and pathophysiologies. For example, the SLBH clinic is an endovascular neurosurgery clinic staffed by the program director. Patients are not only evaluated for stroke and transient ischemic attacks (TIAs), but also intracerebral hemorrhage, intracranial aneurysms, and arteriovenous malformations. The UH and MARC stroke clinics are staffed by VN faculty and enable the fellow to follow their patients from the UH and SLBH inpatient services, respectively. The fellow is also assigned new patients that are referred to the clinics for subspecialty evaluation.


Fellows are provided with clinical research opportunities. The department is involved in several NIH-funded research projects, including Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH), Clot Lysis: Evaluating Accelerated Resolution of Hemorrhage with rt-PA (CLEAR IVH), and A Randomized Trial of Unruptured Brain AVMs (ARUBA). In addition, fellows can participate in basic science and translational research. Currently, we are studying acute and chronic neuroprotective treatments after ischemic stroke. In order to examine cellular events, we have established an in vivo model of ischemic stroke, transient middle cerebral artery occlusion (tMCAO) in mice using a monofilament.


The fellowship runs from July 1st through June 30th. The interview period is June through August, with notifications made by September. Applicants must have completed an ACGME accredite residency in Neurology or Child Neurology.


For additional information, please contact:


Lee A. Birnbaum, MD, MS
7703 Floyd Curl Dr. - MC7843
San Antonio, TX 78229-3900