i had posted a similar reply in the radiology forum.
I will just copy it here. There was some talk about intervention in neuro in that forum too.
----------
Hi ,
i have been a neurosurg resident .
Regarding intervention neuro in neurology , HISTORY REPEATS ITSELF.
Similar stuff used to be said about cardio when they started doing angiograms and intervention. But today they are simply ruling. The reason is that they are ' clinicians' and patients go to clinicians. Not every cardiologist does intervention. Remember that this is a one yr fellowship after three yrs of cardio.
Similarly every neurologist will never do intervention in future. There are other fellowships in neuro too.
The core curriculum of intervention neuro , according to the american acad of neuro is a 4 yr neuro residency followed by stroke and cerebrovasc fellowship ( one yr) followed by 2 yrs of intervention. So this is a very long education. This includes three yrs of training exclusively on cerebrovasc dis including imaging and endovasc procedures including detailed knowledge of vasc anatomy and a lot of other clinical things ( as complex relation of cerebral perfusion , ICP , CSF flow) . This pathway is either now board certified or towards board certification. Once this happens , insurance companies will start reimbursing , hospitals will start hiring and the risk of malpractice will be same as for intervention cardio. Regarding pre and post procedure management these clinicians will be/are extremely well trained.
Regarding competition with a neurosurgeon , nsurg has a vast procedural domain. A nsurgeon with cerebrovasc fellowship still has a lot of craniotomy procedures which include aneurysm clipping , AVMs etc. So depending on indication , a patient with SAH would go to neurosurg or intervention neurologist . This is just like in cardio , a patient with triple vessel or left main cor art dis goes to cardiac surgeon for CABG and the others to cardiologist for PTCA.
---------
Regarding places for intervention neuro
Let me start with the big names first-
1. CLEVELAND CLINIC , ohio
go to website - neurology , under training and education click on other fellowships - you will go to interventional stroke.
chief is Dr Anthony Furlan - was former chairman of intervention neurology section of american acad of neurology
2. UCLA
There prerequisite for intervention includes neurology residency.
I know of one neuro resident in UCLA who has gone for this 3 yr fellowship.
3. Wayne State Univ
go to fellowships - then go to stroke fellowship. They mention as follows
Opportunities for further training in interventional neuroradiological procedures such as intra-arterial thrombolysis, cerebral arterial angioplasty and stenting are available following completion of the stroke fellowship.
4. UMDNJ , new jersey
have a yr of fellowship in stroke followed by 2 yrs of intervention.
FOR MORE INFO - go to
www.aan.com
Then go to sections and then to intervention neurology section.
You will get a complete newsletter , core curriculum , members of this section and a lot of info.
Dr Arani Bose from NYU is also a section member. She is also responsible to deal with the neuro/rad/neurorad pathway. In fact she is a neurologist who is also board certified in INR.
When i read it last time , the section was about to present a complete proposal of how to develop a career in interventional neurology in 2004.
ONE THING YOU MAY ASK IS WHY INTERVENTION NEURO?????
The reason is that this is a way of making neurology more complete with respect to treatment options , make it more lucrative for med students and follow in the lines of cardiology , gastroenterology whuch are now procedure based . Cerebrovasc neurologists feel that if they have to manage a case pre and post procedural then why not do procedures too. So this one yr fellowship is extended to 3 yrs , just like most fellowships in other specialities. Even in radio , there is a 3 yr fellowship in neurorad and then a 1 yr fellowship in intervention so that is 4 yrs after residency.
Every neurologist will not be an interventionist , just like every radiologist is not a neuroradiologist.
The mindset is that with a neuro pathway , you become a complete clinician dealing with all aspects of cerebrovasc dis.
Other centers are also starting these fellowships like i heard long island jewish , U of Alabama .....
The eventual result will be on same lines as in cardiology that the patient goes to the clinician and careers will evolve as board certification is either in process or already done.
I hope these links will be helpful.
I forgot ,
Dr Anthony Furlan is actually the Chair , endovascular task force of the interventional neurology section of AAN.