1. Stroke Observership Program At Massachusetts General Hospital, Harvard Medical school, Boston, MA USA

2. Found in 1811 Third oldest general hospital in USA The oldest and largest in New England Rank number 5 th of America’s best hospital edition 2007 Rank number 4 th of America’s best hospital in specialty of Neurology and Neurosurgery

3. Top 5 of world report 900 bed medical center 46,000 inpatient, 1.5 m patient visit and 80,000 ER visit annually The largest teaching hospital of Harvard Medical School

4. Department of Neurology 156 Staff 4 general neurology ward and 1 Neuro- ICU Stroke service 22 staff 5 patient care - Acute stroke service - Neurocritical care - TeleStroke service - Inpatient stroke service - Stroke rehabilitation - Out patient stroke service

5. Key Person Karen L Furie MD, MPH Director of stroke service Aneesh B Singhal,MD Director of stroke and ICU observership program Lee H Schawmm, MD Vice Chairman, Director of acute stroke service

6. Log Rotation Duration 6 months OPD stroke with stroke expert 1 time per week Acute stroke consultation service - Emergency case - Teleconsultation Neuro-ICU service : all acute vascular patient Stroke IPD service

7. Log Rotation Neuro- vascular lab: - study and reading of TCD and carotid duplex ultrasound Neuro- intervention treatment - Coiling - IA thrombolysis - Clot retrieval

8. Activities Weekly stroke/ICU conferences on Wednesday and Thursday afternoons Neurology Department Grand Rounds in the historic Ether Dome on Thursday mornings Neuropathology conferences on Friday mornings Neuroradiology rounds on Thursday afternoons Neurovascular conferences on Friday mornings Monthly Vascular Center rounds.