**Telestroke and Teleneurology Online Observership Description:**
This virtual observership opportunity offers a unique learning experience in the field of Telestroke and Teleneurology, with a specific focus on telehealth and tele-education. Successful completion of a specific project and going through educational videos are required. During this observership, you will have the chance to observe and participate in Telestroke and Teleneurology consultations while gaining expertise in CT, MRI, and perfusion imaging, analyzing example cases, and contributing to stroke tele-education.
During combined Neurodevelopmental and Neuorology Residency at The Johns Hopkins and Kennedy Krieger Institute
**Supervisor Profile:**
- Dr. Baluja is a seasoned Telestroke specialist with extensive experience in the field.
- He possess a strong background in stroke research and has a successful online presence in teaching patients about stroke.
- Dr. Baluja is dedicated to patient care, medical education, and telehealth, and is passionate about sharing their knowledge with medical students and residents.
**Schedule:**
- Active participation in telehealth consultations will be a key part of your experience, along with learning about the crucial role of perfusion imaging in stroke assessment.
- You'll analyze example cases, discussing the intricacies of diagnosis and treatment decisions made remotely.
- Contributing to stroke tele-education will be an integral component of your learning experience.
- We specifically see patients on Friday, Saturday and Sunday, students will be required to go through the material before seeing the patients online.
- During the weekdays we focus on education and your focus on your exams, USMLE Steps is required and integrates with a teleeducation project of your choice
**Focus on Telehealth and Teleducation:**
- Telehealth and teleeducation will be at the forefront of this rotation, reflecting the evolving landscape of modern medicine.
- You'll gain insights into the use of telemedicine platforms and their impact on stroke care and medical education.
- The opportunity to contribute to stroke tele-education initiatives will be a significant part of your role.
**Letter of Recommendation:**
- Upon successful completion of the observership, you will receive a letter of recommendation from your supervisor, highlighting your dedication to telehealth and your contributions to stroke and neurology tele-education. The letter will be issued on the KneeTie Foundation Letterhead, based in Houston, Texas, USA.
**Duration:**
- The duration of this online observership is one month, allowing you to deepen your knowledge and skills in Telestroke and telehealth. Ten slots are available each month.
**Requirements:**
- Proficiency in English and clinical skills are essential.
- You may be required to provide your CV and undergo an evaluation by the supervisor.
- Ensure you have up-to-date immunizations.
- Please note that obtaining a visa is not required for this online observership.
**Availability:**
- Individualized start dates are available but must run a continuous four days
**Fees:**
- You will be contacted by our staff once payment is processed.
- Four-week rotations are currently ongoing.
- The rotation cost is $1,610.80 per student. The funding is used to help the Underserved in the US and other countries worldwide gain access to much needed healthcare and to fund their treatments and sometimes to fund treating physicians and nurses to look after the underserved population. Dr. Baluja has been serving underserved populations since his work as an Undergraduate see below.
- The opportunity affords immediate immersion into the US health and international care system, given the international nature of the community we serve that has been in process since the 1970s.
If you're interested in gaining valuable insights into Telestroke, CT, MRI, Teleneurology, perfusion imaging, and contributing to the future of telehealth and teleeducation, please contact us to discuss your participation in this observership opportunity.
Course Curriculum
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PreviewTPA Delivery Training Part 1 (6:19)
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PreviewTPA Delivery Training Part 2 (11:46)
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PreviewTPA Delivery Training Part 3 (11:04)
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StartBreak Dance - Stroke Alert (7:59)
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StartConversion disorder stroke case (11:37)
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StartHemorrhagic Stroke Case (16:14)
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StartOld man left sided weakness stroke case (6:47)
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StartPregnancy Stroke Case (9:36)
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StartVideo game addiction stroke case (14:55)
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StartOpioid Reversal or Stroke For TPA (5:26)
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StartStroke Case of Left Basal Ganglia (3:46)
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StartAdult ADHD Patient and Cocaine user Gets Stroke, stopping Medication (3:58)
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StartAlcohol Use Disorder Patient in For Acute Stroke (3:16)
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Start125 year old patient comes in for a stroke alert (6:16)
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Start35 year old female with stroke and diabetes with blood pressure (5:30)
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Start55 year old patient on Chemotherapy with right sided weakness (3:59)
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Start35 year old female with ishcemic stroke, and on Low Molecular Weight Heparin Prophylaxis, TPA (10:18)
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StartProstate cancer and Mets to the Brain Stroke Alert (10:14)
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StartCase #1 Cerebral Blood Flow What is it? (3:17)
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StartCase #2 This is an MRI DWI Scan (1:17)
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StartCase #3. CT Conversion Disorder Case No Alteplase Given (3:17)
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StartCase #4 Transient Global Amnesia Patient (1:07)
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StartCase #5 MRIDWI (1:06)
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StartCase #6 Left M2 Occlusion with Aphasia and Right Weakness (2:07)
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StartCase #7. Right M2 Occlusion (1:43)
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StartCase #8. Hyperintensity Weighted DWI RAPID (1:17)
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StartCase #9. MRI Diffusion weighted Imaging (1:06)
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StartCase #10. left MCA Perfusionabnorm (1:58)
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StartCase #11 CTA head:neck normal but some abnormal Core infarct findings bilaterally (2:39)
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StartCase #12 Perfusion Head Showing Right Cortical Infarction No Intervention (3:31)
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StartCase #13 Patient with left facial Droop NIHSS is 1, no alteplase given because non disabiling stroke (0:54)
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StartCase 14 Right MCA AND Left MCA:PCA Infarct (1:55)
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StartCase #15 (1:53)
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StartCase 16 Large Area of Core and smaller area of penumbra probably would not go in Talk to Interventionalist regardless.mp4 (1:08)
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Start17. Left MCA Occlusion M2 Branch Excellent Outcome (1:18)
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Start18. Opioid Overdose Scan, Bad Scan not adequate perfusion (1:46)
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Start19. Right M2 cutoff Case Good Mismatch would go in, with elevated NIHSS (1:09)
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Start20. Seizure CT PErfusion Study (1:22)
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StartNoAlteplase Case #21 (0:38)
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StartCase #22 Right PCA:MCA Watershed (1:39)
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StartCase #23 Left M2 Occlusion (1:07)
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StartCase #24 Patient with Distal M2, Prox M1 (1:21)
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StartCase # 25 Patient With Seizure (1:06)
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StartCase $26 Aspects Score is 8 Alteplase Given (1:34)
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StartCase #27 Seizure Hyperemia (0:53)
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StartCase #28 No Hemorrhage, Aspects 0 (0:21)
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StartCase #29 LVO. M2 Left, No Alteplase Was Given on Eliquis (1:28)
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StartCase #30 Cerebral Neuroanatomy (1:10)
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StartCase #31 Posterior Circulation Does Not Show Up Well on Perfusion (0:51)
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StartCase #32 Nice Basilar Artery (0:53)
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StartCase #33 Anatomy (1:46)
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StartCase #34 Patient has Transient Global Amnesia (0:45)
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StartCase 35 Large Area of Core and smaller area of penumbra probably would not go in Talk to Interventionalist regardless (1:08)
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StartCase #36 Should I give alteplase to this 91 year old male (0:45)
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StartCase #37 Anterior Circulation Anatomy (0:33)
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StartCase #38 Anatomy Discussed Middle Cerebral Arteries (1:16)
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StartCase #39 Ischemia to the left and right frontal area (1:20)
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StartCase#40 Patient within window progressing INR 1.7 (1:28)
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StartCase #42 Repeat your Scan if you have to(Dont get convinced by lazy techs) (0:49)
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StartCase #41 Don't Make Decisions Solely on the Scan - Think Clinical Picture - 2020 (1:28)
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StartCase #43 PRES can bleed. so in this case discuss with the radiologist (1:30)
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StartCase #44 Right sided completed infarction (1:02)
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StartCase #45 Aspects score would be 6, No Intervention in 2020 (0:50)
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StartCase #46 Patient has a hemorrhage in the right cerebellum, dont give Alteplase (0:43)
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StartCase #47. Anatomy Review mp4 (1:07)
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StartCase #48 Paitent has left sided Hemispheric Infarction (1:49)
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StartCase #49 Left Cerebellar Infarct 3.5 months prior TPA? (0:53)
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StartCase #50 Does this patient have a hemorrhage? (1:00)
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StartCase #51 Perfusion Scan of Patient with a Opioid Overdose, Should We give Aleteplase? (1:30)
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StartCase#52 Patient with Sudden Onset Headache Should we give TPA? (1:16)
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Startcase 53, History of ICH should we give TPA, what is aspects?,mp4 (0:33)
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StartCase #54- Anatomy Review (0:59)
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StartCase 55- Right MCA Occlusion No Intervention (1:08)
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StartCase 56, Right Sided Hypodensity Large Area No Alteplase (1:58)
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StartCase 56- Right MCA Occlusion No Intervention (1:08)
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StartCase 57, Right Sided Hypodensity Large Area No Alteplase (1:58)
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StartCase #58 Patient outisde of Alteplase Window presents with APHASIA send for Thrombectomy (2:16)
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StartCASE #59 Melanoma Headache TPA? (0:54)
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StartCase #60 Right M1:M2 Occlusion TPA Ok, LVO Intervention? (1:06)
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StartCase #61 Should we give tPA to this patient? (1:26)
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StartCase 62 Encephalomalacia TPA? (0:30)
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Start66 year old male with measurable focal deficit, should you give tPA? (1:01)
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StartCase 63 Anatomy Review with left parietal infarcts (1:07)
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StartCase 65 Anatomy (0:54)
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StartCase 64 Anatomy Review Arteries (1:25)
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StartCase 66 Should you give TPA to this Patient with INR 1.7 (0:32)
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StartCase 67, Patient with INR 1.71 Should be given tPA or Not (0:32)
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StartCase 68 Should a patient with a right PCA Infarction vs. Migraine Headache get Alteplase? (1:28)
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Startcase #69 tpa or not? (3:17)
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StartCase 71 (1:52)
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StartCase 70 Should we give Alteplase to a Pregnant Woman (1:52)
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StartCase #71 Numbness (1:52)
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StartCase #72 Large Right MCA Ischemic Changes (0:59)
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StartCase #72 Large Right MCA Ischemic Changes (0:59)
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StartCase #73Figure things out and go slow (1:11)
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StartCase #74 Always Ask For Chest Pain Symptoms In Your Patient No Matter What (1:53)
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StartCase #75- High Blood Pressure Management How To Treat Just because your doing an NIHSS does not mean you forget about BP (1:12)
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StartCase 76- Door Time Last Known Well (1:43)
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StartCase 78 Always Get an Exact Weight (1:16)
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StartCase #79 NIHSS (1:03)
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StartCase 77 NIHSS Question 2(Orotracheal., Aphasia - stuperous 2) (1:03)
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StartCase 78 New NIHSS Step 3 - BestGazePalsey (1:03)
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StartCase #79- NIHSS 3 - Following Commands Eyes tight blink hands (1:05)
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StartCase #80 MinorParalysis (1:03)
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StartCase#81 - Legs right and left - against gravity no movement (1:03)
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StartCase 84 Clear Explanation For the choice (1:03)
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StartCase 82 - Ataxia NIHSS Exam (1:03)
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Start83 NIHSS Sensory Exam (1:03)
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StartCase 85 NIHSS with Aphasia (1:03)
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StartCase 86 - Dysarthria (1:03)
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Start87. NIHSS Extinction, simultaneous thoughts (1:03)
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StartCase # 88- Patient on PradaxaPT:INR (1:07)
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StartCase 89- Intraxial vs. Extraxial Tumors and TPA (1:05)
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StartCase 90- History of Hemorrhage (1:54)
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StartCase 91 - History of Giant Unruptured Aneurysm >> 10 millimeters (0:47)
Your Instructor
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