Vascular Neurology Fellowship
The Vascular Neurology Fellowship is one-year ACGME approved program. There are four positions each year. Clinical training is based at Harborview Medical Center, a dynamic county hospital that is also a Joint Commission certified Comprehensive Stroke Center and level 1 Trauma Center caring for approximately 800 ischemic and hemorrhagic stroke patients each year. In addition to the intensive vascular neurology training offered, there are rotations in neuroradiology, neurosoncology and neurocritical care. Call is taken with the acute stroke interventional team and includes video telestroke. There are numerous opportunities to participate in research and fellows are encouraged with faculty support to submit abstracts to the International Stroke Conference. At the end of one year of training, the trainee will be eligible to sit for the Vascular Neurology subspecialty board certification examination. Those trainees interested in research or an academic career will be encouraged to apply for external (AAN, ASA, NIH) research fellowship funding.
Applications are open for the 2026-2027 Fellowship
Pediatric Vascular Neurology Track
Starting with academic year 2024-2025 we are offering a dedicated slot for a Child Neurology applicant to pursue a Pediatric Vascular Neurology fellowship with ACGME accreditation. The Pediatric Track will offer additional clinical and research time at Seattle Children’s Hospital and mentorship from Dr. Amlie-Lefond, a national leader in Pediatric neurovascular disease. The Vascular Neurology program at Seattle Children’s Hospital, established in 2011, is a leading multidisciplinary program in the Pacific Northwest, catering to children with neurovascular disorders.
The addition of a Pediatric Vascular Neurology track enhances the current Adult Vascular Neurology training by broadening the scope of the fellowship and offering our adult fellows more interaction and comfort with the field of Pediatric Vascular Neurology.
Why UW Vascular Neurology?
We have a unique geographic location – as the only academic medical center in the Seattle metropolitan area and because we draw patients from a broader region, including Alaska, our patient population is rich and offers a wealth of learning.
Our faculty are smart, accessible, and remarkably approachable. Anyone at almost any time is happy to sit down and discuss a patient issue or personal concern.
Seattle is a phenomenal place to live! Not only do we have a thriving city with great food and cultural activities, but we have easy access to water and mountains as well. Where else can you see sea lions and a volcano (Mt. Rainier) on your commute to work each day?
Vascular Neurology Rotations
Inpatient Stroke
Spend time rounding with the inpatient teams at Harborview Medical Center learning from the vascular neurology faculty, neurocritical care faculty, sharing your expertise with trainees, responding to stroke codes, and helping to guide the care of stoke patients admitted to a comprehensive stroke center.
Inpatient rounds include daily rounds in the neurocritical care unit where we co-manage patients with the most severe strokes.
Stroke Phone
Take shifts triaging and answering consult questions from providers at UW Medicine hospitals and partners throughout the WWAMI region including critical access hospitals in rural and underserved areas. In addition to strengthening your vascular neurology knowledge, you will gain skill in conducting patient evaluations via TeleStroke and learn how to appropriately triage patients across a large geographic area based upon need and availability of resources. Night and weekend shifts on the stroke phone are done from home.
Neurocritical Care Service
You will spend time caring for patients with severe stroke including subarachnoid hemorrhage, traumatic brain injury, and other severe neurological injury in the neuro ICU at Harborview Medical Center, learning from neurocritical care specialists with a variety of backgrounds including neurology, neurosurgery, neurointerventional, and anesthesiology. Differs from the inpatient rotation in that you will also see the patients co-managed with the neurosurgery service (subarachnoid hemorrhage, traumatic brain injury and spinal cord injury)
Transcranial Doppler Rotation
Learn the basics of performing and interpreting transcranial doppler ultrasound imaging by working closely with the Harborview Cerebrovascular Lab. For those who would like to pursue certification in TCD interpretation you will have the opportunity to complete the required number of studies to sit for the exam.
Neuroradiology
Work side by side with the neuroradiology fellows and attendings to deepen your knowledge and ability to interpret neuroimaging. You will also spend time observing neurointerventional cases and will have designated self-study time with suggested learning resources.
Research Elective
This time is designed to help you develop new projects or get ongoing projects across the finish line. Our faculty have a number of research and quality improvement projects that fellows can participate in. We are also happy to support the development of new projects.
Other Electives
Fellows may opt to spend additional time on any of the above. Other popular options include Palliative care, Rehabilitation, Neurology consults, Neuro-intervention. Generally we are happy to work with you to arrange electives of interest!
Stroke Clinic
Fellows have the opportunity to care for outpatient vascular neurology patients in half-day clinics each week. The clinic is staffed by vascular neurology attendings and provides an opportunity for continuity of care and for managing chronic neurovascular conditions such as moya-moya syndrome and CADASIL. In addition, fellows have the unique opportunity to spend some time in clinic at Seattle Children’s Hospital under the mentorship of our pediatric vascular neurology expert, Dr. Amlie-Lefond.
Conferences
- Monday stroke webinar (topics from the prior year include International Stroke Conference, NIH Stroke Net Grand Rounds, World Stroke Organization, and more).
- Wednesday noon Neurology Lecture Series (including a monthly stroke lecture and visiting stroke faculty annual lecture)
- Thursday afternoon Neurology Grand Rounds
- Friday afternoon stroke didactics followed by a multi-disciplinary stroke clinical conference (discussion of interventions and challenging or interesting cases of the week)
In addition, fellows are encouraged to attend the International Stroke Conference as well as other national conferences, especially if presenting research.
Teaching opportunities for fellows abound – fellows participate in the Neurology Lecture Series and lead various medical student and resident didactics throughout the year.
How to Apply
Our program participates in the NRMP Match using ERAS for Fellowship Positions. Please upload your C.V., 3 letters of recommendation including a letter from your current program director, a personal statement, and your USMLE Scores into the ERAS program. Applications will be reviewed starting December and interviews will follow.
Prior to appointment in the program, fellows must have successfully completed an ACGME-accredited program in neurology, child neurology, neurodevelopment disabilities, or a program in one of these specialties that is located in Canada and accredited by the Royal College of Physicians and Surgeons of Canada.
To Apply
All applications are submitted through the Electronic Residency Applicator Service (ERAS). Information regarding ERAS can be found on National Residency Matching Program (NRMP). Interviews will be conducted in early 2025
For any questions or to submit additional materials for your application please contact our Program Coordinator, at neurofellowship@uw.edu.
Core Fellowship Team
Catherine Amlie-Lefond, M.D.
Dr. Amlie-Lefond is the Director of the Pediatric Vascular Neurology program at Seattle Children’s Hospital and a Professor of Neurology. She is the site director for the fellowship at Children’s and helps direct the Pediatric Vascular Neurology track.
Special Clinical and/or Research Interests:
Pediatric stroke, acute treatment of stroke, cerebrovasculopathy and cerebral vascular malformations
Claire Creutzfeldt, M.D.
Dr. Creutzfeldt is a vascular neurologist at Harborview, the Director of Neuropalliative Care, and an Associate Professor of Neurology.
Special Clinical and/or Research Interests:
Neuro-palliative care, especially for patients with severe acute brain injury.
Rizwan Kalani, M.D.
Dr. Kalani is an Assistant Professor of Neurology.
Special Clinical and/or Research Interests:
Lipids and cerebrovascular disease, stroke epidemiology and population-based approaches to stroke prevention in low-and middle-income countries.
Ryan Kiser, M.D.
Dr. Kiser is an Assistant Professor of Neurology.
Sandeep Khot, M.D., M.P.H.
Dr. Khot is the Director of the HMC Consult Service and a Professor of Neurology.
Research Interests:
Dr. Khot conducts clinical research on the relationship between sleep apnea and stroke, notably assessing stroke recovery with the treatment of sleep apnea with continuous positive airway pressure (CPAP). Other research includes cardiac arrest, carotid dissection, intracranial atherosclerosis, giant cell arteritis, and stroke.
Clinical Interests:
Care of hospitalized patients with neurologic disease.
Will Longstreth, M.D.
Dr. Longstreth is the chief of Neurology at Harborview Medical Center, Professor of Neurology, and an Adjunct Professor of General Internal Medicine, Epidemiology, and Medicine.
Clinical and/or Research Interests:
Cerebrovascular disease and epidemiology.
Hope Opara, M.D.
Dr. Opara is a Clinical Assistant Professor of Neurology.
Special Clinical and/or Research Interests: Acute stroke intervention and management, primary and secondary stroke prevention, and use of transcranial doppler particularly for surveillance of cerebrovascular disease severity in sickle cell patients.
Breana L. Taylor, M.D.
Dr. Taylor is an Assistant Professor of Neurology. She is the Associate Program Director of the Vascular Neurology Fellowship and Head of the Mt. St. Helens College in the UW School of Medicine.
Special Clinical and/or Research Interests:
Medical education and neuro-palliative care communications education.
David Tirschwell, M.D., M.Sc.
Dr. Tirschwell is the Medical Director of Comprehensive Stroke Care at the UW Medicine Stroke Center at HMC and a Professor of Neurology.
Research Interests:
Intracerebral hemorrhage, stroke epidemiology, quality of care, clinical trials and outcomes of stroke patients.
Natlie Weathered, MD, MS
Dr. Weathered is the Program Director of the Neurology Residency Program and a Clinical Assistant Professor of Neurology.
Jonathan Weinstein, M.D., Ph.D.
Dr. Weinstein is a Professor of Neurology and an Adjunct Associate Professor of Neurological Surgery.
Special Clinical Interests:
CNS Vasculopathies, neurovascular leukoencephalopathies
Special Research Interests:
Basic and translational work on the neuroimmune responses in both acute stroke and in ischemic preconditioning.
Dr. Weinstein’s Research Laboratory: https://neurology.uw.edu/research/weinstein-lab/research.html
Vivian Yang, M.D.
Dr. Yang is an Assistant Professor of Neurology and the course director of the Mind Brain & Behavior Course for the UW School of Dentistry.