Targets for stroke thrombolysis coupled with the EWTD impose challenges in maintaining an on call rota, with some trainees moving to a full shift system. Knowledge of acute stroke is recognised in the 2010 neurology curriculum but no specific guidance on total time given to acute stroke training has been made. We sought to identify the current involvement in thrombolysis among UK neurology trainees and its perceived impact on training.
A survey of 10 questions was emailed to all trainee members of the ABN.
30 trainees responded representing 16 regions in the UK. Total time training varied from 4 months on a stroke unit to 5 years on a thrombolysis on call rota. In one region trainees had no exposure to thrombolysis. 56% of regions participated in a non resident on call. 86% of respondents felt thrombolysis was an important part of general neurology training, commenting that time spent on a rota should be limited so general neurology training is not effected. The intensity of antisocial hours strongly correlated with perception of the effect of thrombolysis on training and of stroke as a specialty.
Involvement in acute stroke care by neurology trainees shows marked variability. We feel thrombolysis is an important part of neurology training; a minimum time for acute stroke care should be stipulated. However rotas must be carefully designed in collaboration with trainees to minimise the impact on general neurology training.