{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:18:58Z","timestamp":1759335538586},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2015,12,14]],"date-time":"2015-12-14T00:00:00Z","timestamp":1450051200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1481803515001116_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>Stroke and transient ischemic attack (TIA) are common disorders treated by Canadian emergency physicians. The diagnosis and management of these conditions is time-sensitive and complex, requiring that emergency physicians have adequate training. This study sought to determine the extent of stroke and TIA training in Canadian emergency medicine residency programs.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803515001116_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A two-page survey was emailed to directors of all English-speaking emergency medicine residency programs in Canada. This included both the Fellow of the Royal College of Physicians of Canada (FRCPC) and the College of Family Physicians Enhanced Training [CCFP(EM)] residency programs. The number of mandatory and elective rotations, lectures, and examinations relevant to stroke and TIA were assessed.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803515001116_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Nine FRCPC programs responded (of 11; RR=82%) and 11 CCFP(EM) programs responded (of 18; RR=61%), representing 20 of 29 programs in Canada (RR: 20\/29=69%). Mandatory general neurology (3\/9) and stroke neurology (2\/9) rotations were offered in a minority of FRCPC programs and not at all in CCFP(EM) programs (0\/11). Neuroradiology rotations were mandatory in 1\/9 FRCPC programs and no CCFP(EM) programs (0\/11). Acute ischemic stroke was allocated 3 hours of lecture time per year in all residency programs, regardless of route of training. Despite the fact that 100% of respondents train residents in facilities that administer thrombolysis for stroke, only 1\/11 (9%) CCFP(EM) programs and 0\/9 FRCPC programs have residents act as stroke team leaders.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803515001116_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Formal training in stroke and TIA is limited in Canadian emergency medicine residency programs. Enhanced training opportunities should be developed as this disease is sudden, life-threatening, and can have disabling or fatal consequences, and therapeutic options are time sensitive.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2015.111","type":"journal-article","created":{"date-parts":[[2015,12,14]],"date-time":"2015-12-14T09:13:35Z","timestamp":1450084415000},"page":"283-287","source":"Crossref","is-referenced-by-count":6,"title":["Stroke Education in Canadian Emergency Medicine Residency Programs"],"prefix":"10.1007","volume":"18","author":[{"given":"Devin R.","family":"Harris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Teal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Turton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Lahiffe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Pulfrey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2015,12,14]]},"reference":[{"key":"S1481803515001116_ref10","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000115103.49326.5E"},{"key":"S1481803515001116_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2011.03390.x"},{"key":"S1481803515001116_ref9","first-page":"S17","article-title":"Frontline misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a systematic review","volume":"64","author":"Newman-Toker","year":"2008","journal-title":"Ann Neurol"},{"key":"S1481803515001116_ref3","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000196957.55928.ab"},{"key":"S1481803515001116_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2005.tb00972.x"},{"key":"S1481803515001116_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.16.1293"},{"key":"S1481803515001116_ref6","unstructured":"Canadian Agency for Drugs and Technologies in Health. Appropriateness of CT imaging to support the diagnosis of stroke: a review of the clinical evidence. Available at: http:\/\/www.cadth.ca\/en\/products\/rapid-response\/publication\/4057 (accessed June 1, 2014)."},{"key":"S1481803515001116_ref2","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000152985.32732.EE"},{"key":"S1481803515001116_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60491-6"},{"key":"S1481803515001116_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100008921"},{"key":"S1481803515001116_ref1","unstructured":"National Hospital Ambulatory Medical Care Survey: 2010 emergency department summary tables. Available at: http:\/\/www.cdc.gov\/nchs\/data\/ahcd\/ nhamcs_emergency\/2010_ed_web_tables.pdf (accessed June 1, 2014)."},{"key":"S1481803515001116_ref15","unstructured":"Canadian Resident Matching Service. 2015 Family Medicine\/Emergency Medicine Match Program Descriptions. Available at: http:\/\/www.carms.ca\/en\/residency\/fmem\/program-descriptions\/archive\/ (accessed June 2015)."},{"key":"S1481803515001116_ref8","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/949275"},{"key":"S1481803515001116_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7354.17"},{"key":"S1481803515001116_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2011.03.009"}],"container-title":["CJEM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1481803515001116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T23:38:27Z","timestamp":1609457907000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1481803515001116\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,14]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["S1481803515001116"],"URL":"https:\/\/doi.org\/10.1017\/cem.2015.111","relation":{},"ISSN":["1481-8035","1481-8043"],"issn-type":[{"value":"1481-8035","type":"print"},{"value":"1481-8043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,14]]}}}