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ABNT position statement on stroke cover and neurology training

Improvements in acute stroke care around the country are leading to greater involvement of neurology trainees in the delivery of these services, often with a particular impact on on-call commitments.

The ABNT believes that:

  • there are many possible models for delivering thombolysis services out of hours, some of which may involve neurology trainees
  • training in acute stroke and thrombolysis is a very valuable experience for neurology SpR
  • any changes to working patterns should always be made in consultation with the trainees affected, not least because they may make a useful contribution to planning new services
  • the impact of new working patterns on the quantity and quality of daytime training in general neurology available to SpRs should be a central consideration in rota design. Resident rotas requiring the introduction of shift working can have detrimental effects on training unless there are suffiicient doctors on the rota to make this workable. On non-resident rotas, expectations of the time it will take for SpRs to arrive in A&E after a call must be reasonable
  • neurology SpRs should always be able to access consultant support to discuss cases when covering acute stroke out of hours
  • neurology SpRs should always have enough junior support to avoid them having to perform inappropriate tasks out of hours (venepuncture, cannulation, reviewing minor medical problems, etc.)

If your experience does not live up to these standards, please let us know. The ABNT would be keen to support you.

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