Knowledge

• Epidemiology of stroke
  
• Classification schemes for acute stroke (eg.
  OCSP)
  
• Acute stroke management
  
• Basis of primary and secondary prevention
  measures
  
• Complications of stroke
  
• Different rehabilitation models in hospital
  and community
  
• Ethical and legal issues relating to patients
  with severe disability
  

Skills

• Clinical assessment of stroke type and
  severity in the acute situation
  
• Planning appropriate management according
  to the stroke type
  
• Management of dysphagia and malnutrition
  
• Management of spasticity and post-stroke
  pain
  
• Leadership of multidisciplinary rehabilitation
  team.
  
• Provision of palliative care as required.
  

Attitudes

• To involve patient and carers in treatment
  decisions and goal settings.
• To work closely with other relevant specialists and value the opinion of members of the multidisciplinary team

Working on an acute stroke unit and a stroke rehabilitation unit or a combined unit [6 months]

Outpatient experience in a neurovascular clinic under the supervision of specialist stroke physician [6 months experience]

Outpatient experience in a stroke follow-up clinic to facilitate post- discharge care of stroke patients in collaboration with multidisciplinary team and various agencies in the community [6 months experience]

Be part of stroke thrombolysis team and gain experience in fast tracking acute stroke patients. Should be able to coordinate rapid but thorough assessment and direct rest of the team to enable prompt and safe thrombolysis [3 months experience]

Participate as a member and leader of multidisciplinary stroke team in setting goals and coordinating rehabilitation of
stroke patients [6 months experience]

Personal study including the Royal College guidelines for stroke management and all clinical trials relevant to stroke care (journals, internet and textbooks)

Formal teaching including departmental teaching programmes, regional study days and national stroke conferences

Note: formal stroke sub-CCT can be achieved by undertaking optional one year of additional training