Table 4. Expected Progress of the APC.

APC: Advanced practice clinician; CT: Computed tomography; EEG: Electroencephalography; EHR: Electronic health record; IV tPA: Intravenous tissue plasminogen activator; MRI: Magnetic resonance imaging; MRS: Modified Rankin Score; NIHSS: National Institutes of Health Stroke Scale.

Timeframe	Expected Progress
Week 2	Become familiar with the diagnosis of stroke and the pathophysiology behind the disease process. Learn basic vascular neuroanatomy
Week 3	Learn the basics of secondary stroke prevention and medical management of the disease. Be able to perform an NIHSS and calculate an MRS
Week 4	Become familiar with neuroimaging modalities of CT and MRI. Become efficient at the use of the EHR
Week 5	Learn to manage the acute stroke patient and become familiar with the use of IV tPA and other intra-arterial procedures
Week 6	Feel confident in the day-to-day management of common issues in the stroke population (e.g., blood pressure management)
Week 7	Appreciate the vast array of the spectrum of neurologic disease and become familiar with the abilities and limitations of outpatient disease management
Week 8	Become familiar with a normal EEG tracing as well as learn about the common antiepileptic drugs
Week 9	Become exposed to common inpatient neurologic diagnoses such as Multiple Sclerosis, headache, Guillan-Barre Syndrome, encephalopathy, etc.
Week 10	Learn the management strategies for the commonest inpatient neurologic disorders and be exposed to lumbar punctures
Week 11	Feel confident in performing a complete neurological examination and be able to provide thoughtful differential diagnosis
Week 12	Become proficient at the daily tasks of pre-rounding, progress note writing, admitting, discharging, and EHR use