Achmad Firdaus Sani, Fritz Sumantri Usman, Ashari Bahar, Subandi, Tommy Rachmat Setyawan, Kumara Tini, Iskandar Nasution, Mohammad Kurniawan, Iin Pusparini, Yovita Andhitara, Gilbert Tangkudung, Nasrul Musadir, Dedi Sutia, Pinto Desti Ramadhoni, Rodhiyan Rakhmatiar, Setyawati Asih Putri, Jovian Philip Swatan, Syahrul, Dodik Tugasworo Pramukarso
Background & Objective: Cerebrovascular diseases are among the most frequently managed conditions in neurology residency. With advances in reperfusion and endovascular therapies, exposure to neurointervention has become increasingly relevant in residency training. However, neurointervention rotations are not uniformly implemented across Indonesian training centers. This study aimed to explore neurology trainees’ perspectives on neurointervention rotations and to evaluate whether participation in such rotations influences comfort with clinical decision-making in stroke and neurocritical care. Methods: An electronic survey was distributed in early 2025 to 15 neurology residency training centers across Indonesia. Neurology trainees were randomly selected from each participating center to complete the questionnaire. The survey, adapted from previous studies, assessed demographics, exposure to neurointervention, and comfort with clinical decision-making using a five-point Likert scale. All responses were collected anonymously to ensure confidentiality. Results: Of 120 invited residents, 116 (96.7%) completed the survey. Neurointervention rotations were offered at 11 centers, completed by 66 (56.9%) respondents. Most trainees (83.6%) believed such rotations should be mandatory. Residents who had completed a neurointervention rotation reported significantly greater comfort in identifying large vessel occlusion (p=0.003), interpreting cerebral angiograms (p<0.001), determining Thrombolysis in Cerebral Infarction score (p=0.018), and managing intracerebral and subarachnoid hemorrhage in stroke units (p=0.02). Conclusion: Neurovascular and neurocritical care rotations provide a foundation for clinical decision-making in stroke. However, dedicated neurointervention rotations significantly improve trainees’ comfort in managing hyperacute stroke and neurointervention-related cases, and may also encourage pursuit of fellowship training. Standardizing such rotations across training centers could better prepare residents for the complex decision-making required in modern stroke and neurocritical care. © 2026, ASEAN Neurological Association. All rights reserved.
Department of Neurology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Neurology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Department of Neurology, Pelni Hospital, Jakarta, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Pelita Harapan, Banten, Indonesia; Department of Neurology, Faculty of Medicine, Hasanuddin University, Hasanuddin University, Hospital/Brain Centre, Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Dr. Moewardi General Hospital, Surakarta, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Gadjah Mada, Gadjah Mada Academic Hospital, Yogyakarta, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Udayana, Prof. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik Hospital, Medan, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Hospital, Jakarta, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Diponegoro, Dr. Kariadi General Hospital, Semarang, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Sam Ratulangi, Prof. Dr. R.D. Kandou General Hospital, Manado, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Syiah Kuala, Zainal Abidin Hospital, Banda Aceh, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Andalas; M. Djamil General Hospital, Padang, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Sriwijaya, Mohammad Hoesin General Hospital, Palembang, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Mataram, Nusa Tenggara Barat General Hospital, Mataram, Indonesia; Department of Neurology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Department of Neurology, National Brain Center Hospital Mahar Mardjono, Jakarta, Indonesia
