In Austin's two busiest stroke centers, our Fellows experience an active Stroke Code Program focused on acute stroke neuroimaging using MRI and TNK as the preferred thrombolytic agent. Fellows collaborate with Neurology, Neurocritical Care, Emergency Medicine, Neurosurgery and NeuroEndovascular Surgery. They also rotate with PM&R colleagues to understand long term impacts of disability and stroke disease on patient's lives. Participation in clinical trials and research initiatives is encouraged.