One-year ACGME approved fellowship with four positions/year located in scenic Seattle. Clinical training occurs at a dynamic county hospital that is a Joint Commission certified Comprehensive Stroke Center and a level 1 trauma center. We uniquely serve a large cachement area, including surrounding rural regions and have an active telestroke network. Fellows get exposure to inpatient stroke, neurohospitalist work, stroke clinic, telestroke, and have opportunities for research and teaching.