Neurology Tops the Burnout List: How Sevaro is Rewriting the Future for Neurologists

A burned out neurologist stressed out, sitting in his office with the blog title, How Sevaro Telestroke Is Rewriting The Future for neurologists

Neurology Tops the Burnout List: How Sevaro is Rewriting the Future for Neurologists

By Melanie J. Winningham, MD & Sevaro Team

The best parts of being a physician: 

  • Connecting with other humans, often at one of their most vulnerable moments.  
  • The rush of acting quickly to intervene on another person’s behalf and providing care that staves off death and disability. 
  • Knowing that there’s always something to learn or something to teach – I am pleasantly challenged by something or someone every day.  

Things I dread:

  • The stomach-sinking feeling of piled-up work at the end of a long day.
  • Documentation waiting for you when you’re emotionally and mentally spent from giving 110% to the humans you love to connect with and care for.  
  • Feeling distracted by unwanted notifications, redundant calls, and other things that take your attention away from what actually matters to you – your patient and their family.  

We all want to give our full attention with genuine emotional connection to our patient. I know I do, and I’m not alone. However, despite the astounding scientific and technological advancements of the past ten years, work towards supporting the patient care encounter and the provider performing it has been lacking. 

Documentation requirements, billing, inboxes, pagers, secure chat, snail mail with paperwork to complete.  

A barrage of distraction and disorganized responsibility. 

New Data, Familiar Problem. A Harsh Reality for Neurologists.

According to Medscape’s newly released 2025 “Physician Mental Health & Well-Being Report,” Neurology ranks #1 in physician burnout, with a staggering 43% of neurologists reporting symptoms. Nearly 1 in 5 neurologists reported feeling both burned out and depressed. 

The numbers are stark, but not surprising, given everything we know about the complex clinical and administrative tasks that neurologists must manage.  

The rise in burnout among neurologists isn’t difficult to understand – they are on the frontlines of some of medicine’s most time-sensitive, emotionally taxing conditions – from ischemic strokes to traumatic brain injuries to progressive neurodegenerative diseases. 

Combine this with:

  • Complex diagnostic responsibilities 
  • Long shifts and frequent on-call demands 
  • Staffing shortages 
  • Increasing documentation burdens 
  • Fragmented systems that slow down care

…and it’s no wonder neurologists are overwhelmed.

Burnout in this specialty affects the physicians, patient outcomes, hospital efficiency, and the long-term sustainability of Neurology itself.  

These statistics around burnout rates reflect a deep, systemic challenge across healthcare – but for those of us in the world of stroke and neurology, they hit particularly close to home.  

At Sevaro, we’re aware of this crisis—and we are actively, intentionally, and unapologetically designing against it.

We believe the way forward starts with one fundamental truth: You can’t fix provider burnout with just another meeting or more compensation. Real change comes from smarter tools, workload management, a supportive culture, and leaders who’ve walked the same path.

At Sevaro, we’re not just physician-friendly – we are physician-led. 

A Company Led by Physicians, for Physicians

Our clinical leadership team includes some of the most respected neurologists in the country, and nearly every senior leader in our organization is an active, practicing physician.

That matters—because it means we’re not designing solutions in a vacuum. We’re building systems that we use ourselves in clinical practice—solutions we know can truly revolutionize neurological care.

Our physicians benefit from innovation—and they feel the impact of leadership that truly understands and supports them.  

One provider who joined Sevaro after working for a competitor shared, “The fact that I get calls from the leadership team to check in is something that would have never happened at my previous employer.” Another remarked, “There is a very supportive leadership, and every leader is super dedicated.” 

At Sevaro, leadership is more than a title—it’s a presence that’s personal, involved, and committed. 

We Understand What It Feels Like to Be on the Clock, Under Pressure, Alone. 

So we created a virtual stroke care model that never leaves a provider unsupported. Our virtual neurologists are part of a high-performing clinical team—connected, supported, and equipped with tools that make fast, effective care easier. 

We’re not here to burn out brilliant minds. We’re here to elevate them.  

Culture Isn’t a Perk. It’s the Product.

In a world where physician burnout is often treated like an HR problem, we see it as a design flaw. 

That’s why our culture is built from the ground up to empower and sustain clinicians: 

Flexibility & Autonomy 

Our providers work remotely, with flexible schedules and balanced workloads. No long commutes. No double shifts. Just focused, high-impact clinical care delivered with clarity and purpose. 

Collaboration Over Isolation 

We’ve built a model where neurologists don’t work in silos. Every provider is part of a connected, responsive community—backed by 24/7 support and transparent leadership communication. 

Purpose Over Pressure 

Sevaro’s mission is centered on transforming stroke care through technology and human connection. Our physicians aren’t just clocking in—they’re helping reshape the future of their field. 

And our providers feel that difference every day. Many have shared how meaningful it is to work in a culture where support isn’t just a promise—it’s a practice. 

My fellow neurologists weigh in…

  • One provider noted, “The inner team has a good culture of helping out and checking on each other with workloads. The team backing is real.” 
  • Another added, “Leadership has been amazing—supportive, always advocating for me, and walking alongside me to make sure I have the help I need. Everyone has stepped in when it mattered most, especially during busy times.” 
  • A third shared, “I really appreciate the time I’ve had working here. The collaboration feels like a true team effort—so different from in-house neurology, where you’re often the only person. This is a collaborative approach, and people are easy to reach out to.” 
  • And for many, the model has changed their lives beyond the hospital: 
    “I don’t have to commute, and I love working from home—it’s been the most rewarding thing for my family to have me present. And I know I’m making a difference for patients quickly.” 

At Sevaro, you’re never alone. You’re part of something stronger. 

The Technology: Built by Clinicians, for Clinicians

Our clinician leaders at Sevaro came together with an amazing tech team to create solutions that support our providers by maximizing their time, reducing the documentation effort, and streamlining communication in novel ways to allow them to focus on what matters most – our patients. 

The right technology doesn’t replace physicians. It recharges them. 

Charts with stats about the amount of virtual neurology consults for Sevaro neurologist shifts

Our clinician leaders at Sevaro came together with an amazing tech team to create solutions that support our providers by maximizing their time, reducing the documentation effort, and streamlining communication in novel ways to allow them to focus on what matters most – our patients.  

That’s the philosophy behind Synapse AI—our proprietary, end-to-end stroke care platform designed to reduce friction, speed up decision-making, and eliminate the bottlenecks that wear neurologists down. 

Providers are supported by an AI-assisted documentation process, a user-friendly phone application that lets them take the stroke triage process anywhere and everywhere, and a virtual care dashboard that brings all of their patient care tools into one easy-to-use space. 

One stop to access your EMRs, video platform, and AI-imaging software.  

Access to this innovative set of tech tools has made patient care something that I look forward to because I feel supported and efficient. It has made a world of difference for me as a stroke neurologist. I don’t think I could go back to practicing any other way.  

The Synapse AI Difference

A laptop and iphone showing Synapse AI Teleneurology software on the screens

Real-Time Data. Fewer Clicks. 

Through Premium Analytics, a key feature of Synapse AI, providers can access live performance metrics, stroke workflow timelines, and case documentation insights without chasing down data or refreshing clunky EMRs. 

Streamlined Workflows = More Clinical Time 

Synapse AI eliminates repetitive tasks and automates parts of the documentation process, letting providers focus on what they do best—clinical decision-making, not data entry. 

Instant Connection. No Delays. 

When seconds matter, Synapse AI ensures that a neurologist is connected to the bedside in under 45 seconds.

That means less waiting, more action, and a true sense of professional impact. And our physicians have shared that one of the most rewarding parts of working with this technology is its reach.

“The ability to care for more patients across the country—in a faster, more efficient way—has been incredibly meaningful.” 

Final Thoughts: This Is Personal 

For the leadership at Sevaro, this report is a call to action. 

Many of us have experienced burnout firsthand. We’ve stayed up all night, second-guessing decisions. We’ve missed family milestones, buried in documentation. We’ve felt the crushing weight of too much to do and not enough time to do it. 

But now, we’re building something better. 

To every neurologist reading this: You deserve support. You deserve better tools. You deserve to love the work you trained for. 

And at Sevaro, that’s what we’re here to deliver. 

Whether you’re a health system facing burnout challenges or a vascular neurologist looking for a more balanced, meaningful career—we’re here to help.

  • Connect with us today to talk through your biggest challenges and see how Sevaro’s physician-led model and Synapse AI technology can make a real difference.
  • We’re hiring, too — join a team that’s rebuilding stroke care with you in mind.

Stroke Risk & Extreme Weather: A Growing Challenge for Hospitals

Screenshot of Sevaro's Premium Analytics showing telestroke data

Stroke Risk & Extreme Weather: A Growing Challenge for Hospitals

When the weather turns dangerous, so does stroke risk.

Extreme heatwaves, sudden cold snaps, and unpredictable storms are increasing stroke cases. Climate change is making an impact on health in ways we’re only beginning to understand. Among its most alarming effects is a rising risk of stroke.

As global temperatures swing to new extremes, hospitals are seeing patterns emerge: spikes in stroke cases tied directly to extreme weather events. Heatwaves strain cardiovascular systems, cold weather raises blood pressure, and air pollution worsens inflammation, all major contributors to stroke.

For hospitals, the challenge is clear. How do you predict, prevent, and manage weather-driven stroke cases when every second counts? The answer lies in real-time AI insights, predictive analytics, and smarter stroke response systems.

How extreme weather increases stroke risk

Climate change affects stroke risk in several ways, primarily by putting extra strain on the body’s cardiovascular system. Studies show that both high and low temperatures increase the likelihood of stroke, especially in vulnerable populations.

Heatwaves and stroke risk

When temperatures soar, the body works harder to cool itself, leading to dehydration, increased blood viscosity, and heightened clotting risk, all of which can trigger a stroke.

Hospitals see a surge in dehydration-related strokes, heat exhaustion worsening pre-existing conditions, and higher emergency response times due to extreme heat slowing transportation.

Cold snaps and hypertension spikes

Sudden cold exposure causes blood vessels to constrict, raising blood pressure and increasing the risk of clot formation. Older adults and those with existing heart disease or high cholesterol are particularly vulnerable.

Hospitals report more ischemic strokes caused by narrowed arteries, increased emergency visits due to hypertension, and limited mobility for patients who need immediate stroke care.

Air pollution and inflammation

Rising pollution levels, often worsened by heat and wildfires, create chronic inflammation in the body. Research shows that exposure to fine particulate matter increases stroke risk by triggering vascular damage over time.

Hospitals experience higher stroke admission rates during poor air quality days, increased cases of transient ischemic attacks, and stroke patients presenting with respiratory complications.

The role of AI in predicting and managing weather-driven stroke cases

Traditional stroke response systems are reactive, waiting for a crisis before acting. AI-powered predictive analytics change the game, allowing hospitals to anticipate and prepare for stroke surges tied to extreme weather.

Sevaro’s Premium Analytics combines real-time hospital data, AI-driven insights, and environmental factors to help hospitals predict and manage stroke cases during extreme weather.

Predictive modeling detects patterns in patient volume and weather conditions, allowing hospitals to staff up and prepare resources before a surge hits. Real-time monitoring tracks temperature, humidity, air pollution, and stroke admissions, providing instant alerts when risk factors spike.

AI-assisted stroke triage ensures stroke patients are prioritized immediately, reducing delays in diagnosis and treatment. Resource allocation helps hospitals manage specialist availability, ICU beds, and stroke response times based on real-time conditions.

How hospitals can adapt to climate-driven stroke surges

Hospitals can’t control the weather, but they can control how they respond. By integrating AI-driven insights, smarter workflows, and proactive care strategies, they can prevent avoidable deaths and improve patient outcomes.

Use AI to predict and prepare by leveraging Premium Analytics to forecast stroke risk based on extreme weather patterns. Adjust staffing and bed availability before high-risk days, such as extreme heat warnings.

Strengthen emergency stroke triage by implementing Sevaro OneCall to connect stroke specialists instantly, avoiding delays caused by overwhelmed ERs. Automate decision-making with Synapse AI, prioritizing high-risk stroke cases in seconds.

Educate high-risk populations by proactively warning vulnerable patients ahead of extreme weather events. Promote stroke awareness campaigns tied to seasonal risks, teaching communities how to recognize symptoms using the BEFAST method. 

The future of stroke care is in AI and climate resilience.

The effects of climate change on stroke risk are only going to intensify. But with AI-powered predictive analytics, hospitals don’t have to be caught off guard. By leveraging real-time data, streamlining emergency response, and optimizing stroke triage, healthcare systems can turn extreme weather from a crisis into a challenge they’re prepared to meet.

At Sevaro, we’re pioneering the future of climate-resilient stroke care, ensuring that when seconds matter most, hospitals have the insights they need to act fast.

Learn more about how Sevaro is transforming stroke care at Sevaro.com.

Case Study: How Teleneurology and TNK Transformed Stroke Care Efficiency

“Before our partnership, DTN times when using tPA remained above national benchmarks. Thanks to Sevaro, their stroke workflow enhancements, and TNK adoption, DTN times improved to under 30 minutes, now exceeding national benchmarks.”

Telestroke Response in the Emergency Room: Connecting with the Vascular Neurologist

Background: The Need for Faster Stroke Treatment

A two-site, 110-bed hospital system in the southern United States, known for its commitment to stroke care excellence, was facing a critical challenge: door-to-needle (DTN) times for alteplase (tPA) were averaging 45 minutes—falling short of national benchmarks.

To enhance efficiency and align with evolving stroke treatment guidelines, the hospital made two key changes:

  1. Adopting teleneurology & better technology for stroke care to accelerate neurologist access and streamline decision-making.
  2. Transitioning from tPA to tenecteplase (TNK) for its simpler, faster administration.
stroke patient in a hospital room talking with a virtual neurologist

Intervention: Leveraging Telestroke Technology for Faster Care

By partnering with its new virtual neurology provider and its AI-technology, the hospital improved its stroke response workflow with several critical upgrades:

  • TNK vs. tPA Efficacy – Switching to TNK eliminated the need for a prolonged infusion, reducing nursing workload and speeding up treatment.
  • Enhanced Teleneurology Workflow* – Stroke teams received real-time neurologist access, stroke alerts were automated, and provider coordination improved.
  • Real-Time Data Tracking* – Continuous DTN time monitoring and monthly case reviews allowed for quick process adjustments and ongoing optimization.

*Enhancement due to Synapse AI technology platform

The Result

  • Before TNK adoption – The hospital administered tPA an average of 2.91 times per month.
  • After TNK adoption – Thrombolytic use remained stable at 3.00 cases per month, confirming TNK’s effective implementation.
  • Reduced Bottlenecks – TNK’s simplified administration significantly improved efficiency for nursing and pharmacy teams.
  • DTN times dropped to under 30 minutes, now exceeding national benchmarks.
  • Teleneurology for stroke care played a key role, ensuring faster neurology evaluations and rapid treatment decisions.
a stroke patient leaving the hospital, thanks to virtual neurologist experts

Key Takeaways: The Power of Teleneurology, TNK, & Better Technology for Faster Stroke Care

By leveraging Sevaro’s technology-enabled solutions and transitioning from tPA to TNK, the hospital achieved measurable improvements in stroke care efficiency, setting a new standard for rapid, data-driven stroke intervention.

The combination of real-time neurologist access, optimized workflows, and data-driven performance tracking resulted in faster DTN times and better patient outcomes.

Hospitals looking to enhance stroke care efficiency can take a page from this case study: technology-driven solutions like Synapse AI are making a real difference.

Ready to be the next hospital to revolutionize neurological care?  Let’s talk.

Schedule a demo or give us a call today!

Lessons from Global Stroke Awareness Campaigns

surrealism collage of World Stroke Awareness Campaign, Global Initiatives

The Power of Stroke Awareness Campaigns, Lessons from Global Initiatives

Stroke is one of the leading causes of death and disability worldwide. Every second during a stroke matters, as millions of neurons are lost each minute treatment is delayed. This urgency underscores the critical importance of public awareness campaigns that educate communities on recognizing stroke symptoms and responding quickly.

Among these, the BEFAST campaign has emerged as a pivotal tool in improving stroke outcomes by empowering individuals with the knowledge to act fast.

This blog explores the impact of stroke awareness initiatives like BEFAST and highlights how global campaigns are saving lives by turning bystanders into lifesavers.

Why Stroke Awareness Matters

A stroke occurs when blood flow to the brain is interrupted, either by a blockage (ischemic stroke) or a burst blood vessel (hemorrhagic stroke).

The symptoms of a stroke can be subtle, but the need for quick action is not. Stroke treatments, such as clot-busting medications or thrombectomy, are time-sensitive and most effective when administered within a few hours of symptom onset.

Despite medical advancements, one of the biggest challenges in stroke care remains the delay in patients seeking treatment.

Many people do not recognize the signs of a stroke, and even if they do, hesitation and uncertainty can prevent them from calling emergency services. This is where awareness campaigns play a transformative role.

The BEFAST Campaign, A Game Changer in Stroke Awareness

The BEFAST acronym stands for:

  • Balance: Sudden loss of balance or coordination.
  • Eyes: Blurred or double vision or sudden vision loss.
  • Face: One side of the face drooping or feeling numb.
  • Arms: Weakness or numbness in one arm.
  • Speech: Slurred or difficult speech.
  • Time: Time to call emergency services immediately.

By using simple, memorable cues, BEFAST has made it easier for the public to recognize the signs of a stroke and act quickly. Studies show that when communities are educated with BEFAST, stroke patients arrive at hospitals sooner, allowing healthcare teams to initiate treatment faster and improve patient outcomes.

Lessons from Other Successful Campaigns

  1. The FAST Campaign (UK)

The FAST (Face, Arms, Speech, Time) campaign in the United Kingdom has been credited with significantly increasing public knowledge about stroke symptoms.

Government-funded and widely broadcast on television, radio, and social media, the campaign helped reduce the average time from symptom onset to hospital arrival.

The success of FAST also influenced the development of the enhanced BEFAST model, adding critical indicators like balance and vision changes.

  1. World Stroke Day (Global)

Every year on October 29th, World Stroke Day raises global awareness about stroke prevention, treatment, and support for survivors.

Spearheaded by the World Stroke Organization, this initiative includes educational materials, survivor stories, and a unified message that “Stroke is Treatable.”

The campaign’s widespread reach helps communities around the world understand stroke risks and the importance of timely medical care.

  1. The American Heart Association’s Stroke Hero Campaign (USA)

This campaign focuses on empowering children and adults to recognize stroke symptoms and respond appropriately.

It uses engaging materials like videos, animations, and interactive quizzes to educate audiences in schools and workplaces.

By targeting children, the campaign also aims to create generational change, where stroke awareness becomes a normalized and shared family knowledge.

  1. Act FAST (Australia)

Australia’s “Act FAST” campaign has made strides in educating the public about stroke symptoms and the urgency of calling emergency services immediately.

The campaign uses real-life testimonials and scenarios to illustrate the critical importance of acting FAST, contributing to faster treatment times and better recovery rates for stroke patients.

How Stroke Awareness Campaigns Improve Outcomes

The measurable impact of stroke awareness campaigns includes:

  • Increased Emergency Calls: Campaigns like BEFAST have led to more people calling emergency services at the first sign of stroke symptoms.
  • Faster Hospital Arrivals: Patients who recognize symptoms early are more likely to arrive at the hospital within the treatment window for therapies like thrombolysis or thrombectomy.
  • Better Treatment Rates: Hospitals in regions with active awareness campaigns report higher usage of clot-busting drugs and better adherence to stroke treatment protocols.
  • Improved Long-Term Outcomes: Early treatment facilitated by awareness campaigns reduces the severity of disability in stroke survivors, enhancing their quality of life.

Sevaro’s Role in Promoting Stroke Awareness

At Sevaro, we understand that public education is as critical as clinical treatment when it comes to stroke care. We actively support stroke awareness initiatives and integrate education into our services.

Our BEFAST book, co-authored by Sevaro’s CEO Dr. Rajiv Narula and his son, is one such initiative aimed at teaching children and families how to recognize and respond to strokes.

Sevaro also uses advanced technologies like Synapse AI to support hospitals in delivering faster stroke care, but we recognize that technology works best when paired with an informed public that knows when and how to seek help.

The Future of Stroke Awareness

As technology evolves, so do the strategies for spreading awareness. Digital tools such as mobile apps, social media challenges, and virtual training sessions can enhance the reach of stroke education.

Artificial intelligence (AI) and data analytics can also identify high-risk populations and deliver targeted awareness campaigns, ensuring that those who need the information most receive it.

Conclusion, Awareness Saves Lives

The success of stroke awareness campaigns like BEFAST demonstrates the power of education in saving lives. By teaching the public to recognize stroke symptoms and act quickly, these initiatives reduce treatment times and improve outcomes for stroke patients.

As we continue to innovate in stroke care at Sevaro, we remain committed to promoting awareness, supporting education, and ultimately helping communities become safer and better prepared when every second counts.

 

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