Advanced Practice Provider – Neurology (Day Shift)

Full Time

Job Details

Position title

Advanced Practice Provider – Neurology – Full Time

Shift Availability

7:00AM – 7:00PM EST

15 shifts per month including 4 weekend shifts

Company Description

Sevaro is a physician-founded, physician-led teleneurology company on a mission to transform stroke and neurology care delivery through innovative technology, actionable data, and compassionate service.

Our Synapse AI platform, OneCall system, and dedicated clinical team ensure hospitals and health systems across the country have rapid, expert neurological care 24/7.

We’re growing—and we’re looking for skilled Advanced Practice Providers (APPs) to join us in reshaping the future of neurology.

About the Role

We are seeking a highly motivated Advanced Practice Provider (APP)—preferably a Nurse Practitioner (NP) with AGACNP-BC certification or a Physician Assistant (PA)—to join our teleneurology team. This is a night shift role providing neurology consults and triage coverage for inpatient and emergency department cases.

The ideal candidate brings recent experience managing a broad spectrum of acute neurological conditions in high-acuity hospital settings and thrives working independently in a fast-paced telehealth environment.

You don’t work for us
you grow with us!

Position Requirements

Preferred:

  • Acute Gerontological Nurse Practitioner (AGACNP-BC) with doctoral degree (DNP or PhD). Master’s-prepared candidates with strong recent inpatient neurology experience will also be considered. Physician Assistants with demonstrated neurology expertise are welcome to apply.


Required

  • 2–3+ years of recent inpatient neurology consult or neurohospitalist experience.
  • Strong clinical expertise in: Seizure management, Stroke/TIA evaluation, Migraine care, Neuromuscular & movement disorders.
  • Experience supporting emergency departments and disposition planning.
  • Comfort working independently during night shifts (7 p.m.–7 a.m. EST).
  • Excellent communication skills with the ability to manage patients via telehealth platforms.
  •  

Why Sevaro?

  • 100% Remote: Practice at the highest level from anywhere in the U.S.
  • Innovative Tech: Leverage Synapse AI, OneCall, and Triage mobile platforms to deliver faster, smarter care.
  • Mission-Driven Team: Join a group of neurologists, APPs, and healthcare innovators committed to improving outcomes for patients and hospitals.
  • Growth & Impact: Be part of a fast-growing organization redefining teleneurology.

To Apply:

Please send your resume to our recruitment team, along with the role you are applying for listed in the subject line, to: recruitment@sevaro.com.

Tele-Stroke Neurologist: Full-Time Nocturnist

Full Time

Job Details

Position title

Tele-Stroke Neurologist – Full Time

Shift Availability

12 Hour Shifts – 7:00PM – 7:00AM EST

14 shifts per month including 4 weekend shifts

Company Description

Sevaro is a leading tele-neurology and tele-stroke company that combines compassion, care, and innovation to transform neurological healthcare. Our name is rooted in the word “Seva,” meaning compassion and care for others — reflecting our commitment to delivering patient-centric stroke and neurological care through proprietary technology.

By leveraging advanced telemedicine solutions, Sevaro improves stroke response times, access to specialty care, and patient outcomes nationwide. We remain at the forefront of neurological innovation to support hospitals, clinicians, and the patients they serve.

Position Highlights

As a Full-Time Tele-Stroke Neurologist Nocturnist, you will evaluate and manage acute stroke patients virtually during overnight hours using HIPAA-compliant telemedicine technology. This role offers the opportunity to deliver high-impact, time-sensitive stroke care while benefiting from a predictable nocturnist schedule and competitive compensation.

Sevaro’s proprietary platform, Synapse, supports real-time clinical decision-making, empowering neurologists to provide efficient, evidence-based stroke care. We prioritize physician satisfaction, work-life balance, and clinical excellence in a collaborative, growth-oriented culture.

You don’t work for us
you grow with us!

Position Requirements

  • Board Certified or Board Eligible in Neurology
  • Stroke / vascular neurology experience strongly preferred
  • Excellent communication skills with a focus on physician-patient interaction
  • Comfortable using HIPAA-compliant audio/video technology, EMRs, and PACS
  • Active, unrestricted medical license in any U.S. state (or ability to obtain)
  • Prior hospital-based, in-person stroke and neurology experience preferred
  • Prior tele-stroke or teleneurology experience preferred

Program Offering Includes

  • Competitive full-time nocturnist compensation
  • Sign-on bonus
  • Equity / stock option offering
  • Predictable night-only schedule
  • Highly collaborative, physician-first culture
  • Opportunities for Regional Medical Director leadership roles

Full Time Benefits Include:

  • Health, vision, dental, and life insurance
  • 401(k) with 4% match
  • Generous stock option offering
  • CME reimbursement stipend
  • Technology and malpractice coverage provided
  • Licensing and credentialing costs fully covered by Sevaro

To Apply:

Please send your resume to our recruitment team, along with the role you are applying for listed in the subject line, to: recruitment@sevaro.com.

Driving Operational Excellence Through Teleneurology

Impact of a .48 Day Average Length of Stay Reduction Per Patient

Impact of a .48 Day Average Length of Stay Reduction Per Patient

Stroke Survivor Inpatient Hospital Stay

In 2025, a leading hospital in the Southwestern U.S. reduced average length of stay (LOS) by 0.48 days per patient—from 5.268 days to 4.788 days—a 9% improvement. That half-day reduction is especially meaningful given that many health systems view even a 2–3% LOS improvement as significant. The impact was enabled by the strategic implementation of Sevaro Health’s teleneurology services, which accelerated neurological evaluations, streamlined care coordination, and optimized resource utilization, helping patients move safely through the care pathway faster.

Market Challenges

Hospitals across the U.S. continue to face mounting pressures to optimize operational efficiency while maintaining high standards of care. Rising patient volumes, staffing shortages, and limited physical capacity have made it increasingly difficult to balance throughput with quality outcomes. LOS is a critical metric in this equation and every additional day a patient remains in the hospital strains resources, increases costs, and limits access for new admissions. Even small improvements in LOS can have a significant impact on financial performance and patient satisfaction.

The Problem

In early 2025, the hospital was experiencing LOS averages above 5.2 days, creating bottlenecks in patient flow and driving up operational costs. Extended stays were often linked to delays in specialty consultations, particularly neurology, where timely evaluations are essential for conditions like stroke and acute neurologic changes. These delays not only prolonged hospitalization but also impacted care coordination and discharge planning, reducing overall efficiency. 

The Solution: Partnership with Sevaro

To address these challenges, the hospital partnered with Sevaro Health to implement teleneurology services in April 2025. Working with Sevaro, the hospital gained immediate access to board-certified neurologists enabling: 

  • Rapid stroke evaluations and accelerated treatment pathways. 
  • Improved multidisciplinary coordination, reducing delays in care transitions. 
  • Streamlined discharge planning, supported by faster diagnostic clarity. 

By embedding Sevaro’s Synpase AI platform into existing workflows, the hospital eliminated common bottlenecks associated with in-person consultations, and optimized resource allocation. 

Stroke Survivor in wheel chair

The Results

The impact was substantial. By October 2025, the hospital achieved a 9% reduction in average LOS, dropping from 5.268 days to 4.788 days compared to the prior year. In hospital operations, a 2–3% improvement is considered meaningful, making this nearly 9% decrease a remarkable achievement. 

Key outcomes: 

  • Enhanced throughput and capacity, allowing more patients to be treated without expanding physical space. 
  • Reduced bed pressures, improving flexibility for admissions and transfers. 
  • Optimized staffing and ancillary services, lowering operational strain. 
  • Improved patient experience, with faster care transitions and reduced wait times. 

Estimated 1,000+ beds freed annually

Up to $3.6M variable cost savings

$1M+ contribution margin impact

Projected impact—1,000+ bed days freed, $1.7M–$3.6M in variable cost savings, and $760K–$1.14M contribution margin—is based on modeled assumptions of 2,000 – 3,000 admissions annually multiplied by .48 LOS reduction and may vary by hospital depending on case mix and operational factors.

Estimated 1,000+ beds freed annually

Up to $3.6M variable cost savings

$1M+ contribution margin impact

Projected impact—1,000+ bed days freed, $1.7M–$3.6M in variable cost savings, and $760K–$1.14M contribution margin—is based on modeled assumptions of 2,000 – 3,000 admissions annually multiplied by .48 LOS reduction and may vary by hospital depending on case mix and operational factors.

Conclusion

This case study illustrates how targeted clinical and operational innovations such as Sevaro Health’s teleneurology services can deliver measurable, organization wide impact. By addressing a critical bottleneck in neurological care, the hospital not only improved LOS but also strengthened its ability to provide timely, high-quality care in a resource-constrained environment. 

Ready to be the next hospital to revolutionize neurological care?  

Senior Technical Project Manager

Full Time

Job Details

Position Title

Senior Technical Project Manager

Reports To

Head of Technology and Innovation

Location

100% Remote

Employement Type

Full-Time

ABOUT SEVARO

Sevaro is a leading teleneurology and neurohospitalist care provider, working with hospitals across the nation to deliver rapid, expert neurological care through cutting-edge virtual solutions. Our mission is simple: provide faster, smarter, patient-centered stroke and neurology care anytime, anywhere.

We combine medical expertise with innovative technology to empower clinicians, reduce door-to-needle times, streamline neurological workflows, and improve patient outcomes. As Sevaro continues to scale, our digital products play a critical role in supporting clinicians, hospitals, and patients.

POSITION OVERVIEW

Sevaro is seeking a Senior Technical Project Manager to lead customer-facing technical implementations, deliver post-contract customer demos and training, and support internal product initiatives and vendor integrations. This role partners closely with Product, Engineering, Clinical Operations, and Business Development to ensure high-quality delivery of technical solutions for customer implementations. The ideal candidate excels at communication, cross-functional leadership, managing complex technical workflows in fast-paced environments, and can produce deliverables with minimal direction and instruction.

KEY RESPONSIBILITIES:

  • Lead customer-facing technical implementations from kickoff through deployment and validation.
  • Deliver post-contract customer demos, training sessions, and platform onboarding across Sevaro’s technology portfolio.
  • Provide backup support product-facing internal projects and vendor integrations when additional technical project management bandwidth is required.
  • Provide backup support for pre-contract technical demos during customer evaluation cycles.
  • Partner with Sevaro’s existing Senior TPM to drive PMO development, including process standardization and governance frameworks.
  • Build and maintain detailed project plans, timelines, RAID logs, communication plans, and status reporting.
  • Coordinate technical requirements, workflow mapping, and integration activities with cross-functional teams.
  • Drive issue escalation, risk management, and structured stakeholder communication throughout the project lifecycle.

QUALIFICATIONS

  • 5+ years project management experience, including technical delivery in SaaS, health tech, or related environments.
  • Demonstrated ability to manage multiple simultaneous projects with minimal supervision.
  • Proven ability to independently create project plans, schedules, and structured communications.
  • Strong understanding of software implementation processes, system integrations, and workflow design.
  • Excellent communication skills and prior experience leading customer-facing implementations or training.
  • Excellent organizational, analytical, and stakeholder-management skills.
  • High proficiency with Asana, Monday.com, or other project planning software (project setup, task structures, workflows).
  • Experience creating workflow diagrams in Lucidchart, Figma, Miro, or other similar canvas software.
  • Experience building and administering SharePoint websites and knowledge repositories.

PREFERRED QUALIFICATIONS

• Experience working with Product teams in Agile or hybrid environments.
• Familiarity with healthcare data, interoperability, or vendor ecosystems (if applicable to Sevaro).
• Background contributing to PMO launch or scaling initiatives.
• PMP certification in good standing.

SUCCESS METRICS

• On-time delivery of customer implementations with measurable value outcomes.
• Clear, repeatable processes established across the project lifecycle.
• Increased cross-team alignment through standardized PMO practices.
• High-quality documentation, risk management, and communication cadence.

WHY JOIN SEVARO

• Mission-driven work that impacts patient outcomes and saves lives
• Collaborative team with neurologists, engineers, and product leaders
• Remote-friendly culture with flexibility
• Competitive pay + health/vision/dental benefits
• Opportunity to shape the future of teleneurology technology
• A culture rooted in compassion, innovation, and clinical excellence

BENEFITS

We offer a competitive and comprehensive total rewards package, including:

  • Competitive base salary and bonus structure
  • Equity participation for long-term value creation
  • Medical, dental, and vision insurance
  • 401(k) plan with company contribution
  • Generous PTO and paid company holidays
  • Continuing education and professional development support
  • Flexible remote-first work environment
  • Opportunity for rapid career growth as the organization scales

To Apply:

Please send your resume to our recruitment team, along with the role you are applying for listed in the subject line, to: recruitment@sevaro.com.

EQUAL OPPORTUNITY EMPLOYER

Sevaro Health is proud to be an Equal Employment Opportunity employer. We are committed to fostering an inclusive, diverse, and equitable workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, disability, veteran status, or any other protected characteristic. We celebrate diversity and are dedicated to creating an environment where all team members can thrive.

Manager/Director of Strategic Business Intelligence

Full Time

Job Details

Position Title

Manager/Director of Strategic Business Intelligence

Location

100% Remote with periodic travel

Employement Type

Full-Time

ABOUT SEVARO

Sevaro is a leading teleneurology and neurohospitalist care provider, working with hospitals across the nation to deliver rapid, expert neurological care through cutting-edge virtual solutions. Our mission is simple: provide faster, smarter, patient-centered stroke and neurology care anytime, anywhere.

We combine medical expertise with innovative technology to empower clinicians, reduce door-to-needle times, streamline neurological workflows, and improve patient outcomes. As Sevaro continues to scale, our digital products play a critical role in supporting clinicians, hospitals, and patients.

POSITION OVERVIEW

The Manager/Director of Strategic Business Intelligence is a cornerstone role that powers Sevaro’s Client Success and Growth organizations with actionable insights and strategic visibility. This role
blends healthcare market expertise, neurology insights, and data analytics to ensure Sevaro
stays ahead of market trends and deeply understands the needs of every partner.

KEY RESPONSIBILITIES:

Client & Market Insights
• Develop account briefs, strategic insight decks, and pre-QBR intelligence packets for Client
Success teams.
• Tracks healthcare policy shifts, reimbursement changes, and market dynamics.
• Identify opportunities and gaps to ensure program success with Sevaro


Data Analytics & Research
• Analyze utilization data to identify growth opportunities, under-leveraged services, and churn
risks.
• Support dashboards and forecasting models for Client Success and Growth strategy.
• Lead competitive intelligence and benchmarking initiatives.


Cross-Functional Partnership
• Work closely with Research, Finance, Marketing, Quality, and Client Success teams to align
insights with strategy.

QUALIFICATIONS

  • Bachelor’s degree required; Master’s preferred.
  • 3–7 years in healthcare strategy or market intelligence.
  • Telemedicine or neurology background strongly preferred.
  • Strong analytics and competitive research skills.
  • Excellent executive-level communication skills.

SUCCESS METRICS

• Quality and relevance of insights delivered.
• Increased service utilization and expansion outcomes.
• Improved renewal and upsell success rates.
• Reduction in churn risk from early detection.
• Timely delivery of research and intelligence.

WHY JOIN SEVARO

• Mission-driven work that impacts patient outcomes and saves lives
• Collaborative team with neurologists, engineers, and product leaders
• Remote-friendly culture with flexibility
• Competitive pay + health/vision/dental benefits
• Opportunity to shape the future of teleneurology technology
• A culture rooted in compassion, innovation, and clinical excellence

BENEFITS

We offer a competitive and comprehensive total rewards package, including:

  • Competitive base salary and bonus structure
  • Equity participation for long-term value creation
  • Medical, dental, and vision insurance
  • 401(k) plan with company contribution
  • Generous PTO and paid company holidays
  • Continuing education and professional development support
  • Flexible remote-first work environment
  • Opportunity for rapid career growth as the organization scales

To Apply:

Please send your resume to our recruitment team, along with the role you are applying for listed in the subject line, to: recruitment@sevaro.com

EQUAL OPPORTUNITY EMPLOYER

Sevaro Health is proud to be an Equal Employment Opportunity employer. We are committed to fostering an inclusive, diverse, and equitable workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, disability, veteran status, or any other protected characteristic. We celebrate diversity and are dedicated to creating an environment where all team members can thrive.

Empowering the ED Team: The Stroke Coordinator’s Transformational Role in Emergency Stroke Care

By Melanie Winningham, M.D., Vice President of Clinical Strategy & Partnerships, Sevaro Health 

Key Points Summary

  • Stroke coordinators ensure emergency stroke care runs smoothly by managing workflows, confirming resource readiness, and facilitating communication across departments.

  • By fostering continuous learning, multidisciplinary collaboration, and public recognition of improvements, stroke coordinators help build a resilient, high-performing stroke team.
  • Stroke coordinators champion tools like telemedicine, AI-powered imaging, and EHR-integrated clinical pathways to enhance decision-making and support the ED team.

  • Providing clear decision trees, checklists, and guidelines, stroke coordinators can help reduce uncertainty and allow ED teams to focus on timely, accurate patient care.

  • Stroke coordinators strengthen ED team confidence through hands-on training, judgment-free case reviews, and real-time support during acute stroke cases.

A Clinical Scenario

The paramedic report was concise: possible stroke, subtle right-sided symptoms, uncertain timing. The ED team moved efficiently – NIHSS underway, IV access placed, imaging ordered. It was a familiar scenario, but one that required tight adherence to timelines and coordination across multiple departments.

The stroke coordinator stepped in – not to direct the clinical exam, but to keep the system around the exam running smoothly. She confirmed CT readiness, pulled the last known well from EMS documentation, and cross-checked for any prior imaging that radiology might need.

“I’ve confirmed CT is clear and labs are tracking the STAT draw,” she updated the charge nurse. “Neurology is looped in. These borderline-onset cases tend to get delayed, so I’ll keep things moving so we stay on target.”

The charge nurse nodded. “Perfect. Thank you for the backup.”

The stroke coordinator pulled up the recent stroke workflow update, making sure the team had everything they needed to apply the new process changes reviewed in last week’s education session. She made a quick note to follow up with EMS later – another example of onset-time uncertainty that could be improved through community outreach and training.

Minutes later, the patient was moving to CT without delay. Handoffs were clean, communication was aligned, and every team member knew their next step.

As the stroke attending walked toward radiology, he said, “Your oversight keeps everything moving in the right direction.”

The coordinator responded simply, “Our team is solid. I just help the system run the way it’s supposed to.”

Nothing dramatic – just coordinated processes, supported teams, and quiet reinforcement of workflows that help good clinicians work even faster and more confidently.

Where Skill Meets Support

Emergency department teams are the first line of defense for stroke patients, navigating split-second decisions under intense time pressure. Even experienced ED care teams encounter the inherent complexity of early stroke assessments – and research shows this complexity reflects the nature of stroke itself, not the abilities of the ED clinicians caring for these patients.

Many ED care teams naturally desire greater confidence in neurological evaluations. The stakes are high, and early decisions shape outcomes. Strengthening confidence is not merely an educational initiative; it is an opportunity to uplift the ED team, streamline care, and reduce unnecessary transfers while preserving patient safety.

This is where stroke coordinators make their most meaningful impact.

Positioned uniquely at the intersection of Emergency Medicine, Neurology, and quality improvement, stroke coordinators understand the pace of the ED, the nuance of stroke protocols, and the importance of real-time support. They see patterns across myriad cases, and they understand exactly what ED teams need to feel supported – clear pathways, practical guidance, and a reliable connection to expert input.

By offering this combination of structure and support, stroke coordinators transform uncertainty into assurance. And that assurance becomes the foundation of stronger, faster, and more confident stroke care – delivered by ED teams who trust their skills and know they are not working alone.

As a Stroke Coordinator, my work lives in the moments most people never see – the education that prevents a stroke, the workflow that saves a minute, the conversation that changes a culture.

At its core, this role is about connection: being the traffic controller who guides every moving part in the right direction, and the glue that holds teams, processes, and purpose together. Those quiet efforts become faster responses, stronger systems, and the difference that gives patients their best possible chance forward. And knowing that is what fills this role with purpose every single day.

Nina A. Cruz, MSN, APRN, FNP-BC, SCRN
BHM Stroke Program Coordinator
Miami Neuroscience Institute, Baptist Health South Florida

How Stroke Coordinators Bridge Emergency Medicine and Stroke Care

Stroke coordinators occupy a unique role within the hospital ecosystem. They work shoulder-to-shoulder with ED teams, understand stroke protocols intimately, and maintain direct relationships with neurologists and neurointerventionalists. This positioning allows them to streamline communication, reinforce protocols, and help the ED team maintain pace during complex presentations.

Confidence in stroke care rarely comes from theoretical knowledge alone. It grows through hands-on experience, accessible protocols, and reliable support – and stroke coordinators bring all three. Their cumulative exposure to different types of stroke cases naturally builds pattern recognition and clinical intuition, which they can share with ED care teams through real-time collaboration.

Training Strategies to Build ED Team Confidence

Case Reviews That Encourage Learning, Not Judgment

Monthly, judgment-free case reviews allow ED teams to reflect and grow. Highlighting both positive outcomes and challenging cases reinforces the reality that outcomes don’t always mirror decision quality – and that learning is the goal.

 

Stroke Recognition Training

Early recognition of subtle or atypical symptoms builds confidence. Reviewing stroke mimics, small-vessel presentations, posterior circulation signs, and LVO screening tools equips ED teams to make rapid, informed decisions.

 

Mock Codes and Realistic Scenarios

Simulated stroke alerts for wake-up strokes, complex comorbidities, and anticoagulated patients offer ED care teams a safe environment to practice high-pressure decision making.

Hands-on learning empowers ED teams to approach acute stroke care with clarity and assurance.

 

Clear Stroke Protocols Remove Uncertainty

ED teams thrive when guidance is clear and accessible.

  • Decision trees for thrombolysis, emergent EVT, and transfers
  • Checklists outlining timing goals, assessments, and communication points
  • Guidelines specifying when and how to involve neurologists

These tools reduce cognitive burden and allow ED teams to focus on what matters most: timely, accurate patient care.

 

Real-Time Support: Confidence at the Bedside

Some of the most meaningful confidence-building occurs during active stroke cases.

Stroke coordinators support the ED team by:

  • Participating in bedside neurological assessments
  • Facilitating rapid neurologist access through direct lines or telemedicine
  • Offering balanced, constructive debriefs that highlight strengths first

When ED teams feel supported in the moment, their confidence deepens case by case.

 

Technology That Enhances ED Decision-Making

Stroke coordinators champion the adoption and training of tools such as:

  • Telemedicine for instant neurologist support
  • AI-powered imaging tools that enhance awareness and communication
  • EHR-integrated stroke pathways that guide workflow in real time

These tools do not replace ED judgment – they reinforce it, offering reassurance during complex cases.

 

Building a Culture of Continuous Learning

Confidence develops over time in environments that value growth.

Stroke coordinators nurture this environment with:

  • Multidisciplinary rounds
  • Continuing education opportunities
  • Peer mentorship among ED care team members
  • Recognition of improvements and supportive responses to challenges

This approach strengthens not only the individuals, but the entire ED team.

 

Measuring the Impact of Confidence-Building Efforts

Meaningful metrics include:

  • Thrombolytic and EVT treatment times
  • Thrombolytic utilization rates
  • Transfer rates
  • Patient outcomes and follow-up reviews

Sharing improvements publicly reinforces pride and confidence within the ED team.

Conclusion: The Stroke Coordinator’s Transformational Role in Emergency Stroke Care

Stroke coordinators strengthen far more than protocols – they strengthen relationships, systems, and the connections that allow high-performing ED teams to deliver exceptional care.

By enforcing workflows, interpreting data, fostering education, and bridging communication within the hospital and across the community, they create an environment where skilled clinicians can act with clarity and confidence.

When the processes run smoothly, the ED team is free to focus on what matters most: rapid recognition, decisive action, and the patient in front of them.

The impact is measurable, but it is also deeply human – every streamlined handoff, every aligned decision, every saved minute becomes part of the collective effort to give stroke patients their best possible chance. In this way, stroke coordinators do more than support the ED team – they elevate the entire system of care.

Melanie Winningham, MD:

As physician leader at Sevaro Health, Dr. Melanie Winningham has had the privilege of shaping how neurological care is delivered at scale. Her work blends clinical insight with strategic leadership, focused on building partnerships that expand access, support physicians, and improve outcomes for patients when every second counts.

Dr. Winningham is passionate about creating systems that serve both patients and providers – leveraging virtual care, AI-powered tools, and innovative workflows to reduce burnout and make care more human. She believes the best solutions are built in collaboration with the people who use them and is proud to lead alongside a team that’s reimagining what’s possible in virtual neurology.

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