The Stroke Division of the Univ. at Buffalo Department of Neurology played a key role in the recognition of Buffalo General Medical Center as a Top Performer in all areas of acute stroke management. The New York State Coverdell Acute Stroke Registry Program awarded Buffalo General Medical Center top status in median door to needle time for tPA therapy (<60 minutes), dysphagia screening, hyperlipidemia evaluation and management, and stroke education. The Stroke Division is directed by Dr. Robert Sawyer, Associate Professor and Vice Chair of Clinical Affairs for the Department of Neurology. His colleagues are Drs. Marilou Ching, Christopher Deline, Ashkan Mowla, and Peyman Shirani, all Assistant Professor of Neurology.