Welcome to The University of Chicago Department of Neurology

Transcription

1 Interviews Welcome to The University of Chicago Department of Neurology

2 Founded in 1892 by John D. Rockefeller Located in Hyde Park neighborhood Globally recognized University with 5,971 undergraduate students and 9,394 graduate and professional students Home to more than 80 Nobel Laureates 2

3 University of Chicago Medicine Campus 624 bed general medical and surgical facility 28,726 admissions 9,259 inpatient and 10,167 outpatient surgeries annually 87,856 annual emergency room visits Center for Care and Discovery Comer Children s Hospital Bernard Mitchell Hospital Duchossois Center for Advanced Medicine 3

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5 Our Patients Need Health Care Community Location Median Household Income Oakland PSA $10,739 Riverdale PSA $13,178 Grand Boulevard PSA $14,178 Washington Park PSA $15,160 Woodlawn PSA $18,266 North Lawndale Other $18,342 Fuller Park PSA $18,412 Englewood PSA $18,955 Armour Square PSA $22,756 West Garfield Park Other $23,121 East Garfield Park Other $24,216 Douglas PSA $24,835 New City PSA $25,647 Chicago Average Illinois Average $38,625 $46,435 H 8 of Chicago s 10 lowest income communities are in UCH s primary service area. At least 33% below the citywide average August 2016 Analytics Core Request Data Total Patient Encounters NOT Unique Patients

6 Academic Affiliation with North Shore University Health System since July

7 Department of Neurology Neurology Residency has 6 Adult Residents per year There are also 6 Pediatric Neurology Residents spread over 3 classes Fellowships in EEG, EMG, CNP, MS, and Neuro Critical Care Sleep fellowship under pulmonary

8 Department of Neurology Annual Schedules World s Columbian Exposition 1893

9 Rotations at Northshore 2 months per year 4 days per week, weekdays, 8am to 6pm 1 day per week continuity clinic UCM no night or weekend call PGY2: multispecialty outpatient neurology clinic PGY3: inpatient consults at Evanston PGY4: electives

10 PGY2 (number of 2 week blocks) 15 blocks of adult floor (junior) 2 blocks of pediatric neurology (inpatient service) 2 blocks of NeuroCritical care 1 block of neuroradiology 4 blocks at North Shore (outpatient multispecialty clinic) 2 blocks of vacation

11 PGY3 (number of 2 week blocks) 2 blocks of pediatric neurology (inpatient service) 2 blocks of pediatric neurology (outpatient clinic) 4 blocks of NeuroCritical care 4 blocks of adult consults 3 blocks of EEG/epilepsy 2 blocks of EMG 4 blocks at Northshore (inpatient consults) 3 blocks of elective 2 blocks of vacation (can be 1 week at a time)

12 PGY4 (number of 2 week blocks) 4.5 blocks of adult floor (senior) 4.5 blocks of adult outpatient urgent care clinic 4 blocks of neuropathology 2 blocks of psychiatry inpatient consults 4 blocks at Northshore (selective) 5 blocks of elective 2 blocks of vacation (can be 1 week at a time)

13 Department of Neurology Structure of the Inpatient Services Cloud Gate (a.k.a. The Bean) Millennium Park

14 Adult Floor Team Team consists of one attending, one senior resident (PGY4), and four junior residents (PGY2) + 3 rd year medical students one PGY2 is on night float for 6 consecutive nights (Sunday through Friday) other three PGY2s take long call q3 until 8:00pm Saturday nights are covered by an ectopic call person (either PGY2 or PGY3) The PGY4 senior resident takes call from home and will come in if necessary Daily teaching rounds

15 Buddy Call a senior resident (PGY3 or PGY4) takes call inhouse for the first 7 night floats of each PGY2 resident buddy call from 5:00pm till 7:00am buddy assists long call resident from 5:00 to 8:00pm and then the night float resident starting at 8:00pm

16 Adult Floor Team: Moonlighters new since last year: moonlighter helps out during certain times: 1 weekday: when 1 of the 3 PGY2s has day off (often Friday) from 5:00 to 9:00pm Saturday and Sunday from 7:00am to 3pm weekend moonlighting shifts very helpful so that floor team can round without interruptions moonlighter helps with cross cover and consults moonlighter is PGY3, PGY4, or fellow moonlighter is compensated very well

17 Pediatric Neurology the team consists of one attending, one PGY3 (adult or peds neuro), one PGY2 (adult or peds neuro), and general pediatric residents adult PGY2s do not take call adult PGY3s take call from home and will come only if necessary we do not manage general pediatric issues (only neurologic issues); these are handled by general pediatrics residents daily teaching rounds

18 Adult Consult Team the team consists of an attending, a PGY3 resident +/ PGY2 resident, + PGY1 psych resident (10 months) + IM resident (50% of year) + med student service covers in house consults from Monday to Friday 7:00am to 5:00pm and ER consults from 7:00am to 1:00pm overnight and weekend consults are covered by the floor team no overnight responsibilities

19 NeuroCritical Care Unit the team consists of one attending, two fellows and one or two residents (PGY3 +/ PGY2) + med student the rotating resident has no overnight responsibilities during the block neurocritical care fellow in house 24/7 neuro ICU overnight cross covers handled by fellow on call PGY 2 responsible for NICU admissions and acute stroke (with fellow)

20 Department of Neurology Call Responsibilities The Art Institute

21 Number of Night Calls: Front Loaded PGY2 year night float while on the Adult Inpatient service total number about 6 weeks for the year ectopic Saturday Call (8:00pm to 7:00am) while on neuroradiology or North Shore about 4 throughout the year PGY3 year Pediatric neurology home call; about 20 nights for the year only come in for specific emergencies; there is a in house general pediatrics team for admit orders, etc. most call done during the pediatric neurology rotation approximately 3 in house buddy calls (5pm to 7am) 2 3 ectopic Saturday calls per year

22 Number of Night Calls PGY4 year total of 8 9 weeks of ward senior generally in 2 week blocks; home call approximately 5 in house buddy calls (5:00pm to 7:00am)

23 Department of Neurology Outpatient Clinic The Chicago River

24 Resident Outpatient Continuity Clinic every resident has one half day clinic once a week throughout the residency general neurology clinic the resident works with an assigned attending can change attending every year for PGY2 residents, outpatient clinic is cancelled while on night float

25 Outpatient Urgent Care Clinic PGY4 rotation outpatient experience from Monday to Friday 8:00am to 5:00pm urgent cases referred by other clinics subspecialty clinics outpatient LPs every patient is seen by the PGY4 and staffed by an attending no inpatient or overnight responsibilities

26 Additional Clinic Experience Subspecialty Clinics: Epilepsy Neuromuscular Movement Disorders* MS/Neuro immunology Ataxia* Dementia* Sleep Headache * Mandatory for OPC

27 Outpatient Clinic at North Shore 2 months in PGY 2 year multispecialty clinic all neurology subspecialties available neuro ophthalmology autonomic disorders/lab neuropsychological testing

28 Department of Neurology Electives View from The Lagoon in Lincoln Park

29 Elective this time can be used in clinical rotations such as subspecialty clinics or in research off site electives are allowed

30 Department of Neurology Conferences and Lectures

31 Boot Camp at Orientation NeuroImaging Basics NeuroExam Management and D.Dx of Acute/Subacute Weakness (GBS, MG, Botulism, Myositis) Acute Stroke Pager Protocol Management of Acute Stroke Management of Status Epilepticus Acute Cord Compression Management of Intracranial Hypertension

32 Conferences and Lectures Lectures in first couple of months cover acute neurologic conditions and frequently seen inpatient diagnoses

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34 Mandatory Conferences Peds neurology didactic conference Roos Rounds Journal club Neuroanatomy lectures Clinical vignettes Peds neurology case conference Neuromuscular case conference EEG case conference Friday core neurology lecture (didactic conference) Stroke Morning Report EMG and EEG boot camp for PGY3s

35 Simulation Emergency Neurology Simulation for PGY2s in September Lumbar puncture simulation in July

36 Additional Learning/Teaching Opportunities Annual resident research symposium Teaching/educational opportunities: Clinical teaching on inpatient service Roos Rounds PGY4 residents give a series of lectures to rotating 3 rd and 4 th year medical students Physical diagnosis tutorial for medical students Rotating Psych residents

37 National/Regional Conferences National Conference (attendance and/or presentations) per ACGME: Residents must attend one national professional conference during their three years of residency department will help fund attendance at local and national conferences Educational fund ($3, for 3 years) The department will also cover additional fees if resident presents at a national conference ($750 x3)

38 ipads All our residents have ipads we use EPIC ipads can be used to complete H&Ps, progress notes, orders, look at scans without having to look for an available computer

39 Where Do Our Residents Go? Class of 2017 Neuro oncology (UCSF), movement disorders (Rush), neurocritical care (UCM), neurocritical care (UCM), MS (UCM), neurophysiology (UCM) Class of 2016 Neuro immunology (UPenn), epilepsy (UPenn), epilepsy (UCM), neurophysiology (UCM), movement disorders (OHSU), part time private practice Class of 2015 Stroke (Northwestern), neuro oncology (MD Anderson), neuro critical care (UCM), EEG (UCM), neurophysiology (UCM), neurophysiology (UCM) Class of 2014 Epilepsy (Cleveland Clinic), Movement Disorders (Northwestern), Neurophysiology (UCM), Neurophysiology (UCM), EEG (UCM), EEG (UCM)

40 Fellowships for Current PGY4s Neuro oncology (Hopkins/NIH) Movement disorders (U of Florida) Stroke (U of Miami) Medical Genetics residency (awaiting match results) Neurophysiology (UCMC)

41 Center for Care and Discovery Our main inpatient hospital neurology, EMU and Neuro ICU on same floor ICU beds set up with EEG monitoring capability

42 New and Expanded ED new location, connected to the Center for Care and Discovery will open December 2017 will also offer adult trauma care starting 5/18 41 treatment stations, 4 trauma resuscitation bays, 7 rapid assessment units, 4 psychiatric rooms dedicated imaging

43 Chicago Facts 200+ theaters 50+ Museums 8,000+ restaurants 31 miles of lakefront 77 Neighborhoods 580 Parks

44 Hyde Park Located 7 miles from downtown Approximately 90,000 residents Approximately 33% of Hyde Park residents are associated with the University Numerous cultural opportunities including, music, theater, museums and ready access to downtown by public transportation. Wide variety of housing options within walking distance to hospital. 44

45 Social Life

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52 We hope you enjoy your day at The University of Chicago!

53 Obligatory Skyline Shot!!