Penn State Neurology Residency Program

Transcription

1 Penn State Neurology Residency Program

2 Key Staff Chair Neurology: David Good, MD Vice Chair of Education: Matthew Wicklund, MD Program Director: Max Lowden, MD Residency Coordinator: Renee Choyce

3 Neurology Department 19 Full-time faculty Three part-time faculty Two Neuropsychologists Two Movement disorders researchers Two physician assistant and three certified nurse practitioner Rehabilitation and pain management faculty with appointments

4 Research Ongoing research programs: Stroke Epilepsy Parkinson s disease Myasthenia gravis Multiple sclerosis Traumatic brain injury Memory and aging Amyotrophic lateral sclerosis

5 Two services Inpatient Service Stroke: Cover all inpatient stroke patients and brain attacks General/Consult: Cover all general inpatients and remainder of hospital consults All inpatients are on one floor that includes Neuro-ICU (co-attended with critical care), Neuro-IMC, EMU and neuroscience floor patients All patients followed by residents and overseen by Penn State faculty Student clerkship throughout the year Neurosurgery, psychiatry and medicine residents rotators

6 Rotations and Electives Required Rotations Outpatient Electives: Neuromuscular/EMG Epilepsy Epilepsy/EEG Movement disorders Neuropathology Neuropsychology Pediatric Neurology Multiple Sclerosis Neuroradiology Stroke Psychiatry Neuromuscular/ALS/MDA Neuro-rehabilitation Headache/Pain Pain management

7 Outpatient Continuity Clinic One half day a week except when on vacation and night float Attending in clinic rotates to allow exposure to all faculty Good graded supervision

8 Other PSU Neurology Program Strengths Faculty resident ratio over 1:1, approachable faculty who enjoy teaching The residency program is a priority for the department Night float system Concerns of residents are taken seriously Almost all rotations are here One month per year at the Lebanon VA Penn State Rehabilitation Hospital in Hershey Penn State Psychiatric Institute Hospital in Harrisburg Comprehensive ancillary services Good patient mix with large referral area Hospital and department are financially sound

9 PGY1 Curriculum General Internal Medicine Inpatient Penn State Milton S. Hershey Medical Center Lebanon VA Medical Center 4 months (total across locations) Cardiology Inpatient Critical Care Unit Emergency Medicine Elective Ambulatory Medicine Neurology IM Night Float Vacation Neuro Continuity Clinic/Outpatient Care 1 month 1 month 1 month 1 month 0.5 month 1.5 month 1- month 1 month 1/2 day/week

10 Sample Schedule

11 On-Call Duties In-house call with night float system Duty hour monitoring per ACGME guidelines Attending on call every night

12 Call Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8 am 8 am Daily work 5 pm Weekend call Evening call Over 9 pm night 9 pm Call Night float Night Float

13 Conferences Morning lecture (7:30-8:15 Monday-Thursday) Resident lecture series Basic science lecture series Pediatric neurology conference Neuroradiology conference (Friday morning) Neurology Grand Rounds (Friday at 1:00) Neuromuscular pathology conference Thursday noon conference Patient based presentations Journal Club Continuum/Board Review Other optional conferences: Neuroscience weekly seminar series Psychiatry grand rounds weekly Quality Assurance meetings: EMG,EEG, Movement disorder, Epilepsy

14 What do our graduates do? 2012 Clinical Neurophysiology, Penn State Hershey -Dr. Gregory Ferenz Autoimmune Neurology, Mayo Clinic -Dr. Stacey Clardy Vascular Neurology, Penn State Hershey - Dr. Cathy Adams Clinical Neurophysiology, West Virginia University- Dr. Raju Maharjan Clinical Neurophysiology, Medical University of South Carolina- Dr. Martine Bernard 2011 Clinical Neurophysiology Fellowship, Penn State Hershey-Dr. Prabhu Emmady Clinical Neurophysiology Fellowship SUNY at Buffalo- Dr. Nina Riggins Pain Fellowship, PSU-Dr. Evan Freedman 2010: Clinical Neurophysiology Fellowship-Drexel University- Dr. Ella Popeliansky Neuromuscular Fellowship, Penn State Hershey- Dr. Michael Steadham Neurophysiology Fellowship, Penn State Hershey- Dr. Sean Burke Pain Fellowship, PSU-Dr. Bhawna Jha

15 Requirements Quality improvement project Research/scholarly activity project Attend at least 75% of conferences Annual RITE exam

16 Flexible Residency The American Neurological Association has recommended that neurology residencies develop a flexible research track to allow modification of residency training to maximize efficient training of neurologist investigators.

17 Evaluations Faculty evaluations after every rotation Quarterly evaluations of faculty Evaluations by residents Evaluations by students Quarterly evaluation by office staff Neurology clinical examinations (five by end of residency) Biannual and end of residency evaluation of the program Quarterly meetings with program director

18 Clinical Neurophysiology Neuromuscular Medicine Vascular Neurology Future Epilepsy Movement Disorders Other departments Sleep Medicine Pain Medicine Fellowships

19 Benefits First year neurology resident salary: $51,500 ( ) $750 yearly educational stipend Monthly allowance for meals during on-call Free parking Dental, visual, medical, life insurance

20 Housing

21 Housing

22 Planned Changes

23 Hershey Safe place to live Excellent schools Affordable housing Hershey Entertainment Driving access to major cities Hershey outlets Excellent outdoor recreation -Major employers: Hershey Foods, Hershey entertainment, and Penn State Hershey

24 Harrisburg Metropolitan area population about 600,000 State Capitol Minor league baseball and soccer Oldest continuously operating public market Harrisburg Symphony Orchestra

25 Lancaster Lancaster-York metropolitan area about 500,000 Still Amish country Great outlet stores Great country farms

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