Neurology Clerkship Site Descriptions

Neurology Clerkship Site Descriptions

Adult Neurology Inpatient Service - Strong Memorial Hospital

Number of Students Per Rotation 2
Faculty Coordinators Ralph Józefowicz, M.D.
Frederick Marshall, M.D.
(585) 275-6380
Daily Hours 7:00 a.m. - 6:00 p.m.

Description: The Adult Neurology Inpatient Unit consists of twenty-four beds, which are divided among three teams: the Red and Blue Teams (Neurology Inpatient Service), and the Green Team (Epilepsy Service).  The Neurology Unit is responsible for the care of all patients with neurologic disorders admitted from the emergency department, from the neurology outpatient clinics, or electively.  The Red and Blue Teams follow all patients admitted to the neurology inpatient service, with the exception of those admitted to the Epilepsy Service for long-term video EEG monitoring.  Each team consists of a neurology PGY-2, a medicine PGY-1, a 3rd year medical student and, on occasion, and a 4th year neurology extern. The neurology PGY-4 (chief resident) supervises both of these teams.  Each team alternates admitting patients to their respective team.

The third year medical students work directly under the neurology PGY-2’s. Each student is responsible for obtaining a complete history, performing a complete general and neurological examination, generating a differential diagnosis and formulating a plan of treatment for approximately three new patients per week. He/she will be responsible for completing the work-up on the same day that the patient is evaluated, and for presenting each assigned patient as needed on rounds. Progress notes are to be written daily on all inpatients that are followed by the student.
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Adult Neurology Consultation Service - Strong Memorial Hospital

Number of Students Per Rotation 4
Faculty Coordinators Ralph Józefowicz, M.D.
Frederick Marshall, M.D.
(585) 275-6380
Daily Hours 7:00 a.m. - 6:00 p.m.

Description: There are two adult neurology consultation services at SMH: the general neurology service and the acute stroke service. An attending neurologist, a neurology PGY-3, and two 3rd year medical students staff each service. A medicine resident, a PM&R resident, an anesthesiology resident or a neurosurgery resident may be assigned to one of the consultation services on occasion.

The general neurology service provides general neurology consultations on the adult hospital wards, in R wing, in the ED, and in the ICU's. Patients with non-acute strokes who are not candidates for thrombolytic or interventional therapy are also seen by the general neurology service.  The acute stroke service provides consultations for patients suspected of having an acute stroke, TIA, intracerebral hemorrhage or subarachnoid hemorrhage. The acute stroke service also attends, for the first 24 hours of their admission, on all acute stroke patients in the ICU who receive thrombolytic therapy, as well as any other ICU patients with cerebrovascular disease (intracerebral hemorrhage, etc.) Consultation hours are from 8:00 am - 4:00 p.m. Monday through Friday. Any consultation called to the general or stroke neurology PGY-3 during those hours is seen by the team that day. Deferring or “handing-off” consults called late in the day to the evening call resident is not appropriate. Each consultation team will round with the Attending daily at a mutually convenient time. All new patient consultations should be formally presented to the Attending on rounds that day.


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Pediatric Neurology Services - Strong Memorial Hospital

Number of Students Per Rotation 2
Faculty Coordinator Jonathan Mink, M.D., Ph.D.
(585) 275-6222
Additional Faculty

Erika Augustine, M.D.
Handy Gelbard, M.D., Ph.D.
Inna Hughes, M.D., Ph.D.
Jennifer Kwon, M.D.
Gary Myers, M.D.
Robert T. Stone, M.D.
David Wang, M.D.

Daily Hours 7:00 a.m. - 6:00 p.m.

Description: The overall goal for the medical student rotation on child neurology is to become familiar with important characteristics of the neurological history and examination in children of various ages.  The best opportunity for the medical student to learn and practice the above is with inpatients and new patients in the outpatient clinic.

Inpatient/Urgent Service: The student will have the opportunity to initially evaluate and work up new patients either in the emergency department, admitted to the inpatient neurology service, as inpatient consultations, or as urgent outpatient visits. The evaluation should include a detailed neurologic history, examination, formulation of the case, and discussion of the problem, with guidance from the resident on service. Patients will be presented to the child neurology attending and/or resident on rounds.  The student will work under the supervision of the child neurology resident and/or adult neurology residents rotating on child neurology. He/she should take part in work-rounds with the neurology resident and teaching rounds with the attending. A suitable goal is for each student to follow 1-2 patients on the service.  Two days per week there will be urgent patients scheduled in the clinic in the afternoon. The student should be present during these urgent clinics. He/she may be asked to either shadow or evaluate the patient independently, and write a new patient or follow-up clinic note for the case.

Outpatient Service: On days when there is no urgent clinic scheduled, the student should attend the outpatient child neurology afternoon clinics if there are no new consults to be done in the hospital. In the clinic, the student will work with various attendings or residents who are seeing patients on that day. The student is expected to learn to make anatomical-physiological-pathological-biochemical formulations and correlations on each case evaluated. He/she is encouraged to ask questions regarding the patients he/she is involved with during rounds to both the neurology resident and the attending. Additionally, reading in regard to the patients being seen is expected.

The student may be asked to prepare and present a patient at the weekly Pediatric Neurology POW (patient of the week) Conference.


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Adult Neurology Service - Highland Hospital

Number of Students Per Rotation 1
Address of Institution

1000 South Avenue
Rochester, NY 14620
(585) 341-6743

Faculty Coordinator Anthony Maroldo, M.D.
Additional Faculty Adam Kelly , M.D.
Robert Holloway, M.D., M.P.H.
Irene Richard, M.D.
Paul Twydell, D.O.
Daily Hours 8:00 a.m. - 6:00 p.m.

Description: Highland Hospital is a 261-bed, full service hospital established in 1889.  It became part of the University of Rochester Medical Center in 1997, and the URMC Department of Neurology began providing full consultative neurological services at Highland Hospital in 2004.  This year, a core group of five neurologists will provide the bulk of attending coverage on the neurology consult service.  All of the faculty members who attend on the consult service during the year are committed to teaching clinical neurology to residents and medical students.  The neurology service attends on patients who present with acute stroke and are treated with t-PA while during their 24-hour stay in the ICU.  Otherwise, there is no inpatient neurology attending service at Highland Hospital at this time.  There are no neonatal or child neurology services at Highland Hospital.   A neuro-medicine unit providing comprehensive care to patients with neurological and neurosurgical problems opened in the fall of 2011.

Third year medical students who rotate through Highland Hospital spend two weeks on the inpatient neurology consult service, working closely with a first year neurology resident and an attending neurologist. The times at which the workday begins and ends will vary with the number of patients to be seen, but 8 AM to 6 PM on weekdays is fairly typical. Medical students who rotate on the neurology consult service at Highland should expect to encounter a full spectrum of type and complexity of neurological diseases. With only one resident and one student on service, and with a relatively lighter case load, there is often greater opportunity for direct interaction between medical students and attendings at Highland than at Strong or RGH.

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Adult Neurology Inpatient Service - Rochester General Hospital

Number of Students Per Rotation 2
Address of Institution

1425 Portland Avenue
Rochester, New York
(585) 922-4371

Take green elevators to the 4th floor

Faculty Coordinator Richard Barbano , M.D., Ph.D.
Additional Faculty

Michelle Burack, M.D., Ph.D.
Jeffrey Burdett, M.D.
Amy Chen, M.D.
Michael Chilungu, M.D.
Charles Duffy, M.D., Ph.D.
Marc Halterman, M.D., Ph.D.
Todd Holmquist, M.D.
Lawrence Samkoff, M.D.

Daily Hours 8:00 a.m. - 6:00 p.m.

Description: The Rochester General Hospital (RGH) is a 521-bed voluntary, not-for-profit general community hospital that provides care to more than 26,000 inpatients annually. The emergency department sees more than 73,000 patients annually. RGH is a New York State designated Primary Stroke Center. The Neurology Consultation Service at RGH provides neurological consultations on the surgical and medical services, in the emergency room and in the intensive care units and is staffed by a neurology attending, rotating residents from other services, and two medical students. The department has a wide range of inpatient procedures available, including an excellent accredited ultrasound service, EEG and EMG. Ancillary activities include a Wednesday morning neuroradiology conference.
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Adult Neurology Outpatient Service - Rochester General Hospital

Number of Students Per Rotation 1 - Not Available every block
Practice 1:
Faculty Coordinator

Ashanthi Gajaweera, M.D.
(585) 586-7550

Address of Institution

20 Hagen Drive, Suite 300
Rochester, NY 14625
Additional Faculty

Andrew Stern, M.D.
Anne Moss, M.D.
Ryan Evans, M.D.

Daily Hours Monday - Friday
9:00 a.m. - 4:00 p.m.
Practice 2:
Faculty Coordinator
Allan Pardee, M.D.
(585) 544-7979
Address of Institution

10 Sully's Trail
Pittsford, NY 14534

Additional Faculty Harold Lesser, M.D., Ph.D.
Daily Hours Monday - Friday
8:30 a.m. - 5:00 p.m.

 

Description: Students will evaluate private patients with a variety of neurological disorders in one of two office-based practices.  Ancillary activities include observing EMG and nerve conduction studies, as well as lumbar punctures.  Students will occasionally evaluate inpatients at Rochester General Hospital when their attending is on call. 

Students will participate in the Tuesday afternoon and Friday morning teaching conferences of the Department of Neurology at Strong Memorial Hospital. There are no formal weekend activities. Students assigned to Dr. Gajaweera's practice will attend the Friday afternoon clinic at SMH. Students assigned to Dr. Pardee's practice will return to his office on Friday afternoons.
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Neurorehabilitation Service - St. Mary's Hospital Brain Injury Unit

Number of Students Per Rotation 1
Address of Institution 89 Genesee Street
Rochester, NY 14611
(585) 368-3002
Faculty Coordinator

Mary Dombovy, M.D.
Carly Lavigne, M.D.
Sridevi Mukkamala, M.D.
Cecelia Ransom, M.D.
Marc Schieber, M.D., Ph.D.

Daily Hours 8:00 a.m. - 5:00 p.m.

Description: Unity Health System has an active outpatient neurology and rehab office in Greece as well as a brain injury inpatient rehab unit that is unique in the Rochester area.

Third year medical students who rotate through Unity Health System will spend 1 week on the inpatient rehabilitation unit service, working with the PM&R attendings and residents. They will spend 1 week at the outpatient office seeing a variety of neurologic disorders including headache, epilepsy, stroke, dementia, Parkinson’s disease, traumatic brain injury and peripheral nerve disorders. They will have a chance to observe botox treatment for spasticity and migraines. There may be opportunities to participate on the inpatient neurology consult service as staffing allows. Students will have the option of accompanying Dr. Schwarz to her private practice office in Farmington one day per week as well.

Adult Neurology Outpatient Service – Philip Vitticore, MD

Number of Students Per Rotation 1
Address of Institution

4 Coulter Road, Stuite 2650

Clifton Springs, NY 14432
Faculty Coordinator Philip Vitticore, MD
Daily Hours 8:30 a.m. – 5:00 p.m.

Description: Students will evaluate, present and write up new and existing patients with a variety of neurological disorders seen in a private practice general neurology office. They will have the opportunity to observe the performance of EMG and nerve conduction studies and the interpretation of EEG. Students will also participate in the evaluation of inpatients at Clifton Springs Hospital. 
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