Child Neurology Residency Program Introduction from the Program Director Thank you for your interest in our Child Neurology residency-training program at Golisano Children’s Hospital at the University of Rochester Medical Center. I hope you have the opportunity to visit us and learn first hand about our unique program. We combine a highly supportive, friendly, family-style atmosphere with a large and diverse patient population drawn from a population of approximately 5 million individuals in Upstate and Western New York, Northern Pennsylvania and beyond. URMC and the Department of Neurology URMC has a long tradition of excellence in education, patient care, and research. More than 80 years ago, well- known educator Abraham Flexner’s revolutionary report, Medical Education in the United States and Canada, proposed a vision of university-based medical education that would support the powerful interaction of three distinct but interrelated missions: scientific inquiry, learning, and patient care. Flexner chose the University of Rochester as an ideal place for “a medical school of the highest order.” The concept of the biopsychosocial approach to medicine was initiated here, and these traditions continue permeate our institution today. The Department of Neurology has a long tradition as a top institution for neurological care and education. The department currently has 140 faculty (94 with primary appointments, 16 with joint appointments in various centers, and 19 with secondary appointments from other departments in the institution). The Division of Child Neurology was officially established in 1968 with the recruitment of Dr. Frederick Horner, and in the past 15 years, has undergone substantial expansion. The division includes 13 primary faculty members, and 10 associated faculty members, all with diverse clinical and research interests. In addition, the division has 6 full time nurse practitioners, 2 nurses, a licensed social worker, research coordinators, and numerous excellent supportive staff. Our faculty are incredibly down-to-earth, supportive, and are terrific teachers. In fact, the department’s faculty wins a large number of teaching awards every year from the medical school – proportionally more than any other department in the institution. We prize active learning, autonomy, and flexibility as cornerstones to quality graduate medical education. Patient Care The most important component of ensuring outstanding residency training is adequate patient exposure, and at Golisano Children’s Hospital, we have the distinct pleasure and responsibility of taking care of a large and diverse group patient population. Our division houses the largest group of child neurology providers in an expanded region that extends from northern Pennsylvania to the Adirondack Mountains and the Canadian border. As such, we serve as primary child neurologists for a population of approximately 5 million people. We average over 5000 outpatient visits per year, over 300 inpatient consultations each year and admit an additional 100-150 patients. The Pediatric Neurology Service covers 72 pediatric beds, 22 pediatric intensive care unit beds, and 60 neonatal intensive care unit bassinets. Research The Department has a strong tradition of excellence in basic, translational, and clinical research. Our faculty includes many nationally and internationally recognized clinician-researchers with active research programs. The editor-in-chief of the journal Neurology, recent president of the American Academy of Neurology, and recent president of the Child Neurology Society are all among our faculty. The Department consistently ranks as one of the top neurology departments in the United States for extramural research funding from the National Institutes of Health. The largest research programs in the Child Neurology division involve pediatric movement disorders (tics and Tourette syndrome, inherited dystonia, and rare neurodegenerative disorder therapeutics), neurogenetics (epilepsy genetics), and newborn screening programs. In addition, there is active research in many other areas including epilepsy, neuroimmunology and pediatric multiple sclerosis, HIV, neuro-toxicology, and neonatal neurology. Medical Education Another unique feature to our program is the large emphasis placed on teaching our residents how to be great teachers. The Department of Neurology at URMC has a strong tradition of being a national leader in neurology education and innovation. We recognize the importance of producing expert educators both for optimal patient-care and for teaching our future physicians. As such, we afford our residents many unique opportunities to take part in medical education endeavors such as a dedicated 10-week rotation teaching in our 2nd year medical student neuroscience course, 4-week optional rotation teaching at Jagiellonian University in Poland, and ample opportunity to take part in medical education research. Please review our website to learn more about the details of the program, including our block and call schedules, didactics, facilities, and current faculty and residents. If you have any questions, please feel free to contact me. Robert I. Thompson-Stone, M.D., Program Director Jonathan W. Mink, M.D., PhD, Associate Program Director All correspondence concerning the Pediatric Neurology Residency Program should be sent to: Magda Ramzy, Program Coordinator Pediatric Neurology Residency Program Our Facilities Child Neurology Continuity Clinic The Child Neurology continuity clinic was established to provide the best possible patient care and resident education in a hospital-based general child neurology clinic setting. Continuity of patient care and resident autonomy are high priority, and as such residents work with a consistent faculty member and serves as the primary neurologist and decision-maker for their patients. In addition, the residents are encouraged to start their weekly child neurology continuity clinic in their second year of Pediatrics, thus allowing for 4 years of clinic exposure. New Golisano Children’s Hospital The new Golisano Children’s Hospital, provides our region’s children and their families the best possible environment for healing, designed to support their unique needs. The most exciting features of the new building are the many spaces planned for gathering, playing, and finding respite. The new $145-million building opened in July 2015, it is attached to the medical center and Strong Memorial Hospital. It has eight floors and approximately 245,000 square feet of space, mostly private rooms, themed floors, and unique features designed specifically for kids (e.g. our Pirate Ship MRI scanner with movie goggles). Child Neurology Subspecialty Clinics Pediatric Epilepsy Center Comprehensive evaluation and treatment is provided to pediatric patients with difficult seizure disorders. Selected patients with intractable epilepsy are assessed for ketogenic diet, surgical treatment, or nerve stimulators. Pediatric Neuroimmunology Center Children with multiple sclerosis and related demyelinating disorders as well as autoimmune encephalitis receive specialized clinical care through a multi-disciplinary clinic. Neuromuscular Disease Center Adults and children with a wide range of muscle, anterior horn cell, nerve, and neuromuscular junction disorders are seen in this busy clinic sponsored by the Muscular Dystrophy Association (MDA). Many patients in this clinic also participate in clinical research studies designed to evaluate and better treat a range of neuromuscular disorders. Movement Disorders Center Children with Tourette's syndrome, Huntington's disease, hereditary dystonia, myoclonus, tremors, Batten syndrome, and a host of other neurological movement disorders are seen. Many patients participate in clinical research protocols designed to evaluate experimental medications. Neurofibromatosis Center Our NF center focuses on multidisciplinary care of children with this condition and is staffed by our neurogenetics and pain specialists along with a specifically trained NP. Ataxia Center This clinic specializes in the evaluation and care of adult and pediatric patients with hereditary ataxias. Neurogenetics Clinic This clinic is run by our dual-certified Child Neurology/Genetics specialist utilizing a multidisciplinary team to evaluate and care for children with suspected genetic or metabolic disorders. In addition, it is associated with a busy basic science lab studying the areas of epilepsy genetics and CNS malformations. Headache Clinic We have a busy headache and pain clinic run by our child neurologist fellowship trained in pediatric pain syndromes and staffed by 2 NPs and several faculty.