Neurology Clerkship Site Descriptions

• Adult Neurology Inpatient Service - Strong Memorial Hospital
• Adult Neurology Consultation Service - Strong Memorial Hospital
• Pediatric Neurology Services - Strong Memorial Hospital
• Adult Neurology Service - Highland Hospital
• Brain Injury Rehabilitation Program - St. Mary's Hospital
• Adult Neurology Service - Rochester General Hospital
• Private Practice Rotation – Neurology Associates of Rochester
• Private Practice Rotation – Office of Philip Vitticore, M.D.

Adult Neurology Inpatient Service - Strong Memorial Hospital

Description: The Neurology Inpatient Service consists of a 24-bed unit located on 5-1600. The neurology inpatient service is responsible for the care of all patients with neurologic disorders admitted from the emergency department, from the neurology outpatient clinics, or electively. The service is divided into two teams, each consisting of a neurology attending, a neurology PGY-2, a neurology, psychiatry or anesthesiology PGY-1 and one or two medical students.

Each student will evaluate, present and write-up approximately three new patients per week and will be responsible for following his/her patients during hospitalization. Each student will also take Evening Call or Weekend Call with his or her resident three times during the four-week rotation until 9:00 PM. Students will participate in the various teaching conferences of the Department of Neurology at Strong Memorial Hospital, including daily attending rounds and daily work rounds with the residents. Students are expected to attend either Saturday or Sunday morning rounds. The remainder of the weekend is free.

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Adult Neurology Consultation Service - Strong Memorial Hospital

Description: There are two neurology consultation services at SMH, a Stroke Consultation Service and a General Neurology Consultation Service.

The general neurology consultation service provides general neurology consultations on the adult hospital wards, in R wing, in the ED and in the ICU’s. The stroke consultation service provides consultations for patients suspected of having a stroke, TIA, intracerebral hemorrhage or subarachnoid hemorrhage. Patients may be seen on the adult hospital wards, in R wing, in the ED or in the ICU’s. Each consultation service consists of a neurology attending, a neurology PGY-3 and two medical students.

Each student will evaluate, present and write-up approximately one new patient per day and will be responsible for following his/her patients during hospitalization. Each student will also take Evening Call or Weekend Call with his or her resident three times during the four-week rotation until 9:00 PM. Students will participate in the various teaching conferences of the Department of Neurology at Strong Memorial Hospital, including daily attending rounds and daily work rounds with the residents. Students are expected to attend either Saturday or Sunday morning rounds. The remainder of the weekend is free.

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Pediatric Neurology Services - Strong Memorial Hospital

Description: The SMH Pediatric Neurology service provides neurological consultations on the pediatric service. The Service consists of a pediatric neurology attending, a neurology PGY-3 and two medical students.

Each student will divide his/her time more-or-less equally between the inpatient service and the outpatient Child Neurology clinic. While on the inpatient service, each student will evaluate up to three inpatients per week and will be responsible for following his/her patients during hospitalization. Students will also participate in daily attending rounds and daily work rounds with the residents. Students are expected to attend either Saturday or Sunday morning rounds. The remainder of the weekend is free. During the outpatient portion of the rotation, students will be active participants in the various attending and resident pediatric neurology clinics.

Each student will also take Evening Call or Weekend Call with his or her resident three times during the four-week rotation until 9:00 PM. Students will participate in the various teaching conferences of the Department of Neurology at Strong Memorial Hospital.

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Adult Neurology Service - Highland Hospital

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. A core group of five neurologists provide the bulk of attending coverage on the neurology consult service. The neurology service also attends on patients who present with acute stroke and are treated with t-PA during their 24-hour stay in the ICU.

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. Medical students should expect to encounter a full spectrum of neurological diseases at Highland Hospital. With only one resident and one student on service, and with a relatively lighter case load, there is a significant amount of direct interaction between medical students and attendings at Highland.

Expectations:

1. Students will make rounds with the resident and attending on one morning of one weekend during their two-week rotation.
2. Students are excused on Tuesday afternoons to attend their required lectures at Strong. They are not expected to return to Highland after their lectures.
3. Students are excused on Friday mornings to attend Grand Rounds and required lectures at Strong. They are expected to return to Highland on Friday afternoon.

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Neurorehabilitation Service - Unity Hospital

Description: Unity Health System has an inpatient brain injury rehabilitation unit that is unique in the Rochester area. The brain injury rehabilitation program provides neurorehabilitation to a large number of patients with neurologic, cognitive and neurobehavioral deficits. This rotation is particularly suited for students entering neurology, rehabilitation medicine, family medicine or orthopedics. The rotation also provides an excellent opportunity for exposure to neuropsychiatric problems.

Third year medical students who rotate through Unity Health System will spend two weeks on the inpatient rehabilitation unit service, working with the PM&R attendings and residents. Each student will evaluate, present and write-up approximately 3-5 patients that week and will be responsible for following his/her patients during hospitalization. The student will participate in daily attending rounds as well as interdisciplinary conferences.

They will also spend one afternoon per week in the outpatient neurology practice with Dr. David Gill, seeing a variety of neurologic disorders including headache, epilepsy, stroke, dementia, Parkinson’s disease, traumatic brain injury and peripheral nerve disorders. There are no formal night or weekend responsibilities on this rotation.

Expectations:

1. Students are excused on Tuesday afternoons to attend their required lectures at Strong. They are not expected to return to Unity Health System after their lectures.
2. Students are excused on Friday mornings to attend Grand Rounds and required lectures at Strong. They are expected to return to Unity Health System on Friday afternoon.

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Adult Neurology Service - Rochester General Hospital

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 Rochester General Hospital provides neurological consultations on the surgical and medical services, in the emergency department and in the intensive care units and is staffed by a neurology attending and an RGH medicine resident. Students will have the opportunity to evaluate at least one new patient per day. They will make daily rounds on all patients with the attending and resident. Ancillary activities include a Wednesday morning neuroradiology conference. Students are expected to attend Saturday morning rounds.

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Private Practice Rotation – Neurology Associates of Rochester

Description: Students will evaluate private patients with a variety of neurological disorders in an office-based practice. Ancillary activities include observing EMG and nerve conduction studies, as well as lumbar punctures. 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.

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Private Practice Rotation – Office of Philip Vitticore, MD

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. There are no formal night or weekend activities.

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