Neurology

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 PGY-2, a medicine PGY-1 and a medical student.

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 with his or her resident two or 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 work rounds with the residents, and thrice weekly attending rounds. Students are expected to attend either Saturday or Sunday morning rounds. The remainder of the weekend is free.

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 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 with his or her resident two or 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 work rounds with the residents, and thrice weekly attending rounds. Students are expected to attend either Saturday or Sunday morning rounds. The remainder of the weekend is free.

Number of Students Per Rotation	2
Faculty Coordinator	Jonathan Mink, M.D. (585) 275-6222
Additional Faculty	Handy Gelbard, M.D., Ph.D. Allison King, M.D. Jennifer Kwon, M.D. Gary Myers, M.D. Carlos Torres, M.D. David Wang, M.D.
Daily Hours	7:00 a.m. - 6:00 p.m.

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 work rounds with the residents. During the outpatient portion of the rotation, students will be active participants in the various attending and resident pediatric neurology clinics.

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 with his or her resident two or 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 work rounds with the residents and weekly professor rounds. Students are expected to attend either Saturday or Sunday morning rounds. The remainder of the weekend is free.

Adult Neurology Service - Highland Hospital

Number of Students Per Rotation	2
Address of Institution	1000 South Avenue Rochester, NY 14620 (585) 341-6743 Highland Hospital Neurology 990 South Avenue Suite 202 Rochester, NY 14620 ( 585) 341-0075
Faculty Coordinator	Garrett Riggs, M.D., Ph.D.
Additional Faculty	Heidi Schwarz, M.D. James Cleland, M.B., Ch.B. Leslie Lee, M.D. Paul Twydell, D.O.
Daily Hours	8:00 a.m. - 6:00 p.m.

Description: Highland Hospital is a 262-bed, full service hospital established in 1889. It became part of the Strong Health system in 1997, and has developed centers of excellence in geriatric medicine, women’s health, obstetrics, bariatric surgery, and joint replacement surgery. The Strong Department of Neurology began providing full consultative neurological services at Highland Hospital in 2004. There is a limited in-patient neurology service at Highland Hospital, primarily for stroke patients receiving TPA for the first 24 hours following treatment.

Third year medical students provide inpatient and outpatient consultation for a range of general neurologic complaints. Special emphasis is on the consultative model of neurology. Students can expect special experience in geriatric neurology (including age-related neurodegenerative disease, memory impairment, seizure, headache, and gait disorders), women’s health (including management of neurologic diseases during pregnancy as well as complications of pregnancy itself, and peripheral neurological complications of obstetrics), and neurological complications of systemic illness.

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. Students are expected to attend Saturday morning teaching rounds, led by Dr. Marvin Goldstein or Dr. Richard Satran. There is no night call while at Highland Hospital.

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	Gerald Honch, M.D.
Additional Faculty	Joshua Hollander, M.D. Lawrence Samkoff, M.D. Roderick Spears, M.D.
Daily Hours	8:00 a.m. - 6:00 p.m.

Description: The Neurology Consultation Service at Rochester General Hospital 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. 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. Ancillary activities include a Wednesday morning neuroradiology conference. There are extensive audio/visual materials for independent study and there is an opportunity to participate in neurophysiological procedures, including EEG and EMG, evoked responses, ENG, carotid ultrasound, and transcranial Doppler.

Adult Neurology Outpatient Service - Rochester General Hospital

Number of Students Per Rotation	2
Address of Institution	1415 Portland Avenue, Rochester, NY 14620
Practice 1: Suite 575 Faculty Coordinator	Ashanthi Gajaweera, M.D. (585) 336-5336
Additional Faculty	Andrew Stern, M.D. Anne Moss, M.D.
Practice 2: Suite 480 Faculty Coordinator	Allan Pardee, M.D. (585) 544-7979
Additional Faculty	Harold Lesser, M.D., Ph.D.
Daily Hours	Monday - Friday 9:00 a.m. - 4:00 p.m.

Description: Students will evaluate private patients with a variety of neurological disorders in 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, and will attend the Friday afternoon resident clinic at SMH. Students will take evening call at Strong Memorial Hospital with a neurology resident three times during their four-week rotation. There are no formal weekend activities.

Students will participate in the Tuesday afternoon and Friday morning teaching conferences of the Department of Neurology at Strong Memorial Hospital, and will attend the Friday afternoon resident clinic at SMH. Students will take night call at Strong Memorial Hospital with a neurology resident one or two times during their two-week rotation until 9:00 PM. There are no formal weekend activities.

Description: The brain injury rehabilitation program provides neurorehabilitation to a large number of patients with neurologic, cognitive and neurobehavioral deficits. Common diagnoses include stroke, traumatic brain injury, spinal cord injury, anoxia, and subarachnoid hemorrhage. 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. Outpatient and consultation experiences are also available.

Each student will evaluate, present and write-up approximately 3-5 new patients per 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. There are no formal night or weekend responsibilities at St. Mary’s Hospital.

Education and Training

Neurology Clerkship

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

Adult Neurology Inpatient Service - Rochester General Hospital

Adult Neurology Outpatient Service - Rochester General Hospital

Neurorehabilitation Service - St. Mary's Hospital Brain Injury Unit