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Department of NeurologyEducation UpdateRalph F. Józefowicz, MDAssociate Chair for EducationSeptember 23, 2016Education Team Adult neurology residency program– Adam Kelly, Clara Vigelette Child neurology residency program– Rob Stone, Magda Ramzy Neurology clerkship– Rob Stone, Fred Marshall, Lorie Wolfanger1
Fellowship Directors Erika AugustineEmma CiafaloniAndrew GoodmanRobert GriggsLynn LiuEric Logigian Fred MarshallNimish MohileIrene RichardBogachan SahinMichael YurcheshenMedical School Programs2
The Continuum of NeurologicEducation in theUR Double Helix Curriculum Second Year Third Year Fourth YearMind, Brain and Behavior IPCC – NeurologyMind, Brain and Behavior IINeurology Electives3
Neural Science Course History 1970’s – First neural science course establishedby Robert Joynt and David Goldblatt 1988 – David Felten recruited to take over thecourse 2000 – “Mind, Brain and Behavior” coursedebuts, as part of the Double Helix CurriculumMind, Brain and Behavior ICourse Content Neural logyPsychopharmacologyNeuromuscular Diseases4
Mind, Brain and Behavior ICourse Format 200 hours (10 weeks, 20 hours per week) Weekly schedule:– 10 lectures (2 daily)– 2 laboratories– 3 PBL’s 3 examinationsPROTOTYPICAL WEEK – MBB IMONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYPBL TUTORIALLECTUREPBL TUTORIALLECTUREPBL :00 am10:00 am12:00noonAdvisory Groups1:00 pmBIOPSYCHOSOCIALINTEGRATIONCONFERENCEPBLSELF STUDYACEACEPBLSELF STUDY4:00 pm5:00 pmMEDICAL HUMANITIESSEMINARS6:00 pm5
Neurology Faculty Teaching inMBB I Erika AugustineMichel BergEmma CiafaloniCharles DuffyDavid GillRobert Gross David HerrmannRalph JózefowiczEric LogigianJonathan MinkChristopher TarolliRabi TawilCharles ThorntonMBB Course ingEvaluation06
Basic Science PreparationAAMC UR Graduation Questionnaire% Excellent 2015100%80%60%40%20%0%Overall 2nd Year Course Quality5Mean 012DPT2013CA2014PQSM2015SAT1 poor; 5 excellent7
Neurology Clerkship History 1970’s – Neurology Clerkship established by DavidGoldblatt; Adele Cook is first clerkship coordinator 1980’s – Neurology becomes a “selective” 1994 – Neurology becomes a 4th year required clerkship 1996 – Nancy Benjamin becomes clerkship coordinator 2000 – Neurology clerkship moves into the 3rd year 2001 – “MBB II” debuts, pairing the Neurology andPsychiatry Clerkships with a Basic Science Block 2014 – Lorie Wolfanger becomes clerkship coordinatorMind, Brain and Behavior II Neurology clerkship Psychiatry clerkship Basic science correlation4 weeks4 weeks2 weeks Integrated conference series8 weeks8
Neurology Clerkship Sites SMH inpatient neurologySMH child neurologySMH Neuromedicine ICUHH consultation serviceBushnell’s Basin practicePrivate practice8 students2 students2 students1 student1 student0-2 studentsNeurology Clerkship Evaluation5432QualityOrganizationSyllabusPatient Contact1Faculty09
Clerkship QualityAAMC UR Graduation Questionnaire% Excellent 2015100%80%60%40%20%0%Overall Quality of Clerkships1 poor; 5 excellent10
What were the strengths of the clerkship?“I was impressed by how knowledgeable the faculty was.Every attending and resident I worked with was verythorough and practiced using the latest evidence.”“Attendings are willing to spend time during rounds to teach.Residents appreciate the need to give us a role within theteam. I evaluated more new patients on this clerkship than inany one so far.”“This was my first clerkship, and I imagine that everysubsequent clerkship will suffer in comparison.”UR Students Matching in Neurology10864AdultChild2011
UR Students Matching inAdult Neurology – 2001-2016 U RochesterU VirginiaHarvard BIU PennUCSFJohns HopkinsU MarylandU MichiganU UtahEinsteinCornellNYUUC DavisUCLA255444333322222 Total 81U FloridaU VermontDukeHarvard MGHMayo ClinicMount SinaiNorthwestern UStony BrookUC IrvineU CincinnatiU North CarolinaU PittsburghUT SouthwesternU WashingtonWake Forest221111111111111UR Students Matching inChild Neurology – 2001-2016 U RochesterCHOPNorthwesternCincinnatiJohns HopkinsBaylorBoston Children’sCase WesternCNMC DC732221111 Harvard MGHNationwide OHNYUSt. Louis Children’sU ColoradoU New MexicoU PittsburghWake ForestWash U111111111Total 2912
Residency ProgramsNeurology Residency History 1967 – Neurology residency established – David Marsh is firstprogram director; Jerry Honch and Marvin Goldstein are amongfirst residents. 1985 – Clara Vigelette appointed program coordinator 1987 – Roger Kurlan appointed program director 2003 – Child neurology residency re-established 2004 – Night float rotation debuts 2006 – Residency becomes 4-year categorical program 2013 – Rob Stone appointed CN program director13
Neurology Residency Program Four year program– Adult neurology– Child neurology6 residents per year2 residents per year Clinical sites– Strong Memorial Hospital– Highland HospitalUR Neurology Residency ProgramAccreditation Status July 2010 site visitContinued Full AccreditationCycle length – 5 years0 citations, 3 commendationsNext RRC review – 2020 (NAS self study)14
Adult Neurology ResidencyProgram Application Data2010Applications 383Invited52Interviewed 42US grads34USMLE Adult Neurology ResidencyInterviews – 2016Applications receivedUS graduatesLCME accredited schoolsAOAInvited to interviewInterviewed57420216814736215
Child Neurology ResidencyProgram Application Data2010Applications 18Interviewed 016121221223202Child Neurology ResidencyInterviews – 2016Applications receivedUS graduatesLCME accredited schoolsAOAInvited to interviewInterviewed12241365373216
Graduating Residents – 2016Graduating Residents’Program Evaluation5.004.003.002.001.00Prog DirectorChairFacultyResident InputQuality of lifeRes SatisfactionCore CompOverall-17
Resident Research lpha Omega Alpha Inductees2000-2015 Neurology residents Neurology faculty15318
Arnold Gold FoundationHumanism in Medicine Awards2000-2016 Gold Foundation awardees: Honorable mention:287Class of 1990Resident Teaching Award2005-2016 # of Neurology Resident Awardees 719
Fellowships Pursued by URNeurology Residency Graduates2001-2016University of Rochester NeurophysiologyVascular NeurologyNeuroimmunologyNeuromuscularSleep MedicineNeuro-OncologyExperimental TherapeuticsDepartmental57Outside Institutions16228161289 2Multiple Sclerosis– Neuromuscular /CNP– NeuroimagingVascular Neurology Headache–4Michigan, Cleveland, Vanderbilt –1Sloan KetteringSleep–1U PennOncology–4Mayo Scottsdale, Columbia,Walter Reed, UCSFMovement– Cleveland, UVA12Wash U, U Washington1DentResidency Program Initiatives2015-2016 Mentoring Program Career Development Lecture Series Milestones – New Accreditation System20
UR Fellowship ProgramsAccredited Fellowships ACGME–––––Clinical NeurophysiologyEpilepsyNeuromuscular MedicineVascular NeurologySleep Medicine2 positions2 positions2 position2 positions1 position UCNS– Neuro-oncology1 position21
UR Neurology tmental0UR Neurology Fellows2016-2017Fellowship# of FellowsClinical neurophysiology1Neuromuscular medicine2Epilepsy1Vascular medicine2Sleep disorders1Neuro-oncology1Experimental therapeutics2Departmental422
The 2016 Krakow Stars!University of Navarra – 201623
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program director; Jerry Honch and Marvin Goldstein are among first residents. 1985 - Clara Vigelette appointed program coordinator 1987 - Roger Kurlan appointed program director 2003 - Child neurology residency re-established 2004 - Night float rotation debuts 2006 - Residency becomes 4-year categorical program
