Introduction to UF Neurology Residency Glen Finney MD

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Introduction to UF Neurology Residency Glen Finney, MD Residency Program Director UF Neurology

Introduction to UF Neurology Residency Glen Finney, MD Residency Program Director UF Neurology

Why University of Florida? Why Gainesville?

Why University of Florida? Why Gainesville?

Best Part of UF Neurology n Our Residents – Work together – Play together

Best Part of UF Neurology n Our Residents – Work together – Play together n Our Faculty – Love to teach – Approachable – Mentors

Gainesville, Florida n n n Often ranked among top places to live by national

Gainesville, Florida n n n Often ranked among top places to live by national magazines A livable size University fosters culture, tolerance For singles – has great number of smart, single professionals For families – Great schools, great neighborhoods, great opportunities

Core Rotations

Core Rotations

Shands Stroke One Senior Neurology (PGY 3 or PGY 4) n One Junior Neurology

Shands Stroke One Senior Neurology (PGY 3 or PGY 4) n One Junior Neurology (PGY 2) n 1 – 2 rotating residents (Neurosurgery, Anesthesia, Family Medicine) n 1 – 2 medical students n Cover all strokes in Shands n Cover stroke ED consults/stroke alerts n

Shands General One Senior Neurology (PGY 3 or PGY 4) n One Junior Neurology

Shands General One Senior Neurology (PGY 3 or PGY 4) n One Junior Neurology (PGY 2) n 1 – 2 rotating residents (Neurosurgery, Anesthesia, Family Medicine) n 0 – 2 medical students n Cover all non-stroke neurology in Shands n Cover ED consults n

VA Inpatient One Senior Resident (PGY 3 or PGY 4) n One Junior Resident

VA Inpatient One Senior Resident (PGY 3 or PGY 4) n One Junior Resident (PGY 2) n 0 – 1 rotating resident (Psychiatry) n 1 medical student n Cover VA hospital (neurology ward, consults, ED) n

Pediatric Neurology 3 months total during PGY 3/PGY 4 years n Cover pediatric neurology

Pediatric Neurology 3 months total during PGY 3/PGY 4 years n Cover pediatric neurology clinics n Cover pediatric neurology wards n Cover pediatric neurology consults n

Nightfloat n Two week long blocks – Six days on – One day off

Nightfloat n Two week long blocks – Six days on – One day off (Saturday) n 8 pm to 8 am – Sign out at Morning Report 3 blocks during last part of PGY 2 (last half for most) n 2 blocks during first half of PGY 3 n 1 block during PGY 4 n

Advantages of Nightfloat n n Improves Continuity/Quality of Care Avoids Fatigue: – – –

Advantages of Nightfloat n n Improves Continuity/Quality of Care Avoids Fatigue: – – – n No resident over 80 hours any week Longest continuous period working only 13 hours long Residents off at least 1 day/week off (not averaged!) Preserves Educational Experience – More attendance of weekday didactics when not on nightfloat – More time on non-core rotations – More time for reading

Outpatient Longitudinal Clinics n n n Neuro I – ½ day per week on

Outpatient Longitudinal Clinics n n n Neuro I – ½ day per week on non-core rotations – VA – New patients Continuity Clinic – ½ day per week – alternates between Shands and VA Patients from previous residents, inpatient experience, and Neuro I (VA) Gait and Balance clinic – ½ day 4 times per year LP experience – 4 times per year

Early Selectives Epilepsy I – one month of EEG, EMU, and Epilepsy clinics n

Early Selectives Epilepsy I – one month of EEG, EMU, and Epilepsy clinics n General Neurology Clinics – one month n – Includes MS & Headache n Neuroscience – five weeks of neuroscience lectures, labs, opportunities to teach medical students – half in PGY 2 year, half in PGY 3 year.

Middle Selectives Each one month long, taken throughout the three years, but majority completed

Middle Selectives Each one month long, taken throughout the three years, but majority completed before PGY 4 year n Behavioral Neurology Clinic – Includes TBI clinic at VA n Movement Disorders Clinic – Includes DBS surgery n Neuromuscular Clinic – Includes EMG/NCS training n Neuropathology – Included Brain Cutting n Psychiatry

Senior Selective n Epilepsy II – One month, taken during late PGY 3 or

Senior Selective n Epilepsy II – One month, taken during late PGY 3 or preferably PGY 4 year as a master course in Epilepsy

Electives n n 6 months electives in last 2 years (1 st year with

Electives n n 6 months electives in last 2 years (1 st year with program director approval) 4 – 6 months can be combined into minifellowship – – – – Behavioral Neurology Epilepsy Movement Disorders Neuromuscular Research Stroke Customized (with program director approval)

Other Features

Other Features

Vacation (four weeks per year) n Three weeks of vacation during – Selectives –

Vacation (four weeks per year) n Three weeks of vacation during – Selectives – Electives n One week off during flex, either – week of Christmas or – week of New Year’s Day

Core Didactics n n n Noon conference Monday, Wednesday, Friday Every other Friday neuroradiology

Core Didactics n n n Noon conference Monday, Wednesday, Friday Every other Friday neuroradiology Includes 13 high yield board prep talks by residents and for residents Grand Rounds Tuesdays 11: 00 am Includes Journal club, CPC, M&M Leadership in Neurology Series

Optional Didactics Tumor Board n Biomedical Engineering Seminar n Epilepsy Surgery Conference n Deep

Optional Didactics Tumor Board n Biomedical Engineering Seminar n Epilepsy Surgery Conference n Deep Brain Stimulator Conference n Dementia Consensus Conference n Center for Neuropsychological Studies Conference n Etc. n

Beyond Residency

Beyond Residency

Fellowships n UF has fellowships in – Behavioral Neurology – Interventional Neuroradiology (with Neurosurgery

Fellowships n UF has fellowships in – Behavioral Neurology – Interventional Neuroradiology (with Neurosurgery and Radiology) – Movement Disorders – Neurophysiology (Epilepsy or Neuromuscular track) – Pain Medicine (with Anesthesia and Psychiatry) – Sleep (with Internal Medicine) – Stroke

Recent and Future Graduates - Fellowships n n n 2012 – Stroke at University

Recent and Future Graduates - Fellowships n n n 2012 – Stroke at University of Florida – Interventional Neuroradiology (at Tennessee? ) – Epilepsy at Emory 2011 – Neuro-ophthalmology at Emory University – Stroke at University of Florida – Epilepsy at University of Florida – Straight to Practice 2010 (first year with 4 graduates) – Ataxia Research at University of Florida – Behavioral at University of Florida – Epilepsy at University of Florida – Neurocritical Care at Washington University 2009 – Epilepsy at UAB – Neuromuscular at University of Colorado – Neuromuscular at Emory 2008 – Neurogenetics at UCLA – Sleep at University of Florida – Stroke at University of Florida

Leadership is Key at UF!

Leadership is Key at UF!

Match Information

Match Information

General Advice for Neurology Applicants who rank 8 – 10 programs almost always match

General Advice for Neurology Applicants who rank 8 – 10 programs almost always match somewhere n Rank a range of programs in terms of competitiveness n But rank by your true preference n Do not rank a program you don’t want n

The PGY 1 year n n n n n Three guaranteed PGY 1 positions

The PGY 1 year n n n n n Three guaranteed PGY 1 positions at UF for Neurology H visas and equivalent not supported Medicine Chiefs interview for this in afternoon, give yes or no to accepting for PGY 1 year Most interviewees get a yes Ranking for neurology not directly impacted by medicine yes/no Typically have not had every incoming neurology resident do PGY 1 year here, even when it was a 1: 1 ratio Working with institution to increase number of PGY 1 slots for incoming neurology Make certain to interview and rank enough PGY 1 programs to match Consider preliminary/transitional years at or near your home institution

The Odds at UF n n n Nearly 400 applications per year About 40

The Odds at UF n n n Nearly 400 applications per year About 40 will be interviewed Almost everyone interviewed is ranked 5 positions If we like you, we rank you (we usually like you) If you’re ranked, you’ve got a chance

Parting thoughts We already liked you enough to invite you – when only one

Parting thoughts We already liked you enough to invite you – when only one in ten were! n One in eight who interview will match here. n Once you join us, you’re like family. n Go Gators! n