Introduction to UF Neurology Residency Glen Finney MD
- Slides: 29
Introduction to UF Neurology Residency Glen Finney, MD Residency Program Director UF Neurology
Why University of Florida? Why Gainesville?
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 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
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 (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 (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 clinics n Cover pediatric neurology wards n Cover pediatric neurology consults n
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: – – – 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 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 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 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 preferably PGY 4 year as a master course in Epilepsy
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
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 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 Brain Stimulator Conference n Dementia Consensus Conference n Center for Neuropsychological Studies Conference n Etc. n
Beyond Residency
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 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!
Match Information
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 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 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 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
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