Shands Inpatient Rotation
Shands Teaching Hospital is a 618 bed (and growing), not-for-profit tertiary care hospital. Recently certified as a Level One Trauma Center and with a dedicated Neuroscience Intensive Care Unit, Shands at UF is one of the leading tertiary care referral centers in the southeastern United States and continually receives recognition as one of the best hospitals in the nation by U.S. News & World Report. The hospital is served by over 110 medical specialties. The patient population is very diverse, encompassing patients with everyday “bread and butter” neurologic problems as well as challenging once-in-a-lifetime cases.
The Neurology Inpatient team consists of one senior (PGY-3 or PGY-4) neurology resident, one junior (PGY-2) neurology resident, and several other residents from other specialties who rotate on Neurology for the majority of the year: Neurosurgery interns, Anesthesiology interns, Internal Medicine residents, Family Medicine residents, and occasionally Psychiatry residents (most do their rotation at the VAMC). The senior resident supervises the team and functions at the level of a junior attending, but the entire team is supervised by a Neurology attending. The team rounds daily with the attending after the junior (and rotating) residents pre-round on all the patients. Patients are admitted through the Emergency Room, the Outpatient Clinic, or by previously scheduled elective admissions. The Epilepsy Monitoring Unit (EMU) encompasses 5 in-patient beds. Patients are admitted and followed by the epilepsy fellow and the neurology resident on their EEG rotation, and the in-patient team provides night and weekend coverage. The EMU is supervised by a separate epilepsy attending. In-patient consultations and follow-ups are performed by a separate Neurology resident and by rotating residents on our Shands Consults service and is supervised by a Neurology attending.
VA Medical Center Rotation
The Malcom Randall VA Medical Center (VAMC) is located across the street from Shands Hospital. It is a 239 bed VA hospital that serves veterans throughout North Florida and South Georgia. It is the second largest VA system in the country. The VA patient population provides residents with the opportunity to treat not only the “core,” but also rare neurologic diseases. More importantly, the VA patient population is very willing and grateful to have their care provided by residents in training.
The inpatient team consists of one senior (PGY-3 or PGY-4) neurology resident and one junior (PGY-2) neurology resident, supervised by a VA neurology faculty member. The resident team also provides all inpatient and urgent outpatient consults. Admissions occur via the Emergency Room, Urgent Care or Primary Care clinic or outpatient Neurology clinic, or through referrals from other outlying VA hospitals or clinics. Once a week, outpatient consultations are performed during a half-day new patient VA neurology specialty clinic (Neuro I), which is attending by all residents except the Shands inpatient residents and the resident on pediatric neurology.