Introduction to UF Introduction to UF Neurology ResidencyNeurology Residency

Glen Finney, MDGlen Finney, MD

Residency Program DirectorResidency Program Director

UF NeurologyUF Neurology

Why University of Why University of Florida? Why Florida? Why Gainesville?Gainesville?

Best Part of UF Best Part of UF NeurologyNeurology Our ResidentsOur Residents

– Work togetherWork together– Play togetherPlay together

Our FacultyOur Faculty– Love to teachLove to teach– ApproachableApproachable– MentorsMentors

Gainesville, FloridaGainesville, Florida

Often ranked among top places to live by Often ranked among top places to live by national magazinesnational magazines

A livable sizeA livable size University fosters culture, toleranceUniversity fosters culture, tolerance For singles For singles

– has great number of smart, single has great number of smart, single professionalsprofessionals

For familiesFor families– Great schools, great neighborhoods, Great schools, great neighborhoods,

great opportunitiesgreat opportunities

Core RotationsCore Rotations

Shands StrokeShands Stroke

One Senior Neurology (PGY3 or PGY4)One Senior Neurology (PGY3 or PGY4) One Junior Neurology (PGY2)One Junior Neurology (PGY2) 1 – 2 rotating residents 1 – 2 rotating residents

(Neurosurgery, Anesthesia, Family (Neurosurgery, Anesthesia, Family Medicine)Medicine)

1 – 2 medical students1 – 2 medical students Cover all strokes in ShandsCover all strokes in Shands Cover stroke ED consults/stroke Cover stroke ED consults/stroke

alertsalerts

Shands GeneralShands General

One Senior Neurology (PGY3 or PGY4)One Senior Neurology (PGY3 or PGY4) One Junior Neurology (PGY2)One Junior Neurology (PGY2) 1 – 2 rotating residents 1 – 2 rotating residents

(Neurosurgery, Anesthesia, Family (Neurosurgery, Anesthesia, Family Medicine)Medicine)

0 – 2 medical students0 – 2 medical students Cover all non-stroke neurology in Cover all non-stroke neurology in

ShandsShands Cover ED consultsCover ED consults

VA InpatientVA Inpatient

One Senior Resident (PGY3 or One Senior Resident (PGY3 or PGY4)PGY4)

One Junior Resident (PGY2)One Junior Resident (PGY2) 0 – 1 rotating resident (Psychiatry)0 – 1 rotating resident (Psychiatry) 1 medical student1 medical student Cover VA hospital (neurology ward, Cover VA hospital (neurology ward,

consults, ED)consults, ED)

Pediatric NeurologyPediatric Neurology

3 months total during PGY3/PGY4 3 months total during PGY3/PGY4 yearsyears

Cover pediatric neurology clinicsCover pediatric neurology clinics Cover pediatric neurology wardsCover pediatric neurology wards Cover pediatric neurology Cover pediatric neurology

consultsconsults

NightfloatNightfloat

Two week long blocksTwo week long blocks– Six days onSix days on– One day off (Saturday)One day off (Saturday)

8 pm to 8 am8 pm to 8 am– Sign out at Morning ReportSign out at Morning Report

3 blocks during last part of PGY2 3 blocks during last part of PGY2 (last half for most)(last half for most)

2 blocks during first half of PGY32 blocks during first half of PGY3 1 block during PGY41 block during PGY4

Advantages of Advantages of NightfloatNightfloat

Improves Continuity/Quality of CareImproves Continuity/Quality of Care Avoids Fatigue:Avoids Fatigue:

– No resident over 80 hours any weekNo resident over 80 hours any week– Longest continuous period working only 13 hours Longest continuous period working only 13 hours

longlong– Residents off at least 1 day/week off (not averaged!)Residents off at least 1 day/week off (not averaged!)

Preserves Educational ExperiencePreserves Educational Experience– More attendance of weekday didactics when not on More attendance of weekday didactics when not on

nightfloatnightfloat– More time on non-core rotationsMore time on non-core rotations– More time for readingMore time for reading

Outpatient Outpatient Longitudinal ClinicsLongitudinal Clinics

Neuro INeuro I– ½ day per week on non-core rotations½ day per week on non-core rotations– VAVA– New patientsNew patients

Continuity Clinic Continuity Clinic – ½ day per week½ day per week– alternates between Shands and VAalternates between Shands and VA

Patients from previous residents, inpatient experience, Patients from previous residents, inpatient experience, and Neuro I (VA) and Neuro I (VA)

Gait and Balance clinic Gait and Balance clinic – ½ day 4 times per year½ day 4 times per year

LP experience LP experience – 4 times per year4 times per year

Early SelectivesEarly Selectives

Epilepsy I – one month of EEG, EMU, Epilepsy I – one month of EEG, EMU, and Epilepsy clinicsand Epilepsy clinics

General Neurology Clinics – one monthGeneral Neurology Clinics – one month– Includes MS & HeadacheIncludes MS & Headache

Neuroscience – five weeks of Neuroscience – five weeks of neuroscience lectures, labs, neuroscience lectures, labs, opportunities to teach medical opportunities to teach medical students – half in PGY2 year, half in students – half in PGY2 year, half in PGY3 year.PGY3 year.

Middle SelectivesMiddle Selectives

Each one month long, taken throughout the Each one month long, taken throughout the three years, but majority completed before three years, but majority completed before PGY4 yearPGY4 year

Behavioral Neurology ClinicBehavioral Neurology Clinic– Includes TBI clinic at VAIncludes TBI clinic at VA

Movement Disorders ClinicMovement Disorders Clinic– Includes DBS surgeryIncludes DBS surgery

Neuromuscular ClinicNeuromuscular Clinic– Includes EMG/NCS trainingIncludes EMG/NCS training

NeuropathologyNeuropathology– Included Brain CuttingIncluded Brain Cutting

PsychiatryPsychiatry

Senior SelectiveSenior Selective

Epilepsy II – One month, taken Epilepsy II – One month, taken during late PGY3 or preferably during late PGY3 or preferably PGY4 year as a master course in PGY4 year as a master course in EpilepsyEpilepsy

ElectivesElectives

6 months electives in last 2 years (16 months electives in last 2 years (1stst year with program director approval)year with program director approval)

4 – 6 months can be combined into 4 – 6 months can be combined into mini-fellowshipmini-fellowship– Behavioral NeurologyBehavioral Neurology– EpilepsyEpilepsy– Movement DisordersMovement Disorders– NeuromuscularNeuromuscular– ResearchResearch– StrokeStroke– Customized (with program director Customized (with program director

approval)approval)

Other FeaturesOther Features

Vacation Vacation (four weeks per year)(four weeks per year)

Three weeks of vacation duringThree weeks of vacation during– SelectivesSelectives– ElectivesElectives

One week off during flex, either One week off during flex, either – week of Christmas or week of Christmas or – week of New Year’s Dayweek of New Year’s Day

Core DidacticsCore Didactics

Noon conference Monday, Wednesday, Noon conference Monday, Wednesday, FridayFriday

Every other Friday neuroradiologyEvery other Friday neuroradiology Includes 13 high yield board prep talks Includes 13 high yield board prep talks

by residents and for residentsby residents and for residents Grand Rounds Tuesdays 11:00 amGrand Rounds Tuesdays 11:00 am Includes Journal club, CPC, M&MIncludes Journal club, CPC, M&M Leadership in Neurology SeriesLeadership in Neurology Series

Optional DidacticsOptional Didactics

Tumor BoardTumor Board Biomedical Engineering SeminarBiomedical Engineering Seminar Epilepsy Surgery ConferenceEpilepsy Surgery Conference Deep Brain Stimulator ConferenceDeep Brain Stimulator Conference Dementia Consensus ConferenceDementia Consensus Conference Center for Neuropsychological Center for Neuropsychological

Studies ConferenceStudies Conference Etc.Etc.

Beyond ResidencyBeyond Residency

FellowshipsFellowships

UF has fellowships inUF has fellowships in– Behavioral NeurologyBehavioral Neurology– Interventional Neuroradiology (with Interventional Neuroradiology (with

Neurosurgery and Radiology)Neurosurgery and Radiology)– Movement DisordersMovement Disorders– Neurophysiology (Epilepsy or Neurophysiology (Epilepsy or

Neuromuscular track)Neuromuscular track)– Pain Medicine (with Anesthesia and Pain Medicine (with Anesthesia and

Psychiatry)Psychiatry)– Sleep (with Internal Medicine)Sleep (with Internal Medicine)– StrokeStroke

Recent and Future Recent and Future Graduates - Graduates - FellowshipsFellowships 20122012

– Stroke at University of FloridaStroke at University of Florida– Stroke at University of FloridaStroke at University of Florida– Interventional Neuroradiology (at Tennessee?)Interventional Neuroradiology (at Tennessee?)– Epilepsy at EmoryEpilepsy at Emory

20112011– Neuro-ophthalmology at Emory UniversityNeuro-ophthalmology at Emory University– Stroke at University of FloridaStroke at University of Florida– Epilepsy at University of FloridaEpilepsy at University of Florida– Straight to PracticeStraight to Practice

2010 (first year with 4 graduates)2010 (first year with 4 graduates)– Ataxia Research at University of FloridaAtaxia Research at University of Florida– Behavioral at University of FloridaBehavioral at University of Florida– Epilepsy at University of FloridaEpilepsy at University of Florida– Neurocritical Care at Washington UniversityNeurocritical Care at Washington University

20092009– Epilepsy at UABEpilepsy at UAB– Neuromuscular at University of ColoradoNeuromuscular at University of Colorado– Neuromuscular at EmoryNeuromuscular at Emory

20082008– Neurogenetics at UCLANeurogenetics at UCLA– Sleep at University of FloridaSleep at University of Florida– Stroke at University of FloridaStroke at University of Florida

Leadership is Key at Leadership is Key at UF!UF!

Match InformationMatch Information

General Advice for General Advice for Neurology ApplicantsNeurology Applicants

Applicants who rank 8 – 10 Applicants who rank 8 – 10 programs almost always match programs almost always match somewheresomewhere

Rank a range of programs in Rank a range of programs in terms of competitivenessterms of competitiveness

But rank by your true preferenceBut rank by your true preference Do not rank a program you don’t Do not rank a program you don’t

wantwant

The PGY1 yearThe PGY1 year

Three guaranteed PGY1 positions at UF for NeurologyThree guaranteed PGY1 positions at UF for Neurology H visas and equivalent not supportedH visas and equivalent not supported Medicine Chiefs interview for this in afternoon, give yes or no Medicine Chiefs interview for this in afternoon, give yes or no

to accepting for PGY1 yearto accepting for PGY1 year Most interviewees get a yesMost interviewees get a yes Ranking for neurology not directly impacted by medicine Ranking for neurology not directly impacted by medicine

yes/noyes/no Typically have not had every incoming neurology resident do Typically have not had every incoming neurology resident do

PGY1 year here, even when it was a 1:1 ratioPGY1 year here, even when it was a 1:1 ratio Working with institution to increase number of PGY1 slots for Working with institution to increase number of PGY1 slots for

incoming neurologyincoming neurology Make certain to interview and rank enough PGY1 programs Make certain to interview and rank enough PGY1 programs

to match to match Consider preliminary/transitional years at or near your home Consider preliminary/transitional years at or near your home

institutioninstitution

The Odds at UFThe Odds at UF

Nearly 400 applications per yearNearly 400 applications per year About 40 will be interviewedAbout 40 will be interviewed Almost everyone interviewed is rankedAlmost everyone interviewed is ranked 5 positions5 positions If we like you, we rank you (we usually like If we like you, we rank you (we usually like

you)you) If you’re ranked, you’ve got a chanceIf you’re ranked, you’ve got a chance

Parting thoughtsParting thoughts

We already liked you enough to We already liked you enough to invite you – when only one in ten invite you – when only one in ten were!were!

One in eight who interview will One in eight who interview will match here.match here.

Once you join us, you’re like Once you join us, you’re like family.family.

Go Gators!Go Gators!