Plan For Nightfloat System 2009-2010

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Introduction to UF
Neurology Residency
Glen Finney, MD
Residency Program Director
UF Neurology
Why University of
Florida? Why
Gainesville?
Best Part of UF Neurology
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Our Residents
– Work together
– Play together
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Our Faculty
– Love to teach
– Approachable
– Mentors
Gainesville, Florida
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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
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One Senior Neurology (PGY3 or PGY4)
One Junior Neurology (PGY2)
1 – 2 rotating residents
(Neurosurgery, Anesthesia, Family
Medicine)
1 – 2 medical students
Cover all strokes in Shands
Cover stroke ED consults/stroke alerts
Shands General
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One Senior Neurology (PGY3 or PGY4)
One Junior Neurology (PGY2)
1 – 2 rotating residents
(Neurosurgery, Anesthesia, Family
Medicine)
0 – 2 medical students
Cover all non-stroke neurology in
Shands
Cover ED consults
VA Inpatient
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One Senior Resident (PGY3 or PGY4)
One Junior Resident (PGY2)
0 – 1 rotating resident (Psychiatry)
1 medical student
Cover VA hospital (neurology ward,
consults, ED)
Pediatric Neurology
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3 months total during PGY3/PGY4
years
Cover pediatric neurology clinics
Cover pediatric neurology wards
Cover pediatric neurology consults
Nightfloat
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Two week long blocks
– Six days on
– One day off (Saturday)
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8 pm to 8 am
– Sign out at Morning Report
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3 blocks during last part of PGY2 (last
half for most)
2 blocks during first half of PGY3
1 block during PGY4
Advantages of Nightfloat
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Improves Continuity/Quality of Care
Avoids Fatigue:
– 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!)
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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
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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
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Epilepsy I – one month of EEG, EMU, and
Epilepsy clinics
General Neurology Clinics – one month
– Includes MS & Headache
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Neuroscience – five weeks of
neuroscience lectures, labs, opportunities
to teach medical students – half in PGY2
year, half in PGY3 year.
Middle Selectives
Each one month long, taken throughout the three
years, but majority completed before PGY4 year
 Behavioral Neurology Clinic
– Includes TBI clinic at VA
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Movement Disorders Clinic
– Includes DBS surgery
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Neuromuscular Clinic
– Includes EMG/NCS training
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Neuropathology
– Included Brain Cutting
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Psychiatry
Senior Selective
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Epilepsy II – One month, taken during
late PGY3 or preferably PGY4 year as a
master course in Epilepsy
Electives
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6 months electives in last 2 years (1st year
with program director approval)
4 – 6 months can be combined into minifellowship
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Behavioral Neurology
Epilepsy
Movement Disorders
Neuromuscular
Research
Stroke
Customized (with program director approval)
Other Features
Vacation
(four weeks per year)
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Three weeks of vacation during
– Selectives
– Electives
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One week off during flex, either
– week of Christmas or
– week of New Year’s Day
Core Didactics
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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
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Tumor Board
Biomedical Engineering Seminar
Epilepsy Surgery Conference
Deep Brain Stimulator Conference
Dementia Consensus Conference
Center for Neuropsychological Studies
Conference
Etc.
Beyond Residency
Fellowships
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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
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2012
– Stroke at University of Florida
– 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
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Applicants who rank 8 – 10 programs
almost always match somewhere
Rank a range of programs in terms of
competitiveness
But rank by your true preference
Do not rank a program you don’t want
The PGY1 year
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Three guaranteed PGY1 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 PGY1 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 PGY1
year here, even when it was a 1:1 ratio
Working with institution to increase number of PGY1 slots for
incoming neurology
Make certain to interview and rank enough PGY1 programs to
match
Consider preliminary/transitional years at or near your home
institution
The Odds at UF
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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
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We already liked you enough to invite
you – when only one in ten were!
One in eight who interview will match
here.
Once you join us, you’re like family.
Go Gators!
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