Inpatient
While on Neurology…
Inpatient neurology rotations at NYU provide an extraordinarily well-rounded experience and exposure to a wide spectrum of neurological disorders and conditions.
Tisch Hospital is the private university hospital of NYU School of Medicine. The Neurology Service, located on the 17 East floor of the Hospital, has 28 beds and is staffed by one second-year (PGY-3) neurology resident and two first-year (PGY-2) neurology residents. Neurology specialist nurse practitioners play a major role in team management of patients on the service. Plans for a new multi-media conference and seminar room on the floor are underway. Periodically, residents and medical students may take elective on the Tisch Hospital Neurology service. Also, PGY-1 neurosurgery residents sometimes complete part of the required three-month neurology rotation on the Tisch neurology service.
Bellevue Hospital Center is the flagship hospital of the New York City Health and Hospitals Corporation, providing public health care to city employees, the uninsured and a wide variety of patients from all corners of the globe. Bellevue is world-renowned for its historic role in medical education in the United States, its psychiatric patient care services and, since becoming a full-service hospital early in the last century, the diversity of its patients and the diseases and conditions with which they present. The Neurology Service at Bellevue Hospital Center, under the supervision and direction of Drs. Katherine Henry and Saran Jonas, consists of an active in-patient service; consultation services; and comprehensive ambulatory adult neurological services. Patients with a myriad of neurological disorders are admitted to our 34-bed neurological service where they receive comprehensive care provided by housestaff with close attending supervision and input. Bellevue offers comprehensive radiological (including interventional), neurophysiological and laboratory services.
The Bellevue ward team is led by a third-year (PGY-4) neurology resident. The remainder of the team consists of two first-year (PGY-2) neurology residents, rotators from the Departments of Psychiatry and Medicine, and medical students completing required and elective neurology rotations. Periodically, PGY-1 neurosurgery residents complete the required three-month neurology rotation on the Bellevue neurology service.
Our neurology consult team responds to consultation requests from throughout the hospital — emergency services, inpatient units and all critical care areas. Attending staff hold frequent rounds and are always available to discuss cases and see patients. Radiology, pathology and case conferences complement direct patient care.
The VA Medical Center is a federal facility, caring for veterans of the United States military services. The Neurology Service at the New York VA Harbor Healthcare facility has __ beds and a busy consult service, both under the leadership of Dr. Richard Hanson.
Since 1954 the New York Department of Veterans Affairs Medical Center has served local metropolitan veterans. In 1998, the New York VA merged with the Brooklyn VA Medical Center. The newly established medical facility is known as the New York harbor Health Care System. The Harbor’s Manhattan campus, located at First Avenue and 23rd Street, is a 250-bed tertiary care facility where health care professionals and staff treat 8,000 inpatients and 300,000 outpatients annually. The hospital provides care in all specialties and has an established reputation for clinical excellence.
The New York VA is one of six nationally designated VA research centers for the investigation of HIV infection and is designated as the regional referral site for neurosurgery and cardiovascular surgery. In 1992 a $110 million ambulatory care clinic opened.
The Radiology service provides state-of-the-art diagnostic services including CT, MRI, SPECT, spiral CT, carotid, ultrasound, transcranial doppler sonography and contrast angiography.
The medical library houses an extensive collection of books and journals and gives unrestricted access to Medline literature searches. Complimentary photocopying of journal articles is provided to the house staff.
The hospital supports a comprehensive computer system that is integrated with the VA’s well-reputed electronic medical record system.
The New York VA has been a primary teaching center for NYU School of Medicine since the 1950s. Four board-certified attending neurologists supervise the inpatient card, outpatient clinic and consultation services.
The 15-bed inpatient unit sees 300 admissions per year with the daily census approximating 12 patients. The average length of stay is 7 days. The inpatient service provides a comprehensive interdisciplinary evaluation for patients with dementia, gait disorders, stroke, seizure, pain conditions and other neurological diagnoses. On the inpatient ward, NYU psychiatry residents and medical students fulfill their training requirements and add to the wealth of attention and professionalism in patient care at the VA.
The electrodiagnostic laboratories (EEG/EP, EMG) are located adjacent to the inpatient ward and provide over 1,000- annual investigations in autonomic diseases laboratory and transcranial doppler services are also available.
The inpatient consultation service provides more than 1,000 patient evaluations per year. An interdisciplinary pain consult team provides services in the treatment of patients with chronic pain.
The New York VA’s neurology outpatient service is located in the recently built and well-equipped ambulatory care clinic. In a professional setting rivaling private practice facilities 5,000 patients are seen each year. Nursing, clerical and physician staffs cooperate to ensure orderly and efficient patient flow. With computers in all examination rooms, all laboratory results are easily retrievable as needed, and make for easy review of patient information, components in the hospital formulary, prescribing schedules and adverse effect profiles of individual drugs.
Subspecialty clinics in cerebrovascular disease and pain meet concurrently with the general neurological clinic. Anticoagulant patients are closely monitored in a specialty clinic operated under the aegis of the medical service.
Allied departments — including neurosurgery, neuroradiology, psychiatry, rehabilitative medicine, neuropsychology, and speech/audiology — are full-time services. Integration with the neurology service results in timely consultations and cross-disciplinary educational conferences.
The Comprehensive Epilepsy Center (CEC), located on the main campus of the School of Medicine, is dedicated to a multidisiplinary approach to treat epilepsy. The faculty includes pediatric and adult epileptologists as well as neurosurgeons, neuroradiologists, neuropsychologists, a neuropsychiatrist, behavioral neurologists, nurse practitioners, child life specialists, social workers and certified EEG technologists. The inpatient epilepsy unit has 16 adult and 4 pediatric beds with 24-hour digital video monitoring. Employing the latest state-of-the-art technology, the patients are evaluated for ictal characterization, medications adjustment and presurgical evaluation. Patients that are identified as surgical candidates undergo a series of testing including Wada Test, Ictal SPECT scan, PET scan, and brain mapping.
The CEC’s faculty has been actively involved in the design and conduction of multicenter clinical trials for multiple antiepileptic drugs. Some of NYU’s research areas include epidemiological studies of epilepsy, pharmacological treatment of epilepsy, surgical treatment of epilepsy, magnetoencephalography, SPECT scan and its role in identifying the ictal focus, functional cortical mapping, neuro-oncology, and quality of life studies.
For information about inpatient psychiatry rotations, go to the website of NYU’s Department of Psychiatry.
