Service Specific Details:
This service consists of an attending, a child neurology fellow, 1-2 adult neurology residents and 1 third-year medical student. There are occasionally child psychiatry interns who also rotate with the service. It is a combined inpatient ward service and consult service.
A typical ward census is 4-7 patients, consisting largely of transfers from other hospitals, admissions through the emergency room, or video EEG telemetry patients. The pediatric residents (“Blue team”) typically pre-round on the ward patients. Blue team rounds are at 10:30-11:30 am. In addition to the educational conferences discussed below, rounds often include a lecture by the attending or fellow.
Sub-interns, as well as the other neurology residents, are responsible for seeing new consults, and rounding on them when applicable. The majority of these consults are from the Pediatric Intensive Care Unit and Neonatal Intensive Care Unit, with occasional consults from pediatric urgent care/ED or other pediatric ward services. A typical PICU census is around 5 patients, and a typical NICU census is 2-4. These patients are generally quite ill with complicated medical problems. The PICU children usually transfer to the neurology ward service (Blue team) after they are recovered. The sub-I or resident will be responsible for pre-rounding on their consult patients and maintaining an active role in their care.
Pre-rounding begins early enough to finish by Work-rounds, which begins around 8:30 am (depending on consult numbers and other morning conferences). The workday typically ends between 5 and 6 PM.
While on service, we have the wonderful opportunity to participate in our sponsored off-site clinics. These are incredible opportunities to work with underserved families and see interesting child neurology cases. These include:
- San Francisco General Hospital – Every Friday morning the entire team participates in this clinic. It runs from 9am – Noon. There is a shuttle from UCSF to SFGH.
- Salinas (Natividad Medical Center) – Typically the 3rd Monday of the month. We leave at around 6am and get back to San Francisco at around 7pm. Everyone carpools.
More detail about these clinics are available upon request.
Call Requirements: There is no overnight call or weekend requirements.
Time-off: Since there are no call or weekend requirements, rotating students are generally not allowed extra time off. For additional questions, please contact Dr. Audrey Foster-Barber in advance, and evaluations may be made on a case-by-case basis.
Wednesday Educational Conferences: Each Wednesday afternoon, from 3:00 PM to 6:00 PM, Neurology faculty, residents, sub-interns and other medical students gather at UCSF for dedicated didactic time. An Adult Neurology Clinic Case Conference occurs from 3 to 4 PM. The Division of Child Neurology presents from 4 to 5 PM. The 5 to 6 PM hour is occupied by our Department’s Grand Rounds or a Housestaff teaching conference depending on the week.
Educational Conferences:
Neuroradiology: Tuesday mornings, 8-9am, N217. This is a joint conference between the Division of Child Neurology, Department of Pediatric Neurosurgery, and the Pediatric Neuroradiologists to present interesting cases for teaching, or those that are diagnostic dilemmas.
Morning Report: Immediate follows Neuroradiology, C 215. This give the fellows and opportunity to present interesting or educational cases that are on service to the entire Division.
Journal Club: Weds mornings, 8:15-9am. Sub-I’s, neurology residents, and psychiatry interns are all responsible to present a scholarly article to the Division for review and discussion. Advanced notice will be given regard the date of presentation. The child neurology fellow will assist in finding appropriate articles. Sub-I’s will be assigned a faculty member to help review their presentation.
Intensive Care Nursery Rounds: Thurs afternoons, 4-5pm. These take place in the NICU, with the on-service fellow presenting to Dr. Donna Ferriero. Interesting physical findings, exam skills, and clinical pearls are highlighted within this hour.
Outpatient Opportunities:
Occassionally, the service may be slow or there are may residents rotating at one time. There are many wonderful outpatient opportunities and child neurology sub-specialty clinics available to rotate through. This will be up to the discretion of the fellow on call, depending on patient census and educational needs.
Contact Information:
Nicola Sequeira
Coordinator, Child Neurology
Department of Neurology
415-476-9202
sequeiran@neurology.ucsf.edu
