There are four services at Moffitt: neurovascular (with two separate services), epilepsy, general neurology ward, and a consult service. Junior residents spend two months on the neurovascular service and one month each on the ward, epilepsy, and consult services. The neurovascular service usually has 5-25 patients (split between two services) hospitalized for stroke, subarachnoid hemorrhage, and following interventional neuroradiology procedures. At any time about 2-10 of these patients will be in the ICU. The epilepsy service usually admits five patients on Monday for monitoring and discharges most of them by the weekend. The resident on this rotation also attends epilepsy clinic, learns the rudiments of reading EEGs, and observes intraoperative cortical mapping and WADA tests. The Ward service takes care of 5-15 inpatients (other than neurovascular or epilepsy monitoring patients). Typical cases include diagnostically challenging tertiary care referrals, fulminant MS, Guillan-Barre syndrome, myasthenic crisis, status epilepticus, or transverse myelitis. The consult service covers all of the neurology consults for the hospital, including the ER and urgent care consults. Direct supervision on the epilepsy and neurovascular services are provided by fellows and attendings. The consult and ward services are run by a senior resident. Each of the four services has it's own attending rounds and teaching conferences. Call frequency at Moffitt Hospital consists of 7 nights per month.
