Adult residents or visiting pediatric residents rotating in the UCSF Division of Child Neurology
Introduction: There is one month-long rotation available for residents in neurology, child neurology, and pediatrics. Applications are accepted and scheduled on a first-come-first-served basis. The rotation is based at the UCSF Medical Center. The service is quite busy, providing excellent opportunities to expand your neurological knowledge and clinical skills while getting invaluable exposure to our Division. There are several different service opportunities available- Neurologic Intensive Care Nursery, Ward/Consult Service, Outpatient Rotation.
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.
The Neurologic Intensive Care service is a new rotation, focused in the existing Intensive Care Nursery. This rotation starts July 2008. The Neurology team will co-round daily with the Intensive care nursery team. There will be regular EEG and imaging rounds. The census is likely to be 6-8 patients at a time. There will be significant time for didactic lecture, self-directed learning, and small research projects.
The Ward-Consult service includes a small ward team and a more extensive 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. The majority of consults are from the Pediatric Intensive Care Unit, with occasional consults from pediatric urgent care/ED or other pediatric ward services. A typical PICU census is around 5 patients. 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 Outpatient rotation is variable in schedule, with multiple different general child neurology and subspecialty clinic opportunities. Subspecialty clinics include Muscular Dystrophy, Epilepsy, Stroke, Tic and Tourette clinic, Headache clinic, and Brain Malformations clinic. Specific clinic schedules are determined based on educational goals, as discussed with Dr. Foster-Barber.
For the inpatient services, pre-rounding begins early enough to finish by Work-rounds, typically around 8:30 am (depending on consult numbers and other morning conferences). The workday typically ends between 5 and 6 PM. Outpatient clinics start at 8:30 or 9AM and end typically by 5PM.
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:
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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.
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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.
Educational opportunities include weekly Neuroradiology conference, morning report, journal club, didactic conference, and Intensive Care Nursery rounds. Details of the schedule 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.
Contact:
Audrey Foster-Barber, MD
Assistant Professor of Child Neurology
Associate Residency Director
UCSF
fostera@neuropeds.ucsf.edu
