Welcome toWelcome to

Weekly DutiesWeekly Duties

Monday ClinicsMonday Clinics• AM Continuity ClinicAM Continuity Clinic• Lord & Taylor BuildingLord & Taylor Building

• 11stst Floor Floor• 8:00 AM to noon (ideally)8:00 AM to noon (ideally)

• Staff: Drs. Sumner, Gutierrez, Mader, Staff: Drs. Sumner, Gutierrez, Mader, BranchBranch

• You will have 6 patients scheduled every You will have 6 patients scheduled every clinicclinic

• Occasional snacks or lunch by drug repsOccasional snacks or lunch by drug reps

EpilepsyEpilepsy

• Monday afternoons after Continuity ClinicsMonday afternoons after Continuity Clinics• Assigned residentsAssigned residents

• Electives (Psych, Research, other elective Electives (Psych, Research, other elective months)months)

• ClinicClinic

• Epilepsy:Epilepsy:• Lord & TaylorLord & Taylor• 11stst Floor Floor• Staff: Dr. MaderStaff: Dr. Mader

Multiple Sclerosis ClinicMultiple Sclerosis Clinic

• 11stst Monday afternoon of the month Monday afternoon of the month• Assigned residents (same as Assigned residents (same as

Epilepsy clinic)Epilepsy clinic)• MSMS

• Lord and TaylorLord and Taylor• 11stst floor floor• Staff: Dr. LoveraStaff: Dr. Lovera

Stroke ClinicStroke Clinic

• Every Tuesday 8:00 AM – noonEvery Tuesday 8:00 AM – noon• Assigned residentsAssigned residents

• Elective resident(s)Elective resident(s)

• StrokeStroke• Lord and TaylorLord and Taylor• 1st floor1st floor• Staff: Dr. BranchStaff: Dr. Branch

Didactic ThursdaysDidactic Thursdays

• Every Thursday starting at 1pmEvery Thursday starting at 1pm• 1542 Tulane Ave. 71542 Tulane Ave. 7thth floor conference room floor conference room• Line-up:Line-up:

• 12:00 – Lunch12:00 – Lunch• 1:00 – Professor’s Rounds (case or guest 1:00 – Professor’s Rounds (case or guest

lecturer)lecturer)• 2:00 Neuroradiology/Neuropathology2:00 Neuroradiology/Neuropathology• 2:30 – Core Curriculum (Merrit’s Quizzes 2:30 – Core Curriculum (Merrit’s Quizzes

or Continuums)or Continuums)• 3:00 – Fellow Conference3:00 – Fellow Conference

Didactic Thursdays:Didactic Thursdays:Professor RoundsProfessor Rounds

• Case PresentationCase Presentation• Faculty and residents presentFaculty and residents present• You should present a complete case with You should present a complete case with

HPI, Neuroexam, Labs, Imaging or HPI, Neuroexam, Labs, Imaging or anything else that is available.anything else that is available.

• When possible you can bring the patient.When possible you can bring the patient.• After your case presentation you should After your case presentation you should

have a brief presentation about the have a brief presentation about the diagnosis.diagnosis.

Didactic ThursdaysDidactic ThursdaysStroke ConferenceStroke Conference

• 22ndnd Thursday of every month at Thursday of every month at 11:30AM11:30AM

• UH Basement conference roomUH Basement conference room• Will replace professors roundsWill replace professors rounds• Alternate presentations with TulaneAlternate presentations with Tulane

• We will do July and every other month We will do July and every other month there afterthere after

• Resident to present will be the resident Resident to present will be the resident assigned to UH the prior monthassigned to UH the prior month

Didactic Thursdays:Didactic Thursdays:Neuroradiology/NeuropNeuroradiology/Neurop

athath• We alternate Thursdays between We alternate Thursdays between

radiology and neuropath.radiology and neuropath.• Should be about a 15 minute Should be about a 15 minute

presentation.presentation.• Present a neuropathology slide or Present a neuropathology slide or

neuroradiology image.neuroradiology image.• Follow by discussion of the Follow by discussion of the

diagnosisdiagnosis

Core CurriculumCore Curriculum• This year we will alternate weeksThis year we will alternate weeks• Merritt’s Chapter QuizzesMerritt’s Chapter Quizzes

• Every two weeksEvery two weeks• Each resident will have a chapter assignedEach resident will have a chapter assigned• Residents will be responsible for creating a Residents will be responsible for creating a

quiz of their assigned chaptersquiz of their assigned chapters• ContinuumsContinuums

• Every two weeksEvery two weeks• Resident will have continuum assignedResident will have continuum assigned• Discussion of Continuum questionsDiscussion of Continuum questions

Friday MorningFriday Morning

• Neuropathology at Children’sNeuropathology at Children’s• Pain Rounds at UHPain Rounds at UH

CallCall

CallCall• 4 to 6 call nights a month4 to 6 call nights a month• Home callHome call• Even days:Even days:

• University HospitalUniversity Hospital• TouroTouro• KennerKenner

• Odd days:Odd days:• TouroTouro• KennerKenner• UH Floor CallUH Floor Call

CallCall• University (Even days)University (Even days)

• Stroke callStroke call• Stroke pagerStroke pager• Ideally respond within 15-20 minutes to make Ideally respond within 15-20 minutes to make

tPA decisiontPA decision

• ER consultsER consults• Floor call for admitted primary patientsFloor call for admitted primary patients

• University(Odd days)University(Odd days)• Floor call onlyFloor call only

CallCall

• Touro/Kenner (Monday – Thursday)Touro/Kenner (Monday – Thursday)• Routine consults can be seen by the Routine consults can be seen by the

resident on service the next dayresident on service the next day• Get patient’s name and room numberGet patient’s name and room number• Give information to resident in AMGive information to resident in AM

• Urgent or STAT consults need to be Urgent or STAT consults need to be seen and discussed with staff the seen and discussed with staff the same daysame day

CallCall

• Kenner (Friday-Sunday)Kenner (Friday-Sunday)• All consults need to be seen within 24 All consults need to be seen within 24

hours and staffedhours and staffed• Call or text the resident covering for Call or text the resident covering for

the weekend so the patient can have the weekend so the patient can have appropriate follow-upappropriate follow-up

CallCall

• You will always have a PGY 4 You will always have a PGY 4 resident as back up.resident as back up.

• During the first 3 months you will During the first 3 months you will be required to call your back up for be required to call your back up for every consult at UH.every consult at UH.

• Call staff on call directly for any Call staff on call directly for any consult at Touro or Kenner.consult at Touro or Kenner.

Hospital RotationsHospital Rotations

Ochsner-KennerOchsner-Kenner

• Inpatient Consults/Outpatient Inpatient Consults/Outpatient ClinicsClinics

• ClinicsClinics• Wednesday: VA Clinic 8 or 9-12Wednesday: VA Clinic 8 or 9-12• Friday: Dr. GutierrezFriday: Dr. Gutierrez

• Inpatient Consults from LSU Inpatient Consults from LSU Medicine, LSU Family Practice and Medicine, LSU Family Practice and Private MDsPrivate MDs

Ochsner-KennerOchsner-Kenner

• Consult Service Staffed by either Consult Service Staffed by either Dr. Barton (M-W) or Dr. Mader (R-Dr. Barton (M-W) or Dr. Mader (R-F)F)

• On your first day go to the GME On your first day go to the GME office to get registeredoffice to get registered

• Parking: FreeParking: Free• Free Breakfast and LunchFree Breakfast and Lunch

Touro InfirmaryTouro Infirmary• Inpatient ConsultsInpatient Consults• Consults mainly from private Consults mainly from private

doctors, LSU medicine, LSU doctors, LSU medicine, LSU OB/GYN, and rehab servicesOB/GYN, and rehab services

Touro InfirmaryTouro Infirmary

• Inpatient Consults Staffed by Dr. Inpatient Consults Staffed by Dr. Gutierrez, Dr. Branch, and Dr. Fiore.Gutierrez, Dr. Branch, and Dr. Fiore.

• Go to GME office and register on first Go to GME office and register on first day of your rotation to get ID and day of your rotation to get ID and access to computer systemaccess to computer system

• Free LunchFree Lunch• Free Parking at Delachaise garage Free Parking at Delachaise garage

with ID accesswith ID access

• WEEKENDSWEEKENDS::• During weekends you should round on patients During weekends you should round on patients

that you have been following during the week.that you have been following during the week.• Coverage for the weekends will be split among Coverage for the weekends will be split among

the residents working at Touro and Kenner.the residents working at Touro and Kenner.• Please inform the chief of who will be covering Please inform the chief of who will be covering

what weekends.what weekends.• We will not be taking new consults at Touro We will not be taking new consults at Touro

but the patients should have a note daily until but the patients should have a note daily until we sign off.we sign off.

• Some patient may not need to be rounded on Some patient may not need to be rounded on daily but this is at the discretion of the daily but this is at the discretion of the attending on service, but when in doubt write attending on service, but when in doubt write the note.the note.

St. Charles ClinicSt. Charles Clinic

• Clinics – St. Charles ClinicClinics – St. Charles Clinic• 3700 St.Charles Ave., 43700 St.Charles Ave., 4thth Floor Floor

• Tuesday: MDA Clinic with Dr. Gutierrez and Tuesday: MDA Clinic with Dr. Gutierrez and Dr. EnglandDr. England

• Wednesday: VA Clinic (divide equally if two Wednesday: VA Clinic (divide equally if two residents on clinic)residents on clinic)

• Friday: Dr. England (or Kenner depending on Friday: Dr. England (or Kenner depending on the schedule)the schedule)

• Validated daily parking in Prytania garageValidated daily parking in Prytania garage

Touro/Clinic hybridTouro/Clinic hybrid

• New rotationNew rotation• Due to high volume of consults at Due to high volume of consults at

Touro I have made a rotation to allow Touro I have made a rotation to allow “backup” at Touro“backup” at Touro

• Help Touro resident with rounds on Help Touro resident with rounds on Monday and Friday afternoons also Monday and Friday afternoons also Thursday morning.Thursday morning.

• The other days will function as the The other days will function as the Clinic schedule outlined aboveClinic schedule outlined above

VA ClinicVA Clinic

• Every WednesdayEvery Wednesday• 8AM - Noon (Kenner resident)8AM - Noon (Kenner resident)• 8am - 4PM (Clinic resident)8am - 4PM (Clinic resident)• Noon – 4PM (Ochsner clinic resident)Noon – 4PM (Ochsner clinic resident)

• Both residents work with Dr. Danon for 8 - Both residents work with Dr. Danon for 8 - 12 clinic12 clinic

• 1 - 4 clinic with Dr. El-Abassi1 - 4 clinic with Dr. El-Abassi• Please be sure your VA access codes are Please be sure your VA access codes are

working at least the Tuesday before you working at least the Tuesday before you start!start!

VA ClinicVA Clinic

• Please be sure your VA access Please be sure your VA access codes are working at least the codes are working at least the Tuesday before you start!Tuesday before you start!• Credentials expire about every 90 daysCredentials expire about every 90 days• Working to see if remotely logging in Working to see if remotely logging in

will be sufficientwill be sufficient• May need to go to VA monthly to login May need to go to VA monthly to login

to keep credentials activeto keep credentials active

University HospitalUniversity Hospital• Inpatient Primary and ConsultsInpatient Primary and Consults• Team will consists of Neurology Team will consists of Neurology

resident(s), Medicine, Psychiatry resident(s), Medicine, Psychiatry Resident, and medical studentsResident, and medical students

• Staffs: Dr. Sumner, Dr. Branch, Dr. Staffs: Dr. Sumner, Dr. Branch, Dr. Mader, and othersMader, and others

• Stroke pager system for tPAStroke pager system for tPA• LSU takes new patients on even days LSU takes new patients on even days

and Tulane on odd daysand Tulane on odd days

University HospitalUniversity Hospital• We will admit strictly neurological We will admit strictly neurological

cases and medically uncomplicated cases and medically uncomplicated stroke and TIA patientsstroke and TIA patients

• Since resident on call will take care of Since resident on call will take care of floor calls it is IMPORTANT to check out floor calls it is IMPORTANT to check out patients everyday to whoever is on callpatients everyday to whoever is on call

• Divide weekend follow up coverage Divide weekend follow up coverage among residents on the teamamong residents on the team

University HospitalUniversity Hospital

• We are responsible for all stroke We are responsible for all stroke activations M-F 7AM - 5PMactivations M-F 7AM - 5PM• Weekend stroke call is done by on call Weekend stroke call is done by on call

resident 7a-7aresident 7a-7a• Tulane will cover 7a-7a on the odd Tulane will cover 7a-7a on the odd

weekend dayweekend day

• Even days – ER/floor consultsEven days – ER/floor consults• Odd days – Tulane will handle all new Odd days – Tulane will handle all new

consults consults

Ochsner InpatientOchsner Inpatient• Two weeks NeuroICUTwo weeks NeuroICU

• 7AM – 5PM7AM – 5PM• Checkout from on-call resident and/or Checkout from on-call resident and/or

moonlighter at 8AM in conference room moonlighter at 8AM in conference room across from room 3075.across from room 3075.

• Two staff physicians and two midlevel-Two staff physicians and two midlevel-providers divide patients for morning providers divide patients for morning roundsrounds

• Ask staff who you should round with but in Ask staff who you should round with but in general round on the same patientsgeneral round on the same patients

Ochsner InpatientOchsner Inpatient• Two weeks Stroke/Vascular NeurologyTwo weeks Stroke/Vascular Neurology

• 7AM – 5PM7AM – 5PM

• Work with Stroke service with Vascular Work with Stroke service with Vascular Neurology staff and medicine residentsNeurology staff and medicine residents

• Call schedule continues as with ICUCall schedule continues as with ICU• You only work the weekends that you You only work the weekends that you

are on callare on call• Be there at 7AM to see the ICU patientsBe there at 7AM to see the ICU patients• Weekends not on call are off daysWeekends not on call are off days

Ochsner InpatientOchsner Inpatient

• CallCall• In-House CallIn-House Call• You will be on call the 1You will be on call the 1stst of the month and every 5 of the month and every 5thth

night (Q5) thereafter (i.e. 1night (Q5) thereafter (i.e. 1stst, 6, 6thth, 11, 11thth, 16, 16thth, 21, 21stst, 26, 26thth))• You are expected to care for 8 patientsYou are expected to care for 8 patients

• You can do only two (2) new admitsYou can do only two (2) new admits• The rest of the patients are cared for by a moonlighterThe rest of the patients are cared for by a moonlighter

• Call ends at 7AMCall ends at 7AM• Turn over spectralink and pager no later than 7AM to Turn over spectralink and pager no later than 7AM to

moonlighter, midlevel, or incoming residentmoonlighter, midlevel, or incoming resident

• You should leave after checkoutYou should leave after checkout

Ochsner OutpatientOchsner Outpatient

• Outpatient ClinicsOutpatient Clinics• Rotate through different clinics:Rotate through different clinics:

• Movement Disorders (M&T) – Dr. Lea Movement Disorders (M&T) – Dr. Lea and Dr. Haughtonand Dr. Haughton

• VA – Wednesday afternoon (leave by VA – Wednesday afternoon (leave by noon to arrive on time)noon to arrive on time)

• Sleep (Baptist R&F)Sleep (Baptist R&F)

Ochsner OutpatientOchsner Outpatient

• Clinic resident takes call on the 2Clinic resident takes call on the 2ndnd of the month and Q5 thereafter of the month and Q5 thereafter (i.e. 2(i.e. 2ndnd, 7, 7thth, 12, 12thth, 17, 17thth, 22, 22ndnd, 27, 27thth))

• Only work weekends you are on Only work weekends you are on call as in the ICUcall as in the ICU

Pediatric NeurologyPediatric Neurology

• Round with Neurology teamRound with Neurology team• Attending (changes weekly)Attending (changes weekly)• +/- Peds Neurology Fellow (Dr. +/- Peds Neurology Fellow (Dr.

Rashmi Rajendra)Rashmi Rajendra)• +/- Tulane Neurology Resident+/- Tulane Neurology Resident• Medical Student(s)Medical Student(s)

• See floor and ICU consults and new See floor and ICU consults and new consults/admissions from the EDconsults/admissions from the ED

Pediatric NeurologyPediatric Neurology

• Round times daily depend on staffRound times daily depend on staff• Generally table round with Generally table round with

Pediatrics team then bedside Pediatrics team then bedside rounds with Neurology teamrounds with Neurology team

• Rotation is changing and details Rotation is changing and details will be provided as availablewill be provided as available

Pediatric NeurologyPediatric Neurology

• Wednesday conferenceWednesday conference• Case presentationCase presentation• You are expected to present or help You are expected to present or help

present a casein conjunction with the present a casein conjunction with the other residents or the fellowother residents or the fellow

• Journal Club after lunchJournal Club after lunch• Articles will be provided by Staff or fellowArticles will be provided by Staff or fellow• Presentation by fellow or staffPresentation by fellow or staff

Other RotationsOther Rotations

• Psych – 1 month in the MHEREPsych – 1 month in the MHERE• Hours vary depending on staffHours vary depending on staff• Team of PGY 1 Psych and medical Team of PGY 1 Psych and medical

studentsstudents

• Research – Find a mentor to work Research – Find a mentor to work on a long term research project or on a long term research project or publicationpublication

StudentsStudents

• You are the resident in charge of your You are the resident in charge of your serviceservice• PatientsPatients• StudentsStudents

• Students depending on capability and Students depending on capability and timing are to be assigned 1-2 patients timing are to be assigned 1-2 patients to followto follow

• Our primary goal with students in to Our primary goal with students in to TEACHTEACH

StudentsStudents

• We are responsible for all notes, We are responsible for all notes, orders, labs, and follow-up for every orders, labs, and follow-up for every patientpatient

• Full notes (as appropriate) should be Full notes (as appropriate) should be written after student noteswritten after student notes

• Take every opportunity to teach about Take every opportunity to teach about the Neuro exam and localization as the Neuro exam and localization as well as pathophysiologywell as pathophysiology

StudentsStudents

• Students are there to learn and are Students are there to learn and are expected to be hard workersexpected to be hard workers• In general they get much more in a short In general they get much more in a short

period by following one patientperiod by following one patient• Very difficult to know everything about Very difficult to know everything about

multiple patientsmultiple patients

• Any complaints should be directed to Any complaints should be directed to the PGY4s then the attending as the PGY4s then the attending as appropriateappropriate

Other TopicsOther Topics

• Book fundBook fund• $500 annually$500 annually• Can be used for any work related Can be used for any work related

expensesexpenses

• VacationVacation• 4 weeks4 weeks• Christmas schedule will be discussed Christmas schedule will be discussed

later in yearlater in year

Other TopicsOther Topics

• Step 3Step 3• LicensingLicensing• RITERITE• MoonlightingMoonlighting• New InnovationsNew Innovations• Journal ClubJournal Club

Books that you may Books that you may want to have this yearwant to have this year

Neuroanatomy Through Clinical Casesby Hal Blumenfeld

Merritt's Neurologyby Lewis P. Rowland

Pocket NeurologyBy David M. Greer

Books that you may Books that you may want to have this yearwant to have this year

The Massachusetts General Hospital Handbook of Neurologyby Alice W Flaherty

On Call Neurology: On Call Seriesby Randolph S. Marshall MD

Aids to the Examination of the Peripheral Nervous System

Any Questions?Any Questions?

Feel free to approach, call or email us at any time with questions or concerns

ExpectationsExpectations

• Work hardWork hard• Maintain a “family” environmentMaintain a “family” environment• Help each other as much as Help each other as much as

possiblepossible

ExpectationsExpectations

• HAVE FUN!!!HAVE FUN!!!

LSU Neurology StaffLSU Neurology Staff

And a little bitAnd a little bit

about themabout them

John D. England, MDJohn D. England, MDChairmanChairman

Amparo Gutierrez, MDAmparo Gutierrez, MDProgram DirectorProgram Director

Austin J. Sumner, MDAustin J. Sumner, MDFormer ChairmanFormer Chairman

Epilepsy/EEGEpilepsy/EEG

Peter Olejniczak, MDPeter Olejniczak, MD Edward Mader, MDEdward Mader, MD

Multiple SclerosisMultiple Sclerosis

Jesus Lovera, MDJesus Lovera, MD

Lionel A. Branch, MDLionel A. Branch, MDStrokeStroke

HeadacheHeadache

Amy Voigt, Amy Voigt, M.D.M.D.

Harry Gould, MD, PhDHarry Gould, MD, PhDPain SpecialistPain Specialist

Jayaraman Rao, MDJayaraman Rao, MDMovement DisordersMovement Disorders

Caroline Barton, MDCaroline Barton, MDAssistant Professor Assistant Professor

Child NeurologyChild Neurology

Let’s have a great year!Let’s have a great year!