Introduction to UF Neurology Residency Glen Finney, MD Residency Program Director UF Neurology

Why University of Florida? Why Gainesville?

Best Part of UF Neurology Our Residents Our Residents –Work together –Play together Our Faculty Our Faculty –Love to teach –Approachable –Mentors

Gainesville, Florida Often ranked among top places to live by national magazines Often ranked among top places to live by national magazines A livable size A livable size University fosters culture, tolerance University fosters culture, tolerance For singles For singles –has great number of smart, single professionals For families For families –Great schools, great neighborhoods, great opportunities

Core Rotations

Shands Stroke One Senior Neurology (PGY3 or PGY4) One Senior Neurology (PGY3 or PGY4) One Junior Neurology (PGY2) One Junior Neurology (PGY2) 1 – 2 rotating residents (Neurosurgery, Anesthesia, Family Medicine) 1 – 2 rotating residents (Neurosurgery, Anesthesia, Family Medicine) 1 – 2 medical students 1 – 2 medical students Cover all strokes in Shands Cover all strokes in Shands Cover stroke ED consults/stroke alerts Cover stroke ED consults/stroke alerts

Shands General One Senior Neurology (PGY3 or PGY4) One Senior Neurology (PGY3 or PGY4) One Junior Neurology (PGY2) One Junior Neurology (PGY2) 1 – 2 rotating residents (Neurosurgery, Anesthesia, Family Medicine) 1 – 2 rotating residents (Neurosurgery, Anesthesia, Family Medicine) 0 – 2 medical students 0 – 2 medical students Cover all non-stroke neurology in Shands Cover all non-stroke neurology in Shands Cover ED consults Cover ED consults

VA Inpatient One Senior Resident (PGY3 or PGY4) One Senior Resident (PGY3 or PGY4) One Junior Resident (PGY2) One Junior Resident (PGY2) 0 – 1 rotating resident (Psychiatry) 0 – 1 rotating resident (Psychiatry) 1 medical student 1 medical student Cover VA hospital (neurology ward, consults, ED) Cover VA hospital (neurology ward, consults, ED)

Pediatric Neurology 3 months total during PGY3/PGY4 years 3 months total during PGY3/PGY4 years Cover pediatric neurology clinics Cover pediatric neurology clinics Cover pediatric neurology wards Cover pediatric neurology wards Cover pediatric neurology consults Cover pediatric neurology consults

Nightfloat Two week long blocks Two week long blocks –Six days on –One day off (Saturday) 8 pm to 8 am 8 pm to 8 am –Sign out at Morning Report 3 blocks during last part of PGY2 (last half for most) 3 blocks during last part of PGY2 (last half for most) 2 blocks during first half of PGY3 2 blocks during first half of PGY3 1 block during PGY4 1 block during PGY4

Advantages of Nightfloat Improves Continuity/Quality of Care Improves Continuity/Quality of Care Avoids Fatigue: Avoids Fatigue: –No resident over 80 hours any week –Longest continuous period working only 13 hours long –Residents off at least 1 day/week off (not averaged!) Preserves Educational Experience Preserves Educational Experience –More attendance of weekday didactics when not on nightfloat –More time on non-core rotations –More time for reading

Outpatient Longitudinal Clinics Neuro I Neuro I –½ day per week on non-core rotations –VA –New patients Continuity Clinic Continuity Clinic –½ day per week –alternates between Shands and VA Patients from previous residents, inpatient experience, and Neuro I (VA) Patients from previous residents, inpatient experience, and Neuro I (VA) Gait and Balance clinic Gait and Balance clinic –½ day 4 times per year LP experience LP experience –4 times per year

Early Selectives Epilepsy I – one month of EEG, EMU, and Epilepsy clinics Epilepsy I – one month of EEG, EMU, and Epilepsy clinics General Neurology Clinics – one month General Neurology Clinics – one month –Includes MS & Headache Neuroscience – five weeks of neuroscience lectures, labs, opportunities to teach medical students – half in PGY2 year, half in PGY3 year. Neuroscience – five weeks of neuroscience lectures, labs, opportunities to teach medical students – half in PGY2 year, half in PGY3 year.

Middle Selectives Each one month long, taken throughout the three years, but majority completed before PGY4 year Behavioral Neurology Clinic Behavioral Neurology Clinic –Includes TBI clinic at VA Movement Disorders Clinic Movement Disorders Clinic –Includes DBS surgery Neuromuscular Clinic Neuromuscular Clinic –Includes EMG/NCS training Neuropathology Neuropathology –Included Brain Cutting Psychiatry Psychiatry

Senior Selective Epilepsy II – One month, taken during late PGY3 or preferably PGY4 year as a master course in Epilepsy Epilepsy II – One month, taken during late PGY3 or preferably PGY4 year as a master course in Epilepsy

Electives 6 months electives in last 2 years (1 st year with program director approval) 6 months electives in last 2 years (1 st year with program director approval) 4 – 6 months can be combined into mini- fellowship 4 – 6 months can be combined into mini- fellowship –Behavioral Neurology –Epilepsy –Movement Disorders –Neuromuscular –Research –Stroke –Customized (with program director approval)

Other Features

Vacation (four weeks per year) Three weeks of vacation during Three weeks of vacation during –Selectives –Electives One week off during flex, either One week off during flex, either –week of Christmas or –week of New Year’s Day

Core Didactics Noon conference Monday, Wednesday, Friday Noon conference Monday, Wednesday, Friday Every other Friday neuroradiology Every other Friday neuroradiology Includes 13 high yield board prep talks by residents and for residents Includes 13 high yield board prep talks by residents and for residents Grand Rounds Tuesdays 11:00 am Grand Rounds Tuesdays 11:00 am Includes Journal club, CPC, M&M Includes Journal club, CPC, M&M Leadership in Neurology Series Leadership in Neurology Series

Optional Didactics Tumor Board Tumor Board Biomedical Engineering Seminar Biomedical Engineering Seminar Epilepsy Surgery Conference Epilepsy Surgery Conference Deep Brain Stimulator Conference Deep Brain Stimulator Conference Dementia Consensus Conference Dementia Consensus Conference Center for Neuropsychological Studies Conference Center for Neuropsychological Studies Conference Etc. Etc.

Beyond Residency

Fellowships UF has fellowships in UF has fellowships in –Behavioral Neurology –Interventional Neuroradiology (with Neurosurgery and Radiology) –Movement Disorders –Neurophysiology (Epilepsy or Neuromuscular track) –Pain Medicine (with Anesthesia and Psychiatry) –Sleep (with Internal Medicine) –Stroke

Recent and Future Graduates - Fellowships –Stroke at University of Florida –Interventional Neuroradiology (at Tennessee?) –Epilepsy at Emory –Neuro-ophthalmology at Emory University –Stroke at University of Florida –Epilepsy at University of Florida –Straight to Practice 2010 (first year with 4 graduates) 2010 (first year with 4 graduates) –Ataxia Research at University of Florida –Behavioral at University of Florida –Epilepsy at University of Florida –Neurocritical Care at Washington University –Epilepsy at UAB –Neuromuscular at University of Colorado –Neuromuscular at Emory –Neurogenetics at UCLA –Sleep at University of Florida –Stroke at University of Florida

Leadership is Key at UF!

Match Information

General Advice for Neurology Applicants Applicants who rank 8 – 10 programs almost always match somewhere Applicants who rank 8 – 10 programs almost always match somewhere Rank a range of programs in terms of competitiveness Rank a range of programs in terms of competitiveness But rank by your true preference But rank by your true preference Do not rank a program you don’t want Do not rank a program you don’t want

The PGY1 year Three guaranteed PGY1 positions at UF for Neurology Three guaranteed PGY1 positions at UF for Neurology H visas and equivalent not supported H visas and equivalent not supported Medicine Chiefs interview for this in afternoon, give yes or no to accepting for PGY1 year Medicine Chiefs interview for this in afternoon, give yes or no to accepting for PGY1 year Most interviewees get a yes Most interviewees get a yes Ranking for neurology not directly impacted by medicine yes/no Ranking for neurology not directly impacted by medicine yes/no Typically have not had every incoming neurology resident do PGY1 year here, even when it was a 1:1 ratio Typically have not had every incoming neurology resident do PGY1 year here, even when it was a 1:1 ratio Working with institution to increase number of PGY1 slots for incoming neurology Working with institution to increase number of PGY1 slots for incoming neurology Make certain to interview and rank enough PGY1 programs to match Make certain to interview and rank enough PGY1 programs to match Consider preliminary/transitional years at or near your home institution Consider preliminary/transitional years at or near your home institution

The Odds at UF Nearly 400 applications per year Nearly 400 applications per year About 40 will be interviewed About 40 will be interviewed Almost everyone interviewed is ranked Almost everyone interviewed is ranked 5 positions 5 positions If we like you, we rank you (we usually like you) If we like you, we rank you (we usually like you) If you’re ranked, you’ve got a chance If you’re ranked, you’ve got a chance

Parting thoughts We already liked you enough to invite you – when only one in ten were! We already liked you enough to invite you – when only one in ten were! One in eight who interview will match here. One in eight who interview will match here. Once you join us, you’re like family. Once you join us, you’re like family. Go Gators! Go Gators!