Required Subspecialty Rotations
Subspeciality Rotation Categories »
Directed by Tulio Bertorini, M.D.
Residents spend one month early in the first year of training so that they become familiar with EEGs and the classification of epileptic syndromes. They spend part of their day on the 4 telemetry bed Video-EEG Center located in Methodist University Hospital. This unit delivers specialized care to patients with intractable epilepsy. The Center provides diagnostic video-EEG telemetry, surface and depth electrode EEG monitoring, investigational drug treatments and epilepsy surgery. The remaining time is spent reading EEGs in tutorial with Dr. Adamolekum or one of the faculty. They spend at least one afternoon per week with Dr. James Wheless at LeBonheur to learn fundamentals of Pediatric EEG. The Residents learn the basic technical factors involved in the EEG recording, their function and usefulness in the interpretation of the EEG findings. The Residents have an EEG performed on themselves so as to obtain personal knowledge of the experience. They learn to identify the basic components of an EEG, its normal variants, technical artifacts, age related changes, the basic types and significance of abnormal EEG patterns, especially in status epilepticus and in brain death.
Directed by James Wood, M.D.
The principal goal of this one month rotation is for Residents to gain greater experience and precision in the interpretation of neurodiagnostic studies. Under the direct supervision of a Neuroradiologist, Residents review the daily MRI, MRA, CT, myelograms and cerebral angiograms performed at Methodist University Hospital or the VAMC. Residents have the opportunity to observe interventional radiologists perform intracranial angioplasty, regional intracranial thrombolytic therapy and embolization of aneurysms and arteriovenous malformations. They attend weekly Neuroradiology conferences at the VAMC and Methodist hospitals. Residents also have the opportunity to observe and learn carotid and transcranial ultrasound. They review the departmental neuroradiology teaching files so as to provide a broad overview of the field.
Directed by Curt Dohan, M.D.
Neurology Residents participate in weekly brain cuttings, sign-outs (at which time the autopsy brains are examined microscopically), Nerve/Muscle sign-outs (Dr. Bertorini) and Neuro-oncology Tumor Board meetings. They study slides of tumors and other CNS lesions from the teaching collection for discussion with the Neuropathologist. Residents present a brief report once a week on a neuropathological topic of their own choosing. They also attend the monthly Neuropathology Conference organized for the Departments of Neurology and Neurosurgery, prepare and present the history for a CPC case given at the conference. All neurology Residents participate in a 6 hour series of neuropathology lectures given as part of the Clinical Neurosciences Course. This rotation, complimented by the lecture series, prepares Residents for their Boards and covers the general principles of neuropathology, the most important aspects of brain tumors, infections, trauma, and neurodegenerative diseases.
Directed by Richard Johnson, M.D.
Neurology Residents spend one month on the psychiatry inpatient service at the Veterans Administration Medical Center (or at Baptist Memorial) or join the psychiatry consultation team at the Regional Medical Center. The ward is staffed by a psychiatrist, psychologist and social workers. The neurology Resident shares in patient care with the junior psychiatry Residents under the supervision of a Staff psychiatrist. Each Resident assumes primary responsibility for six to ten inpatients and supervises the medical students. Residents become familiar with the DSMIV-R diagnostic terminology (American Psychiatric Association's Diagnostical and Statistical Manual of Mental Disorders, 3rd ed. revised), learn the general principles of the psychiatric interview, special interviewing techniques in emergency, psychotic and severely depressed patients, patients with hysteria versus organic brain syndrome. Residents attend the Psychiatry Teaching Conferences which include VAMC Grand Rounds, Case Conferences, Departmental Grand Rounds, and Journal Club. Departmental audiotapes of the American Academy of Neurology "Essential Psychiatry for Neurologists" are required listening.
Directed by James Wheless, M.D.
A three month rotation features the inpatient consult service at Le Bonheur Children's Hospital and the Newborn Center, the outpatient service at the Physician's Office Building (across from Le Bonheur) and experience with childhood neuromuscular disorders in the Muscular Dystrophy Clinic. Residents are responsible for seeing all inpatient consults, formulating their diagnostic and treatment plan, and writing the initial consult note. The diagnosis and plan are reviewed with the Child Neurology Attending. The Residents evaluate general pediatric neurology outpatients and present the patients to the attending Child Neurologist in one or more of the daily clinics. They attend the weekly Muscular Dystrophy Clinic and present the patients they have evaluated to their Attending. Afterwards, residents spend one month at St. Jude's Research Hospital for Children where they address neurological complications of brain tumors, chemotherapy, AIDS, and other diseases.
The primary conference is the weekly Child Neurology Conference. In addition, Neurology Grand Rounds and Pediatric Grand Rounds have regularly scheduled presentations devoted to child Neurology. The Pediatric Neurology department contains relevant texts and journals, an EEG reading table for teaching Residents pediatric EEG, a VCR and monitor for reviewing educational tapes on pediatric neurology topics.
Neurorehabilitation and Pain
Directed by Carlos Cyrus, M.D.
The Neurorehabilitation rotation aims to increase the Residents' awareness of the rehabilitation needs of neurological patients and to develop the skills necessary for the clinical management of rehabilitation patients. Residents rotate through the Rehabilitation Center of the VAMC, which treats patients with many forms of neurological damage, including traumatic brain injury, stroke and spinal cord injury. Residents pass through the various divisions and learn the multi-subspecialties comprising Neurological Rehabilitation. Residents view videotapes and read assigned chapters from standard textbooks available in the Rehab Department.
Neuromuscular and EMG Neuromuscular and EMG Rotation
Directed by Tulio Bertorini, M.D.
Two months of intensive training in Neuromuscular Diseases and EMG are offered at Methodist Hospital. Residents learn to perform nerve conduction and electromyographic studies under close staff supervision. Approximately 6 cases a day allow ample opportunity to learn. Also, selected cases are studied from the weekly Muscular Dystrophy Clinic, where Residents see a wide variety of neuromuscular diseases, including hereditary neuropathies, dystrophies, polymyositis, myasthenia gravis and motor neuron disorders. Residents are exposed to a variety of sophisticated electrophysiological techniques (eg. single muscle fiber recordings) and have the opportunity to participate in clinical research projects. They also view Muscle Pathology video tapes, and twice a week, they examine muscle/nerve biopsies and review teaching file specimens with staff.
Department of Neurology
855 Monroe Ave, Suite 415
Memphis, Tennessee 38163
Phone: (901) 448-6199
Fax: (901) 448-7440
Andrei V. Alexandrov, M.D.
Department of Neurology
Adult Neurology Residency
Phone: (901) 448-6661
Fax: (901) 448-7440