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neurology RESIDENcy program
 
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Mission Statement

The MSU/Sparrow Health System Neurology Residency program provides the resident with advanced and concentrated neurology training through interaction with board-certified neurologists from the faculty of the MSU Department of Neurology and Sparrow Health System. It aggressively prepares the resident to complete board eligibility for the certification examination.

Educational Goals

The goals of the neurology residency program include the following:

  1. The provision of properly organized and progressive responsibility in the care of patients with neurologic diseases;
  2. The inculcation of sound medical principles by which to develop mature clinical judgment;
  3. Creation of an interest in major research trends and the development of teaching skills;
  4. The inclusion of principles and practice as an integral approach to the neurologic patient;
  5. Provision for a continuity of didactic and clinical experiences that enable residents to be qualified for the practice of neurology.

Organized and progressive responsibility in the care of patients with neurologic diseases is the essence of the residency program. This is achieved under the supervision of the attending neurology staff. Neurology clinical skills are built as a branch upon the general medical knowledge tree. By the end of the program, residents will possess mature clinical neurologic judgment and have an interest in research trends through exposure to clinical and basic researchers. Teaching skills are highly coveted and emphasized. Teaching serves the educational purposes of the pupils, and also hones the didactic skills of the presenter and cements neurologic concepts. Continuity of residency education experience is an essential part of training. The program will strive to provide residents with this vital continuity in medical educational efforts in order to build foundations for life-long learning. This residency will encompass a comprehensive educational experience including both didactic and clinical components. The purpose of this residency will be to enable the successful graduate to practice the specialty of neurology with expertise.

MSU/Sparrow Health System Neurology Residency Program

The MSU/Sparrow Health System Neurology Residency program welcomed its first resident on July 1, 2001. This residency program has been structured to provide progressive, resident-centered education in clinical and academic neurology.

The program integrates extensive exposure in all aspects of clinical neurology with a firm understanding in underlying scientific principles and the methods of clinical investigation.

All MSU Department of Neurology faculty are involved in the instruction of the clinical and basic neurosciences. The clinical faculty encompass a wide range of interests covering neurological diseases, with specific clinical and basic science research interests in: multiple sclerosis; epilepsy; Parkinson’s Disease; Alzheimer’s disease; stroke; ocular motility; optic neuritis; and optic neuropathy.

The Residency program provides each resident with graduated patient care responsibilities as he/she develops their expertise. The outpatient component of the education program provides opportunities for longitudinal care in general neurology and subspecialty areas. The benefits to this program include the availability of a well-known academic community at Michigan State University, which allows the residents opportunities in teaching and research. The Department of Neurology and its outpatient clinics are located in the Michigan State University Clinical Center where outpatient radiology services are available, including three MRI units, computed tomography and PET, as well as on-site neuroradiologists for consultation.

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MSU/Sparrow Health System Neurology Tracking Program

A neurology emphasis internship is available through Sparrow Health System. Inpatient training also occurs at Sparrow. Sparrow is a level I trauma center that serves mid-Michigan with 527 beds, including a 12 bed neuro ICU, a stroke unit and adjoining 18 bed neuro step-down unit and a 28 bed medical/cardiac ICU. Radiology services include multiple MRI and CT units, as well as angiography staffed by Neuro-Radiologists. The hospital also serves as the regional pediatric medical center, including PICU and NICU. Additional services include neurosurgery, ophthalmology, cardiovascular surgery, radiation oncology, endocrinology, obstetrics, and rheumatology.

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Residency Selection Criteria

Residency selection is the responsibility of the Michigan State University Neurology Residency Selection Committee. Supervision over the selection process and residency notification resides with the committee and program director. To be eligible, applicants must meet certain criteria including the following:

  • Graduate from an accredited college of medicine;
  • Submit a complete application and provide required supporting documents through ERAS;
  • Sign a waiver stating that you are nicotine-free prior to being scheduled for an interview. You will not be hired if any nicotine or nicotine metabolites are in your system regardless of the source;
  • Participate in and complete the interview process;
  • Sign a contract upon approval and acceptance into the program.

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Educational Components

The length of the program is three years, following an approved internship, which can be served at Sparrow. The residency can include up to one year in experimental neurology, research, or work emphasizing the neurological relationship with basic science if desired by the successful applicant. The program is designed to integrate clinical care and bedside teaching. Integral parts of the program include didactics, instruction in principles of education, organization, administration, ward management, and teaching.

Clinical work shall at least include performing/exposure to:

  • Neurologic procedures and techniques, including: EEG, evoked potentials, EMG, neuro-ophthalmology sensorimotor examination, autopsy, brain cutting, LP, cerebral angiography, CT, MRI, neurosonology, and research skills.
  • Therapeutics, including: mechanotherapy, rehabilitation, neuropharmacology, and nutritional therapy.
  • Adequate clinical exposure to the full spectrum of neurologic diseases including degenerative/demyelinating, trauma, epilepsy, infectious and toxic, neuromuscular, congenital, genetic, neoplasm, deficiency, cerebrovascular, pediatric neurology, geriatric neurology, endocrine, and other neurologic manifestations of systemic disease.

Active participation by residents is expected at educational conferences and meetings, including the following forums:

  • Morbidity and Mortality Conference: a quarterly, case-oriented neurology conference focusing on recent cases with an emphasis on clinical decision making.
  • Neurology Departmental Meetings: monthly meetings designed to cover all aspects of the residency, including evaluations, residency and staff recruitment, and other department-related issues.
  • Journal Club: a monthly conference assigned on a rotating basis among the attending and resident staff emphasizing recent neurology research literature.
  • Brain Cutting Conference: gross findings on interesting brains with clinical history are reviewed.
  • Clinical-Pathologic Conferences: Cases are selected for discussion based on academic challenge and educational merit.
  • Neurology Grand Rounds: a weekly conference where neurology and physiatry topics are presented by staff and visiting professors.
  • Weekly didactic lectures.
  • Daily morning report.
  • Daily neuro-ophthalmology case conferences.
  • Additionally, three months of daily neurobiology lectures will be offered, including teaching/participation in MSU medical school courses 552 (basic clinical neuroscience) and 511-512 (neuro-muscular-skeletal medical school course).

The faculty and staff of the Department of Neurology participate in numerous sub-specialty care clinics, including:

  • Alzheimer’s Disease
  • Cognitive Disorders
  • Comprehensive/General Neurology
  • Huntington’s Disease
  • Movement Disorders
  • Multiple Sclerosis
  • Muscle Disease
  • Neuro-Ophthalmology
  • Neuro-Vestibular
  • Parkinson’s Disease
  • Stroke

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Residency Curriculum

Inpatient rotations will take place at Sparrow Health System, while outpatient clinics will take place at the MSU Clinical Center along with affiliated practice sites throughout the Lansing area. A sample curriculum appears below:

PGY-2

  • Consults/Inpatient service - 5 months
  • Pediatric neurology - 1 month
  • Neurosurgery - 1 month
  • EEG - 2 months
  • Rotating Clinical Experience - 2 months
  • Neuroradiology or Research – 1 month
  • Weekly neurology outpatient continuity clinic

PGY-3

  • Consults/Inpatient service - 4 months
  • Pediatric neurology - 1 month
  • EMG - 3 months
  • EEG – 1 month
  • Neuro-ophthalmology - 1 month
  • Rotating Clinical Experience - 2 months (or 1 month Rotating Clinical Experience and 1 month Research)
  • Weekly neurology outpatient continuity clinic

PGY-4

  • Consults/Inpatient service - 4 months
  • Psychiatry – 1 month
  • Pediatric neurology - 1 month
  • Neuropathology - 1 month
  • Rotating Clinical Experience - 2 months
  • Elective -3 months
  • Weekly neurology outpatient continuity clinic

Elective rotations may include additional months in:

  • Neuro-Ophthalmology
  • Neuropathology
  • Neurosurgery
  • EMG
  • EEG

Electives include one or more months in:

  • PM&R
  • Psychiatry - liaison service
  • Neurobiology research
  • Neuro-epidemiology research
  • Geriatrics/Cognitive Neurology
  • Movement Disorders
  • Combined:
    • Multiple Sclerosis Clinic
    • Muscular Dystrophy Association Clinic
    • Neuro-Vestibular Clinic

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Sparrow Health System

The Sparrow Health System is a non-profit, community governed, comprehensive integrated health delivery and financing system committed within its resources to improving the health status of all people through the mid-Michigan region by:

  • Delivering quality, compassionate, accessible and cost-effective health services both directly and by working cooperatively with others;
  • Serving in a leadership role to ensure the availability of a comprehensive continuum of services, including the promotion of healthy lifestyles through health education and disease prevention, along with diagnostic and therapeutic care provided through inpatient, ambulatory, long term care and home care delivery modes;
  • Emphasizing the improvement of health and the prevention of disease in the managed care plans offered to the community; Designing and offering managed care plans which align incentives and reward providers who render the highest quality, most cost-effective care;
  • Serving in a leadership role to advocate for the health needs of the people in the region;
  • Educating and training health professionals; and
  • Living its value of Excellence, Service, People, Responsibility, Innovation and Teamwork.

In 1910, Edward W. Sparrow donated the land at 1215 E. Michigan Avenue and $100,000 to build a modern hospital building. E.W. Sparrow Hospital was dedicated in 1912. In 1965, Sparrow became affiliated with Michigan State University to provide graduate medical education. On June 29, 2001, Sparrow Hospital broke ground on a new MRI unit.

Sparrow Health System Services include: Cancer Center (regional); Children’s Center (regional); Community Health Education; Diabetes Center (regional); Medical Education and Clinical Research; Occupational Health Services; Pain Management Center (regional); Pharmacy Services; Pulmonary Diagnostic Services; and Women’s Services. It has a designated a “Neurology Center of Excellence.”

Recognitions for the Sparrow Health System include HCIA “100 Top Hospitals in the Nation”, HCIA “100 Top Hospitals for Cardiovascular Services”, JCAHO accreditation, and accreditation to the Sparrow Regional Cancer Center and Tumor Registry by the American College of Surgeons Commission on Cancer. Sparrow’s trauma center has been verified as a Level 1 Trauma Center by the American College of Surgeons. It provides the latest technology in neurosurgery, neuroimaging, oncology, pediatrics and rehabilitative services.

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Michigan State University Department of Neurology

The Department of Neurology and Ophthalmology was formally established July 1, 2000. It is an outgrowth of the former Neuro-Ophthalmology and Clinical Neurosciences Unit that has existed on campus since 1986.

The Department’s broad research program is supported in part by National Institutes of Health (NIH) grants, the Centers for Disease Control, and other extra-mural funding. A current focus of this research is directed at diseases such as multiple sclerosis, Alzheimer’s disease, optic neuritis, anterior ischemic optic neuropathy, stroke, and Parkinson’s disease. A major theme of the Department’s research is to use the eye as a model for brain disease. The Department also collaborates with dozens of affiliated basic neuroscience research laboratories on the MSU campus. The clinical responsibilities of the Department are fulfilled by on-campus faculty who have sub-specialty training in a number of different disciplines of neurology. To enrich its research, clinical and educational programs, the Department also collaborates with numerous clinical faculty within Lansing and statewide.

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Michigan State University

Founded in 1855 as an autonomous public institution of higher learning by and for the citizens of Michigan, this institution was in 1863 designated the beneficiary of the Morrill Act endowment. It became one of the earliest land-grant institutions in the United States. Since 1863, MSU has evolved into an internationally esteemed university, offering a comprehensive spectrum of programs and attracting gifted professors, staff members, and students. The University seeks excellence in all programs and activities, and this challenge for high achievement creates a dynamic atmosphere. At MSU, instruction, research, and public services are integrated to make the institution an innovative, responsive public resource.

MSU fulfills the fundamental purposes of all major institutions of higher education: to seek, to teach, and to preserve knowledge. As a land-grant institution, this university meets these objectives in all its formal and informal educational programs, in basic and applied research, and in public service. As an AAU institution, this university meets these commitments through its instructional and research programs. Through the excellence of its academic programs, the strength of its support services, and the range of its student activities, the university provides opportunities for the fullest possible development of the potential of each student and each citizen served, and enhances the quality of life and the economic viability of Michigan. Education of its citizens is the state’s best investment in its future. MSU has honored, and will continue to honor, this public trust.

INTERACTIVE LEARNING

The Michigan State University Department of Neurology is actively involved in promoting interactive learning between the department and our affiliated hospitals throughout the state via desktop videoconference (DVC) technology. The Department currently utilizes DVC technology with weekly state and interstate teleconferences. Additionally, neuroscientists are occasionally invited to deliver didactic lectures over DVC.

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Research

The Department of Neurology is involved in research in many areas, including multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, optic neuritis and optic neuropathy. These projects have included the following:

  • MASCOTS ( Michigan Acute Stroke Care Overview and Treatment Surveillance System): In collaboration with the Department of Epidemiology, this CDC funded projects goal is to develop a feasible mechanism for a nation-wide stroke registry for the purposes of identifying trends in stroke epidemiology and improving stroke care.
  • IONDT (Ischemic Optic Neuropathy Decompression Trial): The IONDT study was an NIH/NEI sponsored study to assess whether decompression of the optic nerve was beneficial in stopping the progression of optic neuropathy. It is now in the patient follow-up phase.
  • ONTT (Optic Neuritis Treatment Trial): The ONTT study was organized and funded by the National Eye Institute to investigate corticosteroid therapy in optic neuritis and multiple sclerosis.
  • LONS (Longitudinal Optic Neuritis Study Grant): The LONS study is the long-term follow-up arm of the ONTT study.
  • TOES (Tamoxifen Ocular Evaluation Study): Done in collaboration with MSU’s Director of Hematology and Oncology, this NIH study was conducted to assess the effect of this anti-breast cancer drug on the eyes.
  • CHAMPS (Controlled High Risk Patients, Avonex Multiple Sclerosis Prevention Study): This study is a randomized, double-blind, placebo-controlled study of Avonex in treatment of subjects at high risk for developing multiple sclerosis following the first onset of a demyelinating event.
  • CHARGE (Cost of Healthcare in Alzheimer’s Relative to Gained Effectiveness): The purpose of this NIA study is to understand how to best use resources to improve the quality of life and the clinical outcomes of Alzheimer’s disease patients.
  • ADAGIO This study aims to a ssess rasagiline as a disease modifying therapy in early Parkinson’s disease subjects.
  • PDNCT (Parkinson Disease Neuroprotection Clinical Trial) The goal of this study is to demonstrate the neuroprotective efficacy of one or more agents for use in slowing the progression of Parkinson’s disease.

Eliprodil, GAINS, and POST studies were all conducted to determine the value of CNS neuroprotection and stroke.

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Conclusion

Michigan State University and Sparrow Health System offer an in depth, didactically rich, clinical neurology experience to residents enrolled in the program. The experience offers a well-balanced integration between inpatient and outpatient experience. In addition, this residency has the unique feature of being able to provide an aggressive research experience based in MSU’s affiliated clinical neuroscience and neurobiology laboratories if desired by the successful candidate. There is a broad didactic educational experience based on resident exposure to multiple neuroscience courses already offered on campus. Graduating neurology residents will be prepared to perform well on certifying examinations and to provide excellent care for their patients.

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Lansing/East Lansing Area

The tri-county Lansing area is also the capital of Michigan. It is home to nearly 500,000 Michiganians. Lansing and its surrounding area offer a host of activities for everyone, regardless of age. In every season, there are thrills and traditions to be experienced by all. Whether you love sports, shopping, fairs, or music, Greater Lansing has a spectacular list of things to do and places to visit. Some of the local attractions include:

  • Abrams Planetarium
  • Beaumont Tower on the MSU campus
  • Impression 5 Science Center
  • Kresge Art Museum
  • Michigan Historical Museum
  • Michigan Women’s Historical Center and Hall of Fame
  • MSU Museum
  • Lansing Car Assembly Plant Tours
  • Malcolm X Home site
  • Potter Park Zoo
  • State Capitol Building
  • Turner-Dodge House and Park
  • Uncle John’s Cider Mill
  • Local festivals and celebrations include:
  • Eaton and Ingham County Fairs
  • MSU Spring Arts and Crafts Show/East Lansing Art Festival
  • Lansing Jazz Fest
  • Common Ground Music Festival
  • St. Johns Mint Festival
  • Riverfest
  • Silver Bells in the City
  • The Festival of Trees
  • Wonderland of Lights at Potter Park Zoo

If sports are your passion, we have just the ticket. We offer athletics in the form of a variety of MSU sports, including football, basketball, and hockey.

The Lansing Lugnuts is the local minor league baseball team which plays in the 10,000 seat Oldsmobile Park. Each year, the LPGA comes to town for the Oldsmobile Classic, held at the Walnut Hills Country Club.

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