neurology RESIDENcy program
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Prospective Residents |
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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:
- The provision of properly organized and progressive responsibility
in the care of patients with neurologic diseases;
- The inculcation of sound medical principles by which to develop
mature clinical judgment;
- Creation of an interest in major research trends and the development
of teaching skills;
- The inclusion of principles and practice as an integral approach
to the neurologic patient;
- 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.
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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;
- Completion an approved internship;
- Submit a complete application and provide required supporting
documents to MSU neurology residency program;
- 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. top
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. top
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. top
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. top
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. top
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. top
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