Residents learn by providing care for patients at 5 principal sites: Tampa General Hospital (the primary clinical affiliate of USF College of Medicine), James A. Haley Veterans Affairs Hospital, USF medical clinics, All Children's Hospital and Bay Pines Veterans Affairs Hospital. In aggregate, these institutions provide unparalleled educational resources in terms of patient populations, clinical resources, and associated clinical and basic research.
Tampa General Hospital
This institution is the principal clinical affiliate of the USF College of Medicine. Two of our major clinical programs are focused here: vascular neurology/neurocritical care and epilepsy.
Tampa General Hospital (TGH) is the largest community hospital in West central Florida. TGH is a 1000-bed tertiary care medical center serving the Tampa Bay area and the surrounding counties.
The Stroke Center is a multidisciplinary taskforce comprised of USF Vascular Neurologists, Neurosurgeons and Interventional Neuro-radiologists. Located in the new 340,000-square-foot Bayshore Pavilion, the Neuroscience Intensive Care Unit has 32-beds available for patients with critical neurological disorders, specifically those with cerebrovascular events. This facility is equipped with the state-of-the-art diagnostic and therapeutic modalities. The stroke team works around the clock to diagnose and stabilize stroke patients, minimizing the risk of permanent disability and preserving quality of life. An interventional neuroradiologist is available 24 hours a day to perform endovascular procedures. There is also a Neurosciences ward designated for care of less critical stroke patients.
Across the street from the main hospital is the USF Health building which is the site of several large neurology outpatient services, including the movement disorders, epilepsy and stroke.
The USF/TGH Comprehensive Epilepsy Program is fourth (highest) level medical and surgical epilepsy center, based on guidelines established by the National Association of Epilepsy Centers. It is one of only four centers in the state of Florida, and the only one in West Central Florida, with this level of expertise. With over 50 resective surgeries per year since 2003, it is now the highest volume surgical epilepsy center in Florida.
The principal inpatient residency rotations at TGH are the general neurology consultation service, the epilepsy unit and the Stroke service. Residents are also exposed to five weeks of pediatric neurology during the PGY-4 year.
The patients seen by residents at TGH are very diverse. There are the general neurology patients that would be seen at any large, urban hospital. There are also sub-specialty patients that are often referred by outside physicians and neurologists. Those sub-specialty areas include movement disorders, multiple sclerosis, neuromuscular disease, epilepsy, headache, behavioral neurology and dementia, and stroke.
For more information, please visit the Tampa General website.
James A. Haley Veterans Affairs Hospital
The James A. Haley Veterans Affairs (JAHVA) Hospital is a major teaching site for the clinical Departments of USF College of Medicine. Our VA is the busiest in the country and one of the largest residency programs in the country. The Neurology Service has recently undergone substantial growth under the direction of our Chief of Service, Charles W. Brock, MD., including the addition of new full time physicians specialized in stroke, clinical neurophysiology and pain, as well as specialty clinics in Cognitive disorders. The service also include specialized clinics in movement disorders, especially Parkinson's disease and Huntignton's disease. The hospital is equipped with a 3T MRI and # 64 slice CT scan.
Neurology has its own inpatient service and covers all inpatient neurological consultations. There is a first-year neurology residents (PGY-2) on the inpatient ward along with one senior neurology resident (PGY-3 or PGY-4) all supervised by a neurology attending. A Neurology Department faculty member rounds at the bedside every day to see every new admission and consults. These faculty members are full members of the faculty at USF school of Medicine. All VA specialty faculty are available for back up consultations should the need arise. There are close affiliations with the Neurosurgery service, excellent Neuroradiology support and Rehabilitation medicine.
Residents have considerable control of the inpatient and consultation service. The team also covers all the inpatient neurological consultations. Our residents are very fond of this service as provides considerable autonomy. At the same time, the resident rounds with an attending every day so that he or she has intensive, personal teaching. Besides the general neurology service, residents rotate through psychiatry, pain management and clinical neurophysiology.
Each resident attends the Neurology Continuity Clinic at JAHVA once a week. Patients often have typical neurological disorders such as stroke, headache, dementia, neuropathy, epilepsy and cervical spondylosis. Because of its size and substantial drawing population, there are always a number of less common disorders. Of recent interest is the neurological sequelae of traumatic brain injury and peripheral nerve injuries. Clinic experience is extensive and includes new and follow up general neurology patients, longitudinal clinic experiences, and specialty clinics in a variety of conditions.
The neurology department at our VA hospital has a comprehensive EMG and EEG laboratory dedicated to inpatient and outpatient services as well as serving as a referral center from other communities in central florida. The EMG lab is oriented to both clinical evaluation of patients and training of residents. Routine and high complexity studies are performed regularly. Currently, peripheral nerve injury evaluations are being performed frequently as part of the multidisciplinary care of veterans from the war in Iraq.
Residents during the PGY 4 year have a 10-week rotation in EEG at the VA. The resident is responsible for reading all the studies and review them with our epileptologist.
Record keeping at the VA is facilitated by access to all medical records online. In addition, all original x-rays, CTs, and MRIs are accessible online.
For more information, please visit the James A. Haley VA Hospital website.
H. Lee Moffitt Cancer Centers
For more information, please visit the H. Lee Moffitt Cancer Center website
USF Medical Center
The USF Medical Clinic is part of the Health Sciences Center ambulatory care network, and the primary outpatient practice site for the USF Physicians Group. It is a multi-specialty, diagnostic and treatment center designed to provide comprehensive healthcare on an ambulatory basis to patients from the Central and Gulf Coast regions of Florida.
All Children's Hospital
All Children's Hospital is the only specialty licensed children's hospital on Florida's west coast. Founded in 1926, All Children's has grown into a leading pediatric referral center that is dedicated to advancing treatment, education, research and advocacy in child health. In January 2007, Child magazine named All Children's one of the top 25 children's hospitals in North America for the fourth consecutive time.
The pediatric neurology program at All Children's Hospital provides care for infants, children and teens with a full range of neurologic problems, from headache and migraine to cerebral palsy, muscular dystrophy, spina bifida, neurodevelopmental delay, sleep disorders, and other diseases of the nerves and muscles. They work closely with the board-certified pediatric neurosurgeons at All Children's Hospital to provide multi-disciplinary care for children who have undergone or may require neurosurgery.
The pediatric neurologists provide extensive diagnostic and treatment services for children with seizure disorders. These include inpatient telemetry, vagal nerve stimulation, ketogenic diet, and ongoing management of anti-seizure medication.
Our neurology residents spend a total of ten weeks (five weeks in each PGY-3 and PY-4 years) in the pediatric neurology service. Residents participate in inpatient consultations and outpatient clinics which provide a broad exposure to a wide array of pediatric neurology disorders including tertiary care cases referred from other institutions. There is no call during this rotation aside from the scheduled home call at the James A. Haley VA hospital
Neurology residents have also the option to attend the Muscular Dystrophy Association clinic which provides care for children with interesting disorders such as muscular dystrophies, metabolic disorders, Friedreich ataxia and hereditary neuropathies.
For more information, please visit the All Children's Hospital website.
Bay Pines Veterans Affairs Hospital
The Bay Pines VA Healthcare System provides comprehensive medical care including acute/in-patient medical, surgical, and psychiatric care; extended/long-term medical and psychiatric care, rehabilitative inpatient care; and comprehensive outpatient care with multiple specialty services available. In addition, the Medical Center supervises a community nursing home care program which is one of the largest in the VA system.
Neurology residents spend about ten weeks during the PGY-2 year in the general neurology service during the PGY-2 year. There is no call during this rotation aside from the scheduled calls at TGH and James A. Haley VA hospital
For more information, please visit the Bay Pines VA Medical Center website.