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Electives

Electives

Description

EEG/Epilepsy

Time spent learning and actively engaging in the interpretation of EEG 

Length of rotation: Minimum of one week and up to four weeks
PreceptorsCathy Phillips, Felicia Chu, Ika NoviawatyNeville Jadeja

EMG/NCV/Neuromuscular Medicine

To get exposure to patients with neuromuscular disorders, learn the diagnostic approach and work up, recognize when tissue biopsy is indicated, interpret results of EMG/NCS studies and learn the management of common neuromuscular disorders.  To learn NCS/EMG and describe and interpret NCS/EMG data in common disorders, learn the pitfalls and formulate basic NCS/EMG plans for specific common clinical presentations.

Length of rotation: One to four weeks
Preceptors: Kate DanielloIsabelita Bella, Lan Qin, Jane Sargent, Ayo Owegi 

Clinical Neuroimmunology/Multiple Sclerosis

To see patients with various forms of MS, and evaluate a variety of MS mimics” such as SLE, sarcoidosis, etc. and learn aspects of neurological examination that are most relevant to demyelinating disease patients.

Length of rotation:Two to four weeks
Preceptors: Peter RiskindCarolina Ionete, Roberto BomprezziIdanis Berrios-Morales 

Movement Disorders

This rotation will provide residents with the opportunity to see patients with a variety of movement disorders including Parkinson’s disease, tremor, multiple system atrophy, progressive supranuclear palsy, ataxia and dystonia. They will also have the option to attend deep brain stimulation clinic and botulinum toxin clinic.  The goals of the rotation are to learn techniques pertinent to the movement disorders exam, the movement review of systems, forming a differential diagnosis and principles of management.

Length of rotation:Minimum one week
PreceptorsAnindita Deb, MD; Kara Smith, MD 

ALS Clinic (add on to neuromuscular elective)

Exposure to ALS patients. Key aspects are learning history and examination, evaluations done to rule out mimics of motor neuron disease, as well as multiple aspects of care. These include multidisciplinary evaluations/approach to issues such as dysphagia, sialorrhea, when a PEG tube is indicated, respiratory care, as well as clinical trials and research in ALS.

Length of rotation: Two days in the ALS clinic per resident (2nd and 4th Friday of the month)
Preceptor: Ayo Owegi, DO  

Neuropathology

he elective will provide an opportunity to: 1) review normal histology and a variety of pathologic abnormalities involving CNS, nerve and muscle 2) review and discuss the pathophysiology of CNS/PNS diseases; 3) review normal/abnormal brain anatomy and function by attendance at brain cutting sessions.

Length of rotation: One to four weeks (Depending on schedule); 2 one-hour microscope sessions per week plus additional `ad hoc’ brain cutting sessions (TBD)
Preceptor:  Thomas W. Smith, MD 

Neurocritical Care

Exposure to severe neurologically critically ill disease patients such as cerebral hemorrhage, traumatic brain injury, subarachnoid hemorrhage and stroke, and  the clinical approach and critical care management of these patients.

Length of rotation: Minimum of one week and up to four weeks
Preceptors:  Raphael Carandang, Wiley Hall, Susanne MuehlschlegelMarcey Osgood 

Diagnostic Neuroradiology

Experience interpretation and reading CT scan and MRI imaging studies with neuroradiology attendings.

Length of rotation: Minimum of one week/can be individualized
Preceptors: Andrew Chen, Sathish Dundamadappa 

Neurointerventional Radiology

Exposure to clinical approach and treatment of patients with neurovascular disease, interventional-angiogram/catheter based procedures for ischemic and hemorrhagic stroke.

Length of rotation: One to four weeks
Preceptors: Ajit Puri, David RexKatyucia De Macedo-Rodrigues 

Neurosurgery

Rotate with neurosurgery PAand attending physicians and get exposure to neurosurgical diseases such as brain tumors, aneurysms, spinal disease, hydrocephalus etc. and an opportunity to see surgical management of these diseases.

Length of rotation: Two to four weeks
Preceptors: Oguz CataltepeMark Johnson 

Ophthalmology

Shadow ophthalmology attendings in the clinic and see patients with a variety of ophthalmologic conditions. Get more experience with fundoscopy, recognizing common variants including optic disc edema. Gain exposure to the OCT and retinal fluoroscopy which helps to further visualize retinal disease.

Location: The Eye Center, Hahnemann Campus, 281 Lincoln Street, 3rd floor. Parking and ID access are already provided with your current ID. 

Length of rotation: One week
Preceptors: Misha Faustina, MD; Haijiang Lin, MD, PhD; Gabriel Luna, MD; Priya Janardhana, MD; Shlomit Schaal, MD, PhD 

Global Neurology

Initiative to interact, travel and engage with communities abroad in teaching, establishing education programs, research collaboration and providing neurological outreach. Potential sites include Gujarat, India; Zambia, Liberia, Bolivia, Costa Rica, Dominican RepublicLimited travel stipends available.

Length of rotation: Four week minimum for elective abroad (can be done in two separate two-week rotations) Logistics to be determined/worked out but resident needs to set aside elective time to travel abroad
PreceptorAnindita Deb

Trauma

Rotate as a resident on the trauma service and experience acute trauma cases and their emergent assessment and management under the supervision of trauma attendings, senior residents and NPs.  This is a unique experience given that we are the only Level 1 trauma center in Central Massachusetts.  Regular Trauma Rounds are held weekly as well.

Length of rotation: One to four weeks
Preceptor:  Timothy Emhoff, Bruce Simon, Ulises Torres, Jon Dorfman

Neuroscience Laboratories

These can be arranged on a case-to-case basis based on the specific laboratory, and neuroscientist/investigator as well as the individual resident’s interest and qualifications.