Essentials of Training

Outpatient Experience

Resident Continuity Clinic

The resident holds a general neurology clinic and is supervised by a single attending each year. Emphasis is on the proper outpatient practice of neurology, professionalism, and systems-based neurological practice. The residents are expected to be accountable to their patients, and review and report test results and return phone calls promptly. The goal of this activity is that upon completion of the program, the resident is not only skilled in neurological diagnosis, investigation and management, but has also acquired skill in the management of chronic disease, and has learned the techniques of neurological practice sufficiently well that a transition to independent practice should be non-problematic.

Kaufmann Clinic

Most of the departmental outpatient clinics are held here. These include clinics in general neurology, neuromuscular diseases, MS, movement disorders, cognitive disorders, sleep, stroke, MDA, and ALS. Residents rotate through clinics which they select as part of their outpatient elective experience. This clinic is a major site for outpatient neurology exposure for the resident.

Headache Center

Residents see patients at the conveniently-located headache center during the popular headache elective, attended by nearly all residents. Headache specialists staff the clinics, where a wide variety of common and uncommon headache syndromes are encountered. Emphasis is on acute and chronic management of headache disorders, and management of intractable headaches. Robert Kaniecki MD, a nationally noted headache specialist, directs the center. Residents also see patients at a satellite office located in the north hills of Pittsburgh.

Department of Neuro-ophthalmology

This clinic is located in Eye and Ear Hospital, situated between Presbyterian and Montefiore hospitals. The clinic is staffed by a neuro-ophthalmologist who is a neurologist and member of our department, and by a neuro-ophthalmologist who is a member of the department of ophthalmology. State of the art equipment and faculty allow a sophisticated approach to visual problems of neurologic import. This is a very popular elective.

Vestibular Disorders Center

Residents see patients with Dr Joseph Furman, a nationally renowned neurologist who specializes in vestibular disorders, during this extremely popular elective. Emphasis is on clinical evaluation of the dizzy patient including the Dix-Hallpike maneuver, and particle repositioning maneuvers. The resident is instructed in practical interpretation of vestibular-testing reports. The role of vestibular physical therapy in the management of vestibular disorders is assuming a steadily more important role.

VA Medical Center

During the VA core rotation, outpatient clinics are held each morning, encompassing general and subspecialty neurology, including neuromuscular, movement, epilepsy, and neurofibromatosis clinics.

Tourette’s Syndrome Clinic

This is held at Children’s Hospital; attending physicians from adult and child neurology staff the clinic. Residents may attend this clinic as part of their movement disorders elective.

Lumbar puncture clinic

This new clinic will be under the director of Rock Heyman MD the division chief in Neuroimmunology. It will be held on Friday. Residents can schedule patients for lumbar punctures and then perform the procedure with Dr. Heyman in attendance. The emphasis will be on the use of the Sprotte lumbar puncture needle. The purpose of the clinic is to expedite lumbar punctures, and allow resident performance of the procedure to occur under observation, to promote proper procedural technique.