Graduate Medical Education

Conferences and Rounds

Neurology

A major part of the Neurology Residency Curriculum is the various teaching conferences throughout the week. Ranging from didactic lectures of distinguished faculty to board review, neuroradiology teaching conferences, and practical case conferences, residents gain the knowledge to help practice neurology as well as build a core knowledge base often tested during the ABPN Board Exam. The upcoming resident conference schedule will be published monthly in New innovations.

Grand Rounds: The typical format is lecture based instruction by both faculty and guest speakers knowledgeable in their field of expertise. This series is designed to enhance the resident knowledge base not only on up to date therapies but also advances in the Neuroscience field including Interventional Radiology, Neurosurgery, Critical Care and AAN practice guidelines. Wellness and resident life issues are also addressed in our GME shared ground rounds with the collective GME community with topics including enhancing communication skills, telemedicine, paying off medical school debt, first job, etc.  These lecture formats are accredited for CME.

M & M Conference: The Inpatient Co-Directors prepare a presentation of cases reported by each resident based on predetermined indicators (death, hospital-acquired infection, etc.).  The Inpatient resident team reviews the salient features of each case and compares these cases with standards of care from the literature.  The Neurohosptialist faculty and residents discuss and make recommendations for improvements to our practice in quality and patient safety.

Morning Report: This daily morning conference reviews patients seen after hours by the on call team with patients being presented by the evening resident to the inpatient attending for discussion.  This conference is attended by all residents on a particular team, rotators, and medical students on the inpatient services and is a practical way to learn about inpatient neurological care.

Residency Lecture Series: The resident lecture series is prepared by the Program Evaluation Committee and Program Director to achieve the goal of covering all critical areas required of residents. Lectures in these areas cycle every 1.5 years, so on average; each resident will have the opportunity to hear each lecture twice during their 3 years of neurology training. This series includes core curriculum topics in areas of Neuroanatomy, Behavioral Neurology, Neurochemistry, Neuropathology, Neuroimmunology, Neurophysiology, Neuroimaging, Neuropharmacology, Neuro-ophthalmology, Neural development, Statistics, Epidemiology etc.  The conferences include incorporation of basic neuroscience lectures, with clinical correlation of associated neurological diseases. The Academic Half Day applies the foundation of the basic sciences with clinical applications of corresponding disease processes. Any associated testing that correlates with disease theme, such as EMG, EEG presentations, neurocognitive testing are also addressed in this afternoon session. Additional correlation with psychosocial manifestations of certain diseases are also reviewed depending upon the disease to help complete the bigger picture of the pathology. This series is run weekly as protected education time every Wednesday afternoon.

Bootcamp Series: This is offered in month one of the PGY2 year with all residents collectively present due to the importance of learning the essentials of clinical neurology including detailed neurological history and examination skills, neurological emergencies, including stoke evaluation and management, spinal cord emergencies, status epilepticus, neuro critical care management, neuromuscular emergencies, cerebral hemorrhage management, and elevated intracranial pressures and CNS infections. 

RITE Exam/Board review: Topics are chosen to cover every area addressed on the Neurology Board Examination and are weighted to correspond with the importance of each area. The topics include stroke, epilepsy, movement disorders, neuromuscular diseases, spine disease, behavioral neurology, pediatric neurology, neurologic emergencies, basic sciences, neuroanatomy, neuropathology, neuroimaging, as well as neuro ophthalmology, neuro-otology, neurorehabilition, and neuro oncology. 

Other Conferences: (Monthly)

Behavioral Neurology: Our Neuropsychology Department will present updated neuropsychological literature as well as varied conference format with case presentations, informal discussions, prepared debates, and formal lectures. These conferences typically review the diagnostic evaluation of patients with memory and cognitive disorders.  Items reviewed include history, neurological exam, neuropsychological testing, laboratory studies, and neuroimaging (both structural and functional).  Discussion leads to development of consensus diagnoses for patients with memory disorders.  Attendees will gain valuable insights into how diagnosis is made in subtle and difficult cases of neurodegeneration, related behavioral neurology disorders and mimics. 

Epilepsy Case Conferences: Residents attend this conference when on the EEG or EMU rotation.  These conferences will include record review, long term monitoring case presentations as well as case discussion and rationale for any changes in anti-epileptic medications in context of the extended monitoring on complicated refractory or subclinical seizure patients.

Movement Disorders Clinical Conference:. This conference is held monthly.  Videos of patients with both frequently encountered movement disorders, as well as rare disorders will be shown and discussed.  Residents learn about examination techniques, diagnosis, and multi-disciplinary management of these diseases.  Residents are familiarized with pre-surgical evaluation for deep brain stimulation. 

Multiple Sclerosis Center Conference:  This conference is held monthly and attended by the MS team including the attending neurologist, mid-levels, designated MS Social worker and allied health professionals including PT, OT and Speech Therapists. This conference presents the multidisciplinary approach to treating patients with MS as well as the inter-professional collaboration of multiple specialties. New advances in MS medications are also presented during these conferences.

Neurovascular Conference: This is a multidisciplinary conference that includes Neurology, Neurosurgery and Neuroradiology. During this conference, the team reviews vascular cases including AVMS, aneurysms, strokes, and intravascular dissections. This collaboration is instrumental for the care of complicated neuro vascular patients and will be an asset to the residency training. This is presented as clinical case format with corresponding imaging and intervention discussion as well as plans for further surveillance of any instrumentation, and medication management. 

Neuromuscular/ EMG Conference: This conference is held monthly and attended by Neuromuscular staff with review of interesting cases from the month including cases from ALS clinic, as well as interesting electrodiagnostic studies. The residents will be involved in selection and discussion of any interesting new or follow up patients along with their corresponding serology, electrodiagnostic and muscle/nerve pathology. Case pathology will include peripheral neuropathy, motor neuron disease, neuromuscular junction diseases, myopathies, plexopathies, etc.

Headache Conference: This conference is held monthly and attended by our Headache center staff. Staff will review interesting headache patient cases, newest journal articles and treatment protocols.  Residents will also be involved in presentation of interesting case pathology, as well as literature search on medications and other interventions available for severe headaches.  Treatment discussions including trigger point injections, infusion therapies and botox injections are reviewed along with any corresponding neuroimaging to correlate with both common and rare headache variants.

Neuro oncology Conference: This is a Multidisciplinary Conference with Neurorads, Neurosurgery, Oncology and Neurology. This is a fast paced tumor board with collaboration between Neuroradiology, Medical Oncology, Radiation Oncology and Neurosurgery.

Neuroradiology Conference: This conference is directed by our neuroradiology faculty and focuses on interpretation of normal and abnormal neuroimaging studies. Recent and interesting neuroimaging studies are reviewed, and learning points for individual cases are emphasized. Particular attention is paid to identification of neuroradiographic representation of neuroanatomic structures.  Modalities studied include: MRI, MRA, MRV, CT, CTA, Myelography, Ultrasound, SPECT and PET.

Pediatric Neurology Conference: Teaching conferences and morning report conferences are mandatory when on your Pediatric Neurology Rotation at Geisinger Hospital, Janet Weiss Children’s Hospital.

Psychiatry Grand Rounds:  Attendance at Psychiatry grand rounds will be strongly recommended when the topic or speaker is appropriate.

Journal Club:  This is an expected learning activity for the PGY2, PGY3 and PGY4 residents.  The resident will be required to prepare a Journal Club presentation related to the content of their assignment at the time, usually one per year.  Journal club will be held four times per year, following an electronic journal club practice.  The assigned resident is expected to locate and review current literature aimed at answering a clinical question relevant to their current rotation.  The resident is expected to use appropriate research strategies to locate relevant articles, make a critical appraisal of the research methodology and clinical utility, and provide a summary of the article for all of the residents. St Luke’s also has a Research and Quality Improvement Project Manager who is available to help in preparation and review of the literature and also attends the presentation to provide additional help in the interpretation of statistical data.

Medical Education Grand Rounds:  Topics include but are not limited to: Residents as Teachers, Burnout and Wellness, Patient experiences, Changing Healthcare Landscape, Career Strategies and Planning, Research Symposium, Culture of Safety Surveys and Quality Improvement.