Conferences and Rounds
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 testing during the ABNP Board Exam. The upcoming resident conference schedule will be published weekly on the central Neurology N drive.
Grand Rounds: (Wednesday am 7-9am every other week, 1st and 3rd Wednesday of the month, Anderson auditorium). The typical format is a speaker who will give a lecture during the first hour, then a current case will be presented to an attending who may not know the patient or the diagnosis. The residents select the case and the discussant. The resident presents the history and the attending interviews and examines the patient and discusses the case. Other attendings are invited to comment. Laboratory and imaging data are then provided and the discussion concludes. These lecture formats are accredited for CME.
M & M Conference: (Wednesday am 7-8am, quarterly conference, 2nd Wednesday of every 3rd month, Anderson auditorium). The Chief Resident prepares a presentation of cases reported by each resident based on predetermined indicators (death, hospital-acquired infection, etc). The Chief Resident reviews the salient features of each case and compares with standards from the literature. The faculty and residents discuss, and recommendations are made for improvements to our practice in quality and patient safety.
Morning Report: (Weekday Mornings 8-9:30am except for Grand round mornings twice a month and Thursdays. On Thursdays, morning report at 9-10 am following Bootcamp, site dependent, Anderson and Bethlehem campuses simultaneously). 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 wonderful way to learn about inpatient neurological care. On Wednesday mornings of grand rounds, noon service report will be conducted with the inpatient attending instead on morning report.
Resident Lecture Series: (Friday noon to 2pm series, Anderson and Bethlehem campuses). The resident lecture series is prepared by the Chief Resident in consultation with the program director to achieve the goal of covering all critical areas required of residents. Lectures in these areas cycle every 1.5 yrs so on average, each resident will have the opportunity to hear each lecture twice during their 3 years of training. The topics are chosen to cover every area addressed on the Neurology Board Examination and are weighted to correspond with the importance of each area (stroke, epilepsy, movement disorders, neuromuscular diseases, spine disease, behavioral neurology, pediatric neurology, neurologic emergencies, basic sciences, neuropathology, neuroimaging, as well as neuro ophthalmology, neuro-urology, neuro-otology, neurorehabilition, and neuro oncology. The conferences also rotates between basic neuroscience lectures, EMG presentations, EEG presentations and resident run research presentations.
Bootcamp Core Curriculum Series: (Thursday 7:00am- 9:00am, Anderson or Bethlehem campus). Topics to be covered include core curriculum areas ie Neuroanatomy, Behavioral Neurology, Neurochemistry, Neuropathology, Neuroimmunology, Neurophysiology, Neuroimaging, Neuropharmacology, Neuro-ophthalmology, Neural development, Statistics, Epidemiology etc.
Other Conferences: (Monthly)
Behavioral Neurology: (8th avenue Bethlehem office). Our Neuropsychology Department will present updated neuropsychological literature as well as varied conference format with case presentations, informal discussions, prepared debates, and formal lectures.
Dementia Conference: This is a multidisciplinary conference of neurologists, neuropsychologists, neuroradiologists, and speech pathologists to review the diagnostic evaluation of patients with memory and cognitive disorders. Items reviewed including 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: (EMU, Bethlehem campus). Residents attend this conference when on the EEG or EMU rotation. These conferences will include record review as well as long term monitoring case presentations including case discussion and rationale for any changes in anti-epileptic medications in context of this extended monitoring on complicated refractory or subclinical seizure patients. Specific conferences include: EEG tech conference on first Wed of the month from 7:30- 8:30am for tech and quality education, inpatient EEG and clinical events reviewed. Epilepsy Surgical Conference attended by epileptologists, neuropsychology, neurosurgery, and neurorads on 4th Wed of the month at 4pm to review patient cases and pre-surgical work up. EMU team meetings on first Wed of the month at 6pm to review patient clinical events, quality, safety issues and education of EMU staff.
Movement Disorders Clinical Conference: (8th Avenue Bethlehem office). This conference is held monthly and attended by physicians, residents, students, Physical therapy, Speech therapy and psychology. 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: (IHC, Allentown campus). This conference is held monthly and attended by the MS team including neurologist, mid-levels, designated MS Social worker and allied health professionals including PT, and OT and Speech. This conference presents the multidisciplinary approach to treating patients with MS as well as the inter-professional collaboration of multiple other specialties. Guests to this conference would include neuro-ophthalmology as well as urology colleagues. New advances in MS medications also presented during these conferences including the side effect profiles, FDA warnings and required surveillance testing for these immunomodulary drugs.
Neurovascular Conference: (Bethlehem campus) This is a multidisciplinary conference including Neurology, Neurosurgery, Neuroradiology especially the neuro interventionalist team to review vascular cases including AVMS, aneurysms, strokes, and intravascular dissections. This collaboration is instrumental for the care of the 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. Tuesday morning conference and weekly. Also Bi-monthly conference for Neurovascular Surgical procedures. Monthly CVA PI meetings as well.
Neuro oncology Conference: (Bethlehem campus). Multidisciplinary coordination with Neurorads, Neurosurgery, Oncology and Neurology.
Pediatric Neurology Conference: (CHOP, during pediatric neurology rotation). Teaching conference and morning report conferences are mandatory.
Psychiatry Grand Rounds: (Laros auditorium, Bethlehem campus). Attendance at Psychiatry grand rounds will be strongly recommended when the topic or speaker is appropriate.
Journal Club: (Quarterly, 4th Wednesday, noon – 1:30pm, Anderson and Bethlehem campuses). This is an expected learning activity for the 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 an appropriate on line 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. The resident disseminates this summary electronically to the other residents and faculty. This is done via an on-line discussion board. A wrap up discussion is conducted by faculty and resident peer group on the effectiveness of the presentation and relevance to the initial clinical question.
ACGME/AOA General Competencies Symposia: (Monthly, 2nd Thursday of the month, Laros Auditorium, Bethlehem campus, 7am- 9am). Topics include Residents as Teachers, Burnout and Wellness, Patient experiences, Changing Healthcare Landscape, Career Strategies and Planning, Research Symposium, Culture of Safety Surveys and Quality Improvement, etc to enhance resident education and wellbeing. This symposium will also incorporate health policies and their impact on neurology as well as quality debriefs from safety data collected from the analytics and business intelligence team. Research Symposium is also held during this time by the director of our Research Institute to help residents work on independent research projects with guidance and support from our research team