WHAT IS THE CALL SCHEDULE REALLY LIKE?
PGY-1 Year: For the first 12 months, while in Internal Medicine, you will take team-call every 4th or 5th night, in-house.
PGY-2 Year: For the PGY-2 year, there are three types of calls, all in-house:
- Short call, which occurs Monday thru Thursday, 4:00 p.m. to 9:30 p.m.
- Long call, which occurs Friday 4:00 p.m. to Saturday 7:00 a.m. and Sunday 7:00 a.m. to 9:30 p.m.
- 24-hour-call, which occurs on Saturdays and holidays from 7:00 a.m. to 7:00 a.m.. In general, each PGY-2 gets one 24-hour call per month. Variations occur if the month has five Saturdays or if there are holidays during the month. Due to the fact that when you are on call Saturday you get no days off that week, in return you get one "golden weekend" per month which consists of both Saturday and Sunday off.
The attendings are your direct at-home back-up for the short call, and your senior residents are your at-home back-up for the other calls.
PGY-3 Year: For the PGY-3 year, you take in-house night float call for three months of the year, usually consecutively unless you otherwise request. Night float occurs Sunday thru Thursday, 9:00 p.m. to 9:00 a.m. You are expected to attend the morning conference at 7:30 a.m. (8:00 a.m. on Tuesdays) and then go home for the rest of the day until your next shift at 9:00 p.m. In essence, you are off during the day to sleep, and are off most of the day Friday (after you attend the morning meeting), all day Saturday, and all day Sunday until you return for your shift Sunday evening at 9:00 p.m.
PGY-4 Year: In the PGY-4 year, you have at-home back-up call on Friday 7:00 am until Saturday 7:00 a.m., Saturday 7:00 a.m. until Sunday 7:00 a.m., and Sunday 7:00 a.m. until 9:00 p.m. This alternates with the other senior residents.
WHERE IS CALL?
Call is "in-house" meaning you stay at the hospital during the time on-call as a junior resident. Our neurology-only call-rooms are private, clean, comfortable, and secure, with TV & a bathroom shared with one other call room. There is one call room at PT and another at the VAMC available for the person on call.
WHO MAKES THE CALL SCHEDULE?
The administrative chief-resident formulates and ensures the fairness of the schedule every month.
WHAT DOES NIGHT CALL COVER?
We cover the emergency room, floor consults, and inpatient neurology wards at PT and the VAMC. We also cover emergency room and floor consults at ET, and CHO. All hospitals are connected with each other by tunnels and enclosed sky bridges.
WHAT DO I DO (WITH CONSULTS AND ADMISSIONS)?
After evaluating the patient, you and your chief resident will make treatment decisions together. A lot of good teaching occurs at this juncture. A plan is agreed upon, and orders or recommendations are written. The following morning, you will only continue taking care of patients you admitted to your own service.
Otherwise, you will fully inform the resident whose service the patient was admitted to. You must arrange for follow-up of all consults which are not admitted. If there is an emergency, the chief resident will decide when to contact the attending to come to the hospital.
WHAT KIND OF "PERKS" CAN I EXPECT?
Currently, our residents receive the following at no charge:
1. Textbooks (as you enter your PGY-2 year)
- Aids to the Examination of Peripheral Nervous System
- The Diagnosis of Stupor and Coma
- Localization in Clinical Neurology
- Principles of Neurology - Adams and Victor's - Eighth Edition
- How Doctors Think
- Neuroanatomy Through Clinical Cases
2. $400 gift certificate each year to purchase books of your choice.
3. Two lab coats of your choice.
4.. $1,000 per year for PGY3 and PGY4 to go to conferences (the Department will pay your way entirely if you are presenting a poster or paper).
5. Free subscriptions to numerous neurological journals and publications.
6. Paid membership to the American Academy of Neurology, including a subscription to Neurology, the "Green Journal", and CONTINUUM.
7. Personal health insurance (to which family members can be added).
8. All of your malpractice insurance is paid for.
9. Free access to medline from your home personal computer or from our department offices.
10. Unlimited, round-the-clock access to our neurology library.
11. An AV department to assist in preparing any presentations, posters, publications, or grand rounds.
12. A text/beeper pager at no cost.
13. Meal-vouchers are given according to number of days on call. Currently, the vouchers are good at ET, PT, and CHO cafeterias. Breakfast and dinner are free at VAMC when you are on call.
14. Free photocopying and fax is available 24 hours a day in the departmental office.
Each resident has their own weekly, outpatient VA and OU clinic for all three years. Each patient is assigned to one resident, providing appropriate longitudinal care and the opportunity to build a physician-patient relationship and see the evolution in time of all types of neurological conditions. As in private offices, your patients are scheduled by appointment only. One hour is given to new patients, and 30 minutes to returns. New clinic patients are referred and most are very interesting. Some patients you discharge from the wards must be seen in your own clinic in a timely fashion (this may necessitate an occasional "over-book" or starting clinic early a few times). Two attendings (usually) are assigned to each clinic for all three years and will be available to discuss patients throughout your assigned clinic time. All patients are seen by attendings, or in the PG4 year they are discussed with attending.
At OUMC consult notes, admission H&P, and discharge summaries must be dictated. At VAMC these may be typed or dictated. Letters, EMGs/NCS reports and EEG reports must be dictated. At the VAMC daily patient notes are directly entered into the computerized record, at OUMC they are hand-written.
Residents in our program are not required to carry out a research project but participation in research is strongly encouraged. A variety of research opportunities are available on our campus and at least one research project per resident is highly encouraged. Our faculty will be glad to make arrangements for your participation in any of the many basic neuroscience research projects or clinical research projects currently under way. If you have research projects of your own in mind, we can help you address the issues of funding and publication.
PAID TIME OFF
1. You receive three weeks of annual vacation (15 weekdays plus weekends). These have to be taken during the current year. You may take time off during a VA ward month if you give at least two months notice. Time off must be requested at least 30 days in advance.
2. Every resident gets a few days off over each Christmas holiday. Exactly which days off will be assigned by the chief resident.
3. Five days of educational leave are available annually to attend conferences. This is mostly for PGY-3 and PGY-4 residents unless otherwise discussed and approved by the Program Director
4. You are entitled to 15 days of sick leave.
5. Maternity/paternity leave is available.
6. Additional time may be taken off in extenuating circumstances, but without pay, and this extra time-off must be made up at the end of the residency.
You are paid at the end of each month. Current annual salary before withholding is as follows:
Since the cost of living in Oklahoma is much lower than many parts of the nation, this salary tends to be quite adequate. No one in our program has felt it necessary to moonlight. Moonlighting is strictly forbidden when on a ward service but may be considered when on electives except for residents on J1 visas. This must be discussed and cleared in advance with the Program Director.
DO WE HAVE ANY CONFERENCES/DIDACTICS?
Do we ever!
Our regular conference schedule is packed with learning opportunities and didactic sessions:
1. In July and August of each year, we have our "Introduction to Neurology Series". These lectures occur on Monday, Tuesday, Wednesday and Friday of each week and cover a variety of topics. Speakers consist of our own faculty as well as faculty from other departments on campus. During these two months our residents also participate in case-based learning modules as part of a standardized curriculum.
2. From September to June each year our residents participate in the "Neurology Resident Lecture Series". These lectures occur on Monday and Wednesday each week and include a large variety of subjects as well as Journal Club. Our own faculty provide most of these lectures, however faculty from other departments, and even outside faculty are also involved in this series. Neurology Grand Rounds also starts in September and occurs every Tuesday morning
In addition to our regular conference schedule, there are other conferences that take place throughout the year. Some of these include:
1. The Tom Parker Memorial Lectureship - Given annually and features such pre-eminent speakers as Nobel Prize Winner Gadjusek (who described Kuru), Lewis Rowland, James Posner, Patricia Duffner, Louis Caplan, and Guy McKhann.
2. Annual Update in Neurology - This is an annual CME symposium put on by our Neurology Department for neurologists and other physicians statewide. The symposium is spread over several months with one day each of the designated months. It is composed of lectures in clinical neurology by our faculty as well as guest lecturers. Breakfast, snacks, and a full meal is provided. There is no charge to the neurology resident.
Currently, there are 18 faculty members in the Department of Neurology, and we are still growing! We have a tremendous amount of personal contact with all faculty members. When attending on wards, our faculty round every day, at least once a day. Each resident has one faculty member assigned to his or her University Outpatient Clinic, and they remain with that faculty for all three years. Another faculty member is similarly assigned at the VA. They are present during your clinics to answer any questions you might have and to give advice. Should you have a question more appropriate for another faculty with other sub-specialty interests, it is very easy to contact them and ask them curbside questions at any time during the day. Our entire faculty is friendly and outgoing and interested in the residents.
Dr. Farida Abid is one of our Child Neurologists. Dr. Abid graduated from Dow Medical College in Pakistan. She did her Pediatric Residency at UMDNJ in New Jersey followed by a Pediatric Neurology Fellowship at Baylor College of Medicine in Houston. Dr. Abid's areas of interest are seizure, developmental delay and demyelinating disease.
Dr. Fatima Abrantes-Pais is a graduate of our residency program. She joined our faculty in July, 2000 after completing a fellowship in neurorehabilitation at The Burke Rehabilitation Hospital. Dr. Abrantes-Pais is Chief of the Neurorehabilitation Section at our VAMC.
Dr. Kersi Bharucha joined the faculty of neurology in September, 1995 as Assistant Professor. Dr. Bharucha's training included residency in neurology at Mayo Clinic and fellowship in movement disorders at Medical College of Georgia. Currently Dr. Bharucha's interests are in the relationship between movement disorders and dementia and also in utilization of botox for treatment of movement disorders.
Dr. James Couch is known for his expertise in headaches. He was Chair of Neurology and Residency Program Director here at OUHSC from 1992 until 2006, when he chose to step down to focus more on research. Prior to coming to OUHSC he was the Chairman of the Division of Neurology at Southern Illinois University from 1979 to 1992. He is a past contributor to Conn's Current Therapy as well as the Washington Manual, and co-author of the Handbook of Neurorehabilitation. He is Past President of the American Headache Society.
Dr. Paul Gill graduated from our program in June 2007. He now operates as part of our faculty at the OU Physicians - Edmond office. He handles general neurology patients.
Dr. David Lee Gordon is Professor and Chairman of the Department of Neurology. Dr. Gordon also serves as Program Director for the Neurology Residency Program and the Neurology Clerkship. He joined us in January 2007. Dr. Gordon received his medical degree from the University of Miami and completed his medicine internship at St. Luke's-Roosevelt in New York City, his neurology residency at Mt. Sinai Hospital in New York City, and a stroke fellowship at the University of Iowa. While at the University of Miami Miller School of Medicine from 1999 to 2006, he served as Assistant Director of the Center for Research in Medical Education. Dr. Gordon is an active clinician and educator. He has been named one of the "Best Doctors in America" on several occasions, serves as a neurology board examiner, has received several teaching awards, has served on multiple national panels and committees, and has written numerous articles and book chapters related to stroke, headache, and medical education. His current research interests include hypercoagulability and stroke in young adults, optimizing hospital and community systems for stroke care, and curriculum development and the use of simulation in outcomes-based education of health professionals.
Elizabeth Harris, PA-C is one of our Physicians Assistants. She assists our faculty in the outpatient clinic setting.
Dr. Herman Jones is our neuropsychologist with extra training in neurology. Along with Drs. Wisdom and Couch, he provides an excellent foundation in teaching us higher cortical function and neurorehabilitation. He also helps the residents in clinical aspects by seeing in consultation those patients with cognitive, memory, and mental health problems.
Dr. Chaouki Khoury joined the Department of Neurology as Assistant Professor in July 2007. He had previously been a Neurology Resident in our Department. He subsequently completed a Child Neurology Fellowship in Houston before returning to Oklahoma. Prior to his post-graduate training, Dr. Khoury completed a combined M.D. and Masters of Science in Neuroscience degree at the American University of Beirut (Beirut, Lebanon). His Masters work focused on spinal and supraspinal pathways of neuropathic pain. His current interest is in pediatric headaches, and he started a Pediatric Headache Clinic as soon as he joined our Department. He also has an interest in pediatric demyelinating diseases and pediatric stroke. Dr. Khoury is currently Co-Director of the Neurology Residency Program.
Dr. Jeanne Ann King is Clinical Associate Professor of Neurology, having rejoined the faculty in August, 2007, after a nine year absence. She was previously a full-time faculty member from 1982-1998. Dr. King graduated from Vanderbilt University with a BA in biology in 1974. She subsequently got her medical degree (1978) and residency training in neurology at the University of Oklahoma School of Medicine. Following completion in 1982, she joined the Neurology faculty here at OUHSC and was involved in the creation and development of the Comprehensive Oklahoma Program for Epilepsy and the Richard E. Carpenter Neuroscience Library. A special interest is epilepsy in developmental disabilities.
Dr. Marilee Monnot is the Director of our Caregiver Section in the Center for Memory Loss and Dementia. She joined our department in July, 2000. She is a licensed professional counselor.
Dr. Julie Parke serves as Chief of the Section of Child Neurology. Dr. Parke joined our faculty in December, 1992. She completed her pediatrics and child neurology residency at Baylor College of Medicine and a fellowship in neuromuscular diseases and electromyography at The Medical College of Wisconsin. Her special interests in child neurology are epilepsy, migraines, and neuromuscular diseases.
Patricia Perkins, CPNP joined the Neurology Faculty in January 2003 as an Instructor. She primarily works with pediatric patients with neurologic needs. Tricia received her R.N. degree from Oklahoma University and her masters degree in Child Health and Pediatric Nurse Practitioner from University of Texas at Arlington. Tricia spends most of her time happily raising a sweet little girl, but also enjoys reading, traveling, scuba diving and spending time with family and friends. She grew up in OKC, relocated to Texas for 12 years, and has now moved back home.
Dr. Calin Prodan graduated from our residency program in June, 2001. He then completed our Clinical Neurophysiology Fellowship program in June, 2002. He joined our faculty in July, 2002 and specializes in neuromuscular diseases. He has a very strong interest in neurobehavioral and has published several articles on this subject.
Dr. Meheroz Rabadi joined our faculty in October 2007. He will work primarily with the neurology service at the VA Medical Center. His specialty is neurorehabilitation.
Dr. Elliott Ross joined the faculty in July, 1996 as Professor and Director of the Alzheimer's Center at the VAMC. After residency in neurology at the University of Colorado and fellowship in behavioral neurology in the Boston program, Dr. Ross joined the faculty of Southwestern Medical School in Dallas as Assistant and then Associate Professor. Dr. Ross went to the University of North Dakota as Chief of the Division of Neurology in 1988. He has published extensively in behavioral neurology and cerebral cortical function focusing on both dementia as well as correlation of abnormalities on the MRI scan with behavioral and thought disorders. His work on neurology of emotions is very extensive and respected.
Debra Weatherford, NP joined our faculty in July 2007. Debra will be a member of our inpatient ward team at Presbyterian Tower and will assist in the care of neurology patients admitted to our service.
Dr. Peggy Wisdom has been on faculty since 1976 and is consistently voted by medical students and residents to be the best clinical teacher in neurology they have encountered. Dr. Wisdom is an excellent all around clinical neurologist and has a special interest in neurorehabilitation. She is past chairperson of the Women in Neurology Section of the American Academy of Neurology. She is also contributing author to Essentials of Pathophysiology. Dr. Wisdom completed her neurology residency training at University of Florida in Gainesville.
WHAT ROTATIONS DO WE DO?
PGY-1 Year: Regular internal medicine internship (7 months of ward, 1 month of CCU, 1 month of MICU, 1 month of ER, 1 month of elective and 1 month in Neurology).
PGY-2 Year: 12 months of Neurology wards, with 6 months each at the VA and PT.
PGY-3 Year: 3 months of Child Neurology, 3 months of Night Float, 2 months of Clinical Neurophysiology (with 1 month each of EEG and EMG), 1 month of Neuro-Ophthalmology, 1 month of Psychiatry, 1 month of Clinic/Elective, and 1 months of Chief duties.
PGY-4 Year: 6 months of Neurology ward duties (3 months each at VA and PT - you will run the ward at this time), 5 months of Elective, 1 month of Clinic. You will have several other duties which include routine meetings with the faculty, input with the call schedule, etc.
Please note there is some variability to this schedule over time.