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RESIDENT OUTPATIENT
CLINICS
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Neurology residents receive extensive
exposure to outpatient neurologic problems during all
three years of their residency.
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General Continuity Clinic
 Every other week for half a day, you follow your
own patients in a general neurology continuity clinic.
Residents are either assigned at the UH General
Neurology Clinic under the direction of
Dr. Michael Devereaux or at the VA Neurology
Continuity Clinic under the direction of
Dr. Amani Ramahi. At
UH, other Neurology attendings also work with the residents on a rotating
schedule. Thus, each clinic is always staffed by two or
three attendings. At the VA, all neurology attendings
participate in the Continuity Clinic.
Both at UH and the VA, residents are divided into two
teams, each in clinic every other week. The teams are
organized as practices. Thus, although you primarily
follow your own patients, you will also care for your
colleagues' patients where they are on vacation,
post-call, or not in clinic for some other reason.
At UH, the clinic is located in the fifth floor of
the Bolwell Health Center building. The department
maintains a large number of examination rooms and a large conference
room at that site. All radiology is immediately
available in the clinic via the “PACS” radiology system.
The primary focus of this clinic is the management of
hospital and emergency department follow-ups. |
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Subspecialty Continuity
Clinic
Every other week for half a day, you follow your own
patients in a Subspecialty Neurology Clinic. Every
year, your will be assigned to a different subspecialty
attending. In this way, you will have the opportunity to
have a continuity clinic where you can follow
subspecialty patients that are often not present in a
General Neurology clinic (e.g., Myasthenia Gravis, Progressive Supranuclear Palsy, Seizure patients being
evaluated for seizure surgery, etc.).
In this way, over the three years of residency, you will
work in three different subspecialty clinics and see the
spectrum of outpatient neurologic illness. This
is an excellent opportunity to work with sub-specialized attendings within their field of expertise. |
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VA Clinic
 Every Monday afternoon, veterans are seen by neurology
residents. The clinic is staffed by all the VA
attendings together who work closely with each resident.
This also functions as a continuity clinic for some of
our Neurology residents. While inpatient
follow-ups are scheduled in this clinic, it also
provides wide exposure to primarily outpatient diseases,
such as Parkinson’s disease, peripheral neuropathy,
migraine, and essential tremor.
Besides a large teaching clinic held on Monday
afternoons, the VA Neurology Service maintains
subspecialty clinics for care of patients with Epilepsy,
Headache, Cognitive Disorders, Neuromuscular Disorders,
and Multiple Sclerosis. The MS clinic has grown to be
the second largest MS center, in terms of patient
numbers, in Ohio and is part of the Department of
Veterans Affairs Centers of Excellence. This clinic is
unique in its attention to the neuro-ophthalmological
complications of MS and the application of novel
therapeutic approaches for visual disabilities of these
patients. |
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Muscle Disease Clinic
The United Way of Northeast Ohio supports the Muscle
Disease Clinic at University Hospitals of Cleveland. The
clinic is directed by Dr.
Bashar Katirji. The Clinic cares for patient
with chronic, mostly inherited neuromuscular disorders,
including muscular dystrophy, spinal muscular atrophy
and Charcot Marie Tooth peripheral neuropathy. Residents
attend the Muscle Clinic as part of their Neuromuscular/EMG
experience during their PGY-3 rotation. |
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Outpatient
Neurology Block
During the PGY4 year, senior residents spend one
block on a dedicated outpatient block. During this
rotation, residents will have an emphasis on behavioral
neurology and movement disorders, as well as headache
and multiple sclerosis. |
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Elective Outpatient Rotations
Residents may elect to pursue additional outpatient
training during their elective time. Among outpatient
clinic electives, Movement Disorders, Neuro-ophthalmology
and Neuromuscular are often selected.
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