Pediatric
Neurology Rotation
To:
Medical Students
From: Nancy Bass MD,
Pediatric Neurology Neuroscience Clerkship Coordinator
Re: What you need to know
Welcome to the Pediatric Neurology rotation at Rainbow Babies and Children’s
Hospital. What follows is some helpful information to guide you through your
rotation. The Pediatric Neurology rotation is a combined in-patient and
out-patient rotation. The in-patient rotation is entirely based at Rainbow
Babies and Children’s Hospital. The in-patient pediatric services are broken
down into four teams. Neurology is part of the Green team. This team includes
Neurology, Cardiology and GI. The in-patients consist of patients primarily on
the Neurology team. These patients are also followed by the pediatric residents
on the Green team. The consults come from the various teams, the emergency room
and the two intensive care units; PICU and NICU (Neonatal intensive care unit)
Pediatric Neurology, The Rotation
The Pediatric Neurology team: (in-patient)
The team members vary from month to month. The Pediatric Neurology Attending
rotates every two weeks so you will probably work with at least two of the
attendings during your rotation. The team members will include all or none of
the following: Neuroscience medical students, pediatric medical students doing a
week rotation, adult neurology residents, pediatric residents, family practice
residents, psychiatry residents.
The Pediatric Neurology team (out-patient)
The out-patient clinics are satellite clinics scattered around the Cleveland
suburbs. These include the two west side clinics at Strongsville and Westlake;
and the east side clinic at the Landerbrook office. We also have clinics based
at University Hospitals. This includes the Izant center which is room 1200 near
the atrium right near the big “ping pong ball sculpture. We also have clinics at
the Bolwell building. This includes Dr. Green’s multidisciplinary clinics on the
fifth floor and Dr. Gold’s neuro-oncology clinics at the Ireland Cancer Center.
The Pediatric Neurology Team
Attendings
NAME
|
INTERESTS
|
EXTENSION
|
BEEPER
|
Mark Scher, Division Chief |
Neonatal neurology,
epilepsy, sleep |
4-7791 |
31591 |
Max Wiznitzer |
Autism, Behavioral
Neurology |
4-1293 |
33266 |
Carolyn Green |
Cerebral Palsy, Rehab |
4-7650 |
31349 |
Deborah Gold
|
Neurooncology
|
4-8671
|
31341
|
Monisha Goyal
|
Epilepsy
|
4-2467
|
32138
|
Susan Klein
|
Tourettes ,
neurobehavioral
|
4-2495
|
30879
|
Carol Rosen
|
Sleep
|
4-4994
|
32243
|
Nancy Bass
|
Metabolic Disease,
Education
|
4-3261
|
32243
|
Nurses
Name
|
Extension
|
Beeper
|
Brenda Kidder |
30492 |
4-1609 |
Kathy Maxwell
|
2-7543
|
33261
|
Louise Masad
|
|
|
The Office Team
Name
|
Primary Doctors
|
Extension
|
Jeanette Rhyner
Business Manager
|
All
|
4-1607
|
Jan Crotty
|
All
|
7-2304
|
Cheryl Key
|
Green and Bass
|
4-1609
|
Tina Smith
|
Scher, Rosen and Gold
|
7-3904
|
Karla Robinson
|
Wiz and Klein
|
4-1515
|
Earnestine Peters
|
Goyal
|
4-3731
|
The Place
In-patient pediatric
neurology: Rainbow
Babies and Children’s
Hospital (RBC). RBC is
divided into “new
rainbow” and “old
rainbow” “New Rainbow”
is the new tower right
next to the circle drive
on Adelbert. The “old
rainbow” is the building
around the corner from
the atrium. The
elevators to the old
rainbow are referred as
the “Charlie Brown”
elevators (when you take
them you will know why).
These elevators take you
to the intensive care
units and the diagnostic
center, room 669.
Neurology patients are
typically admitted to
RBC 5. If there is
overflow, they may also
be found on RBC 6 and
sometimes RBC 3. Each
floor of RBC has a work
room where the teams
typically meet for
rounds.
Attending service
beeper: 31441
RBC Floor Breakdown:
2: Heme/Onc PICU/ NICU
5: General medical floor
3: Sedation Unit/ EEG
lab 6: General medical
floor
4: Newborn babies 7:
Epilepsy and Sleep
monitoring Unit
* Make sure you get your
ID coded at protective
services before starting
the rotation. Security
has really cracked down
since 9/11 and you need
your ID to swipe into
every floor on Rainbow!
Out-patient Pediatric
Neurology Clinics
The out-patient clinics
are at suburban
satellite locations.
Maps/directions are
included in your packet.
There are also some
clinics at the main
campus. Check the
schedule for the month.
At the beginning of the
rotation, you will be
given a schedule/sign-up
sheet for clinics. We
have various rotators
attending clinics
including adult
neurology residents,
family practice
residents, child
psychiatry fellows and
medical students from
other services. The
maximum number of
participants per clinic
is one resident and one
medical student. Dr.
Klein’s and Dr.
Wiznitzer’s clinics are
only allowed one person
per clinic. The sign-up
sheets have the name of
the attending for the
clinic, location of
clinic, time (am/pm) of
clinic and blank lines
for sign-up to attend
that clinic. You can
contact Cheryl Key, our
lead Administrative
Assistant for the clinic
sign up sheets. Her
number is 4-3753
You should check with
your attending on
service as to when
he/she will be rounding
on the in-patient team.
In-patient rounds are
mandatory. You can
attend clinics in the
afternoon. Please try
and attend two clinics a
week. Because of time
constraints and
scheduling you may not
be able to go in first
on your own with the
clinic patients. The
clinics are still a
great chance for one on
one teaching and an
opportunity for exposure
to the various peds
neuro attendings. Take
advantage of them!!!!!
Here are directions to
the suburban satellite
offices
Strongsville Office
UHHS Southwest General
Health Center
18181 Pearl Road #A202
Strongsville, Ohio 44136
440-816-5950
Our
office is on the second
floor. Take the stairs
up one level and turn
left. (office is on the
right)
1)
From the North
Take I-71S to Route 82W
(Royalton road
Strongsville exit). This
is AFTER the 42
Strongsville exit! Stay
in the left lane toward
Howe Road (not the mall
lanes) Proceed to #3
2)
From the South
Take I-71N to Route 82
Strongsville exit. Turn
left on Route 82.
Proceed to #3
3) Turn left at Howe
Road (the
first traffic light.
Take Howe road to Drake
Road, turn right. Take
Drake road to Pearl
road. (note: the Pearl
Rd. street sign is above
the traffic light), turn
left onto Pearl road.
The building is on the
left side. There are
water fountains in
front.
Westlake office
Westlake Medical Center
950 Clague Road, #1600
Westlake, Ohio 44145
Phone: 440-250-2800
Our office is on the
first floor straight
ahead from the
information desk, 1600
(door is on the right)
1)
Coming from the West
(Avon, Sheffield Lake,
Lorain) Take I-90 East
to Columbia road exit.
Turn right onto
Columbia. Quickly move
to left lane. Turn left
at traffic light onto
Detroit Road. The
medical center will be
on your left, approx.
8/10 of a mile. IF you
should happen to pass
the driveway, turn left
onto Clague Road and
another drive is on your
left.
2)
Coming from the East:
Take I-90 West to Clague
Road exit. Turn left at
the traffic light.
Entrance to medical
center is on your right.
3)
Coming form south:
Take I-71 North to
480West . Exit at Clague
road. Turn right on
Clague road. Just past
the intersection of
Clague and Detroit roads
you will see the
entrance to the medical
center on your left.
Landerbrook office
University Health Center
at Landerbrook
5850 Landerbrook Drive,
Suite #220
Mayfield Heights, Ohio
44124
440-646-8055
Our office is on the
second floor, directly
to the right off the
elevator (Suite 220)
1)
From the North:
Take I-271 south to
Cedar/ Brainard exit.
Turn left on Brainard to
Cedar, then left on
Cedar to Landerbrook
drive (first traffic
light), turn left. Go
approximately ¼ mile.
You will pass the post
office on your left. The
health center entrance
is just past the post
office on the right.
2)
From the South:
Take I-271 North to
Cedar-Brainard exit. At
the exit ramp, follow
the signs that say
“Brainard/ Cedar EAST”.
At the top of the ramp,
turn right on Brainard
to Cedar (EAST). Turn
left on Cedar to
Landerbrook drive (first
traffic light), turn
left. Go approximately ¼
mile to the health
center.
What is expected of you
(summary)
On the first day of your
rotation please page the
attending service pager
(31441) to see which
attending is on service
and what time/ where you
should meet them. You
can walk over to Mather
dorm (continue on down
the hall from Hanna
House, the opposite way
from the hospitals.)
Take the elevator to the
third floor, turn right
and walk down the hall.
Go through the door at
the end of the hall.
Chery Key’s office is
here and she can give
you the clinic sign up
sheet. She will also
give you the medical
student with number:
36151.
PLEASE REMEMBER TO
RETURN THE BEEPER TO
CHERYL AT THE END OF
YOUR ROTATION!!!!!!!!!
You will be expected to
see new consults on your
own to present later to
the attending. There are
special consult sheets
for you to write up your
history and physical.
Any active consults
should have a SOAP note
the following day. If
you are going to be at
clinic, you can sign out
the patient to the other
members on the team. The
patients on the
neurology team are
followed by the
pediatric residents on
the orange team. You do
not need to write a
daily note on these
patients. They will be
discussed on pediatric
rounds by the pediatric
resident following them.
You should choose one
patient a week to
formally write up and
hand in to your
attending to critique
your history and
physical.
Conferences
Conferences specific to
pediatric neurology
include those described
below. We would
recommend you also
attend conferences
required by the adult
neurology rotation as
well if you are on
campus and not at a
satellite clinic.
Pediatric neurology
conferences:
Pediatric Neurology
Clinical Case Conference
This conference starts
at 11:30, each Monday.
It is ok to bring your
lunch. Located in the
Lerner conference room
second floor. (across
from that mobile of
hanging shapes)
Attendance is mandatory.
An interesting case
presentation by one of
the neurology attendings.
Occasionally a patient
will attend the
conference to be
discussed and examined
in front of the group.
Pediatric Management
Conference
Tuesdays at noon, in the
Rainbow Amphitheater.
Attendance is optional
unless there is a
pediatric neurology
topic discussed.
Pediatric Grand
Rounds
Thursdays at 8 am.
Attendance is optional
unless a pediatric
neurology topic is
discussed.
There are also
additional conferences
you may attend including
neonatal conference at
noon on Thursdays and
epilepsy conference. You
can ask your attending
for more info on these
conferences if you are
interested.
We hope you enjoy your
rotation with us this
month. Please do not
hesitate to contact me
if you have any
questions or suggestions
about the nuts and bolts
of the pediatric
neurology rotation.
Nancy Bass, MD x4-3261
(beeper 32243)
nancy.bass@uhhs.com