Subspecialty Tracks

Subspecialty Tracks

A distinguishing feature of our program is the ability of residents to choose to focus on a variety of subspecialty areas while training in generalneurology. This permits residents who are contemplating fellowship training to get more experience in their specific areas of interest. Subspecialty tracks are completely optional, and may be changed during the course of training. Residents who choose to pursue a subspecialty track will be assigned a faculty mentor who will meet with them at regular intervals for one-on-one teaching and to tailor their experiences. Subspecialty tracks are implemented by using existing elective time, and by tailoring inpatient activities, where possible. They do not interfere with or detract from training in general neurology. Available tracks include:

Child Neurology— Under the direction of Drs. Vinay Puri and Mike Sowell, residents will supplement the minimum three-month experience with assigned reading, didactic sessions and additional clinical experience using available elective time. The scope of additional experience includes time in the pediatric epilepsy monitoring unit, care of children with various acute and chronic neurological disorders, and assessment and care of children with multiple handicaps through the Kentucky Commission for Children with Special Health Care Needs.

Neuromuscular disorders/EMG— Residents will receive additional training in the diagnosis and management of peripheral nervous system disorders by participating in the EMG laboratories at the University of Louisville Hospital and Louisville VA Medical Center, seeing patients in the neuromuscular clinic and attending weekly clinical neurophysiology lectures.

Epilepsy/EEG— Residents will receive additional experience in the diagnosis and management of epilepsy and EEG interpretation. Experiences will include assessment and management of patients in the epilepsy clinics and the inpatient Epilepsy Monitoring Unit, participation in intracarotid amobarbital (“Wada” tests), observation of intracranial electrode implantation and functional cortical mapping, observation of epilepsy surgery and electrocorticography, programming the vagus nerve stimulator, participating in epilepsy surgery conferences, attending daily EEG reading sessions and attending weekly clinical neurophysiology lectures.

Movement Disorders— Residents will receive additional experience in the diagnosis and management of movement disorders, with special emphasis on Parkinsonian and other neurodegenerative disorders. Residents will participate in the detailed assessment and comprehensive care of patient with movement disorders and will become familiar with various assessment tools including neuropsychological testing.

Multiple Sclerosis— Residents will receive additional experience in the diagnosis and comprehensive management of multiple sclerosis. Residents will participate in the Kentuckiana Multiple Sclerosis Network, a group of comprehensive care centers providing state of the art diagnostic services, medical management and rehabilitation. Residents will participate in all aspects of care including the management of fatigue, spasticity, pain, bowel/bladder dysfunction and cognitive impairment.

Sleep Disorders— Under the direction of Dr. Vasudeva Iyer, residents will receive additional experience in the diagnosis and management of sleep disorders including sleep apnea, narcolepsy and parasomnias. Residents will participate in the University of Louisville Sleep Disorders Center and will attend the multidisciplinary sleep conferences. Residents will gain additional experience in the indications for and interpretation of multiple sleep latency test and nighttime polysomnography.

Stroke— Under the direction of Dr. Kerri Remmel, residents will receive additional experience in the diagnosis and comprehensive management of cerebrovascular disease by participating in the University of Louisville Stroke Center. Residents will spend additional time on the inpatient stroke service and in the outpatient stroke clinic and will attend weekly multidisciplinary stroke center rounds, lectures and conferences. Residents will participate in all aspects of care and will learn the indications for and use of systemic thrombolytics, endovascular intervention, and surgical intervention. Residents will develop additional knowledge of the management of acute stroke in the neuro-ICU, and the importance of a comprehensive, multidisciplinary approach to the management of cerebrovascular disease.

CREST Program— Through a collaborative arrangement with the School of Public Health and Information Sciences, residents have an opportunity to apply for enrollment in the Clinical Research, Epidemiology and Statistics Training Program (CREST). Under the direction of Dr. Carlton Hornung, three tracks are offered leading to a Graduate Certificate, an MSc or a Ph.D. These programs train residents for a career in clinical research, and require additional time beyond residency training.