We have two adult neuropsychology positions with two main rotations: Epilepsy/Stroke and Outpatient/Dementia. Each adult fellow will spend a year on one rotation, and then switch to the other rotation the following year. Both adult postdocs will participate in inpatient evaluations as needed or able. These are generally brief, approximately 1-2 hours, and occur bedside. Volume fluctuates, depending on the needs of attending physicians at any given time. The fellows will gain experience working with multidisciplinary teams and medical residents and fellows in an inpatient, acute setting, and become proficient in working with the electronic medical record system.
The inpatient rotation primarily serves the Epilepsy Monitoring Unit and the Neuro-Stroke services. On the EMU, the fellow is responsible for interviewing, testing, and report generation for patients who are admitted for 24-hour video EEG monitoring. Epilepsy Conference rounds occur once per week, where the fellow will present relevant neuropsychological data to neurologists and neurosurgeons on patients being considered for surgical intervention for refractory epilepsy. There is also the occasional opportunity for participation in Wada procedures.
On the stroke service, the fellow will attend inpatient rounds with the neurology stroke team twice per week, and assess patients on a consult basis with a flexible battery approach. Stroke conference occurs once per week. Opportunities to attend emergency stroke codes with the team and observe neuro-intervention procedures (i.e., revascularization, thrombectomy) are available. There is also a multidisciplinary outpatient stroke clinic, in which the fellow will conduct repeat assessments on stroke patients when they follow-up in the neurology clinic 6-12 weeks post-hospital discharge. The evaluation will help inform further treatment and functional prognosis.
Clinical expectations are:
- 1-4 EMU patients per week (2 hours of testing per patient)
- 0-2 outpatient stroke per week (1 hour of testing per patient)
- Inpatient stroke consults (fluctuating volume)
One main expectation for this rotation is outpatient evaluations. This involves interviews, testing, and feedback appointments for adults with a variety of medical issues. Referrals come from a variety of sources including neurology, neurosurgery, oncology, primary care, and psychiatry. We see a wide array of medical conditions including epilepsy, cancers, TBI, dementias, and neurodegenerative conditions.
The other main rotation for this rotation is staffing multi-disciplinary dementia clinics. These evaluations include a one-hour batteries plus a brief clinical interview. The fellow will present findings to the time and discuss diagnosis and recommendations with the team. There are two dementia clinics the fellow will staff: one is with a geriatrician (UMAC) and one is with a neurologist (NeuroMAC). The NeuroMAC may include more neurologically complicated patients with possible dementia.
Clinical Expectations are:
- 2 outpatients per week
- 1 UMAC per week (approximately 3 patients)
- 1 NeuroMAC per week (approximately 3 patients)