The Clinical Experience
Clinical experience covers a broad range of medical, neurological, neurosurgical, and psychiatric disease in both inpatient and outpatient settings including head injury, epilepsy, degenerative dementia (Alzheimer’s disease, FrontoTemporal Dementias, Lewy Body Dementia, Vascular Dementia), brain tumors, Parkinson’s disease and other movement disorders, ADHD, substance abuse, toxic exposure, thought disorders, depression, pervasive developmental disorders, and learning disabilities. The primary experience is outpatient. Residents see two cases a week throughout the 2-year residency. In addition, during the 1st year residents spend a day in the Multi-disciplinary Brain Tumor Clinic. During the 2nd year, residents do inpatient bedside consultations at Ruby Memorial Hospital in addition to the two outpatient evaluations per week.
Outpatient referrals are received from physicians in the University system (Neurology, Neurosurgery, Psychiatry, Trauma Surgery, Medicine, Pediatrics) as well as from physicians in other parts of the state, and surrounding states. Pre- and post-surgical epilepsy evaluations and Wada evaluations are standard responsibilities of the resident. Pre- and post-surgical evaluations for Deep Brain Stimulation are also standard. Other referral sources include psychologists, lawyers, school personnel, and Worker’s Compensation. Outpatient multi-disciplinary specialty clinics include the Brain Tumor Clinic, a Memory Disorders Clinic for elderly patients with suspected dementia, Parkinson’s Disease Clinic, and Amyotrophic Lateral Sclerosis Clinic. Psychological treatment of brain impaired individuals and their family members is also offered.
The Neuropsychology Service receives consult requests from the Inpatient Services at Chestnut Ridge Center as well as from Ruby Memorial Hospital.
Chestnut Ridge Center is a 75-bed psychiatric facility with units devoted to General Adult, Psychiatric Intensive Care, Addiction Recovery, and Adolescent services, including two residential units. The patient population ranges from age 12 to the elderly. Reasons for referral include differential diagnosis, the determination of a baseline prior to treatment, documentation of a change following treatment, post-discharge placement disposition, and treatment planning. Throughout the year, the post-doctoral resident will also have primary involvement in an inpatient orientation and communication skills group which is run daily for patients on the Psychiatric Intensive Care Unit at Chestnut Ridge Center.
Ruby Memorial Hospital is a tertiary care teaching hospital. Referrals from Ruby Memorial come from the Trauma Service, Neurosurgery Service, Neurology Service, Medicine Service, Adolescent Service, or Pediatrics. The most frequent referral reason for patients from Ruby Memorial Hospital is to assist with differential diagnosis and discharge planning.