About UNC Hospitals and the Department of Neurology
Neurology residents rotate and provide patient care at the UNC Hospitals and Health Care System. UNC Hospitals includes an 830-bed academic medical center that is the main teaching hospital for the University of North Carolina School of Medicine. The complex includes the North Carolina Memorial Hospital, the North Carolina Neurosciences Hospital, the North Carolina Women’s and Children’s Hospitals, and the North Carolina Cancer Hospital.
The UNC Hospitals and Health Care System serves as a referral center for the people of North Carolina, and as a primary care facility for the local community. Each year, UNC Hospitals admits over 38,000 inpatients, delivers 2,500 babies, and provides 37,000 ER visits, 18,000 operations, 1.9 million lab procedures, and 290 organ and bone marrow transplants. Patients come from all 100 North Carolina counties, most states, and about 40 foreign countries.
UNC Hospitals is staffed by 1,086 attending physicians and 745 resident physicians.
UNC Adult Neurology residents train in patient neurology at a single site: the UNC Hospitals. The residents also train in outpatient neurology and have their longitudinal clinic with their own patients at the UNC Hospitals Neurology Clinic, a free-standing facility two miles away from the UNC Hospitals.
Organizing the residency program within a large university-based medical center allows for an exceptionally enriched training environment with an optimal ratio of outpatient to inpatient care. Since UNC Hospitals is a major academic secondary- and tertiary-referral center, a great number of subspecialty opportunities are available for our residents. An exceptional degree of integration with basic science and other clinical departments provides outstanding research opportunities for the early stages of an academic career.
Residents from the adult neurology residency program train in diverse inpatient settings such as the inpatient ward services, the neurology consultation service, the epilepsy monitoring unit and the Neurosciences Intensive Care Unit (NSICU). The neurology inpatient consultation service provides neurology consultations for all UNC Hospitals and UNC Emergency Room.
The North Carolina Neurosciences Hospital
The North Carolina Neurosciences Hospital serves as the inpatient facility for Neurology, Neurosurgery, Otolaryngology, and Psychiatry. The helicopter pad for acute patient transfer is conveniently located on top of Neuroscience hospital and UNC Emergency room is located in the basement. The hospital is one of the few modern dedicated neuroscience hospitals in the country.
The Department of Neurology Adult Neurology Ward is located on the sixth floor of the Neurosciences Hospital. This is a 34-bed unit comprised of private and semi-private rooms, all with in-room computer terminals for order entry and electronic medical records. The majority of beds are designated for use by Neurology, and the others are shared with ENT and Neurosurgery. The ward serves as the home of the UNC Health Care Comprehensive Stroke Center, a Joint Commission Certified Comprehensive Stroke Center.
The UNC Epilepsy Monitoring Unit has six rooms all of which are hardwired for video EEG monitoring and EEG telemetry monitoring core. The unit is also located on the sixth floor of the Neurosciences Hospital.
A physical therapy treatment room, three physician work areas, and a conference room are all conveniently located in the Department of Neurology Adult Neurology Ward. One of the physician rooms (the “fishbowl”) is outfitted with six workstations and a large image viewing monitor. Daily neurology teaching rounds are held in this room.
The Neurosciences Intensive Care Unit (NSICU) provides care for critically ill patients with injury or disease of the central and peripheral nervous system. The NSICU holds 16 beds and functions as aclosed unit with all aspects of care provided by the neurosciences critical care team. This care is provided by a multidisciplinary team that includes physicians with specialized training in neurocritical care, nurse practitioners, crititcal care nurses with neuroscience training, and pharmacists with specialized ICU training, all in collaboration with an extensive team of specialists from various disciplines.
The UNC Hospitals Neurology Clinic
The UNC Hospitals Neurology Clinic is a freestanding modern facility two miles away from UNC Hospitals. The Clinic is comprised of 19 exam rooms, five physician works rooms, a remote EEG reading area and two conference/teaching rooms with the capability of videoconferencing our noon conferences, Grand Rounds and other core didactics programs. In addition to support staff, the Clinic is equipped with a phlebotomist, a financial counselor and a pharmacy specialist, all on site during the clinic’s working hours.
The total number of patients seen in the neurology clinics exceeds 15,000 per year. Approximately 1,000 patients are admitted to the inpatient neurology service per year, and approximately 2,000 patients on other inpatient services are seen in consultation by the Neurology residents annually.
Starting with PGY2, all neurology residents have a weekly continuity clinic where they provide direct neurological outpatient care to patients from local community and from all around the state. Residents also spend time in subspecialty clinics which provides in-depth learning of the nuances in history taking and neurological examination of subspecialty patients.
Additional Facilities and Support
- Advanced core facilities are located within the Neuroscience Center and throughout the UNC campus.
- An NIH-funded Clinical Research Center is available for faculty and resident clinical studies.
- Advanced 3T-fMRI, 7T-fMRI and PET imaging facilities are also available.
- The UNC School of Public Heath, one of the major public health schools in the United States, provides outstanding collaborative possibilities for residents interested in disease prevention and health care policy.
- The UNC School of Medicine also maintains a highly successful program in mentorship and assistance for senior residents and junior faculty applying for NIH Career Development Awards and other mentored funding.
- The relatively high number of elective months in the UNC Neurology residency programs, along with a highly supportive and interactive research environment, provides a very high success rate for residents pursuing fellowship and other post-residency academic paths.