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Program Details

Mission:

The University of Kentucky Neurology PA Academic residency is dedicated to train Physician Assistant graduates in the field of adult neurology to provide exceptional healthcare to patients.

Purpose:

  • To educate and prepare recent PA graduates for transition into adult neurology
  • Meeting the healthcare needs for providing adult neurology in the community
  • Changing how PAs are educated in the everchanging healthcare delivery system from a physician training on the job of a new graduate in the field of neurology, to now meeting the demands of employers (hospitals) to be ready to practice at a higher level of competency

Benefits:

  • Readiness to start working at a higher level of competency
  • Competitive advantage in employment
  • Meeting the need for sub-specialize care in hospital industry

Program Goals:

  • To prepare the physician assistant (PA) to deliver healthcare in the field of adult neurology that is beyond the newly graduate level to an advance level of knowledge and skills
  • Educate competent neurology physician assistant to function at a higher level than a generalist PA
  • The education of the physician assistant for the practice of managing and caring for in hospital patients and in the outpatient clinics encompasses education in basic science, training in cognitive and technical skills, development of clinical knowledge and maturity in the acquisition of clinical care thinking and judgement

Program Objectives:

  • Medical Knowledge:
    • Basic Neuroanatomy
    • Neurological examination
    • Basic Neuropharmacology
    • Neuroradiology
    • Neurologic Disorders – ie. Stroke
    • Cortex
      • Introduction to the Brain through Embryology
      • The Normal CNS-cells, Fascicles, and Meninges
      • Intracranial Pressure, Cerebral Edema, and Brain Bleeds
      • Basal Ganglia
    • Motor and Sensory Tracts
      • Motor Systems
      • Sensory Systems
      • Spinal Cord Lesions
      • Cerebral Vasculature and Strokes
      • Cranial Nerves
      • Brainstem
      • Brainstem Strokes
    • Clinical Cortex
      • Intracranial Cancers
      • GABA Receptors and Alcohol
      • Seizure Pathology
      • Seizure Pharmacology
      • Headache
      • Neurocognitive Degeneration
      • Pain and Analgesic Tracts
      • Anesthesia
    • Special Senses
      • The Eye-Anterior Eye
      • The Eye-Retina
      • The Eye-Eye Pathologies
      • The Ear-Audition and Balance
      • The Nose-Olfaction
    • Nutritional support
    • Infectious Diseases-hospital acquired infections
    • Sepsis
    • Hyponatremia
    • Pain management
    • Perioperative Medicine
  • Patient care:
    • Management of Stroke
    • Acute and Chronic management of Seizures
    • Shock/Resuscitation
    • Management of Acute and Chronic Back Pain
    • Tremors
    • Headaches – Acute and Chronic 
    • Diagnosis of unknown symptoms that are Neurologic Disorders
    • Early signs and symptoms of Dementia
    • Dizziness
    • Sepsis
    • Substance use disorder – Alcohol and drug withdrawal
    • Hyponatremia
    • Nutritional support
    • Weakness
    • Syncope
    • Seizures
    • Management of Coma patients
    • Procedural Competencies
  • Systems-Based Practice
    • Administrative Responsibility
    • Coordination and Transitions of Care
    • Billing and Coding
    • EMR Epic training
  • Practice-Based Learning and Improvement
    • Improvement of Care
    • Teaching
    • Self-Directed Learning
    • Clinical skills and procedures
  • Professionalism:
    • Professionalism and Personal Behavior
    • Ethical Issues in Critically-ill Patients
    • Personal Responsibility
    • Healthy Work Environment
  • Interpersonal and Communication Skills:
    • Effective Communication with Patients and Families
    • Effective communication with the Healthcare Team

Rotation Schedule

  • 1st month-        Orientation & introduction to Neurology Medicine – Day service (Core didactic – Review of ACLS, Pre, and Post op care, management of codes, basic neurology conditions)
  • 2nd month-        Headaches service – Day service (Core didactic – General Neurology)     
  • 3rd month-        Epilepsy service –Day service (Core didactic -Epilepsy)
  • 4th month-        Memory disorders/behavioral neurology – Day Service (Core didactic – Dementia)
  • 5th month-        Neuromuscular disorders service – Day service (Core didactic – Seizures)
  • 6th month-        Stroke & Vascular Neurology
  • 7th month-        Neuro-ophthalmology & Neuro-oncology services – Day service (Core didactic –ophthalmology & Neuro-oncology)
  • 8th month-        General neurology service – Day service - (Core didactic – General neurology)
  • 9th month-        General neurology consults – Day service (consulting)
  • 10th month-      Stroke & Vascular service – Day service (In patient)
  • 11th month-      General neurology consults – Night service (In patient)
  • 12th month-      General neurology consults – Day & evening/nights service (In patient)

12 months Total

Procedural Competencies

  1. Electromyography (EMG)
  2. Tensilon Test
  3. Electroencephalogram
  4. Sleep Study
  5. Laceration closure
  6. Lumbar puncture
  7. Imaging interpretation CT, MI scans
  8. ECG interpretation and telemetry monitoring

Essential Experiences

  1. Swarm/Patient Safety Training

Conferences

  1. Neurology Chairman Round (weekly)
  2. Neurology Interesting Case conference (monthly)
  3. Neurology Medicine Grand Rounds  (weekly)
  4. Quarterly APP Journal Club (with other APP’s in UK
  5. UK APP lecture series (monthly)
  6. Morbidity and Mortality (every other month)
  7. Recommend one regional/national conference (annually)