Johns Hopkins Pediatric Neurology Residency

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is a nine story building constructed in 1982. It houses the clinical, diagnostic, and research activities for the Departments of Neurology, Neurosurgery, Psychiatry, and Otolaryngology. The facility solidifies interactions among these services which at Hopkins have considerable overlapping and often converging interests. Administrative offices, beds, operating rooms, diagnostic and research laboratories are in proximity. Resident on-call rooms are centrally located. Additionally, there is a branch of the Welch Medical Library on the eighth floor of the Meyer Center devoted exclusively to the Neurosciences.

The 11-floor Johns Hopkins Children's Center houses the Department of Pediatrics' inpatient units and research laboratories. Pediatric medicine, critical care medicine, pediatric surgery and child/adolescent psychaitry share 188 beds. Separate areas are maintained for neonates (including an intensive care unit), infants, older children and adolescents. Other inpatients receive specialized care in units for neurosurgery, child psychiatry, adolescnet pyschiatry, intensive care, oncology and clinical research. Pediatric neurology patients are housed througout the Children's Center.

To meet the increasing emphasis on outpatient care, residents are involved in monthly rotations in faculty supervised clinics in each subspecialty of Neurology, including neurovirology, neuromuscular, cerebro- vascular disease, multiple sclerosis, vestibular and eye movement disorders, movement disorders, epilepsy, and general neurology. In addition to the above faculty sponsored clinics, each resident is also involved in their own continuity clinic which meets weekly. These clinics are supervised by members of the part-time faculty on a rotating basis. The newly constructed Johns Hopkins Outpatient Center is located across the street from the Johns Hopkins Hospital and houses most of the outpatient clinics for the institution. It is an L-shaped, 8 story building with two distinct, separate but connecting wings; one for patient care and one for faculty offices, research and support services. The Department of Neurology has clinic space on the fifth floor of the building with 26 patient exam rooms and neurophysiology laboratories consisting of EEG and EMG. Ancillary services such as CT, MRI, and phlebotomy are located on site.

The Johns Hopkins Bayview Medical Center (JHBMC) is a 400 bed primary care facility located two miles east of the Johns Hopkins Medical Institutions. The Department of Neurology is under the direction of Dr. Peter Kaplan. He and his staff hold full time faculty appointments in the Department of Neurology at Hopkins. They have an inpatient service of 15 beds as well as an active consultation and outpatient service. There is a high percentage of epilepsy and stroke represented among patients admitted to the inpatient service. To support this need, there is a strong cerebrovascular group within the hospital. Neurologic intensive care is supervised by the inpatient ward team. The consultation service serves the inpatient medical and surgical services as well as the Hopkins Geriatric Center and Chronic AIDS facility. Also based at JHBMC are the National Institutes of Drug Abuse, the Gerontology Research Center of the National Institutes of Aging, the Johns Hopkins Asthma and Allergy Center, and several new biotechnology ventures independent of the University.

Sinai Hospital (500 beds) is a primary care facility located in the northwest section of Baltimore. At this community hospital, there are active consultation and outpatient services that provide opportunities to learn clinical techniques and EEG. The Neurology Service is staffed by part-time Hopkins faculty. Areas of special interest among the faculty at Sinai include neurosarcidosis, stroke, epilepsy, migraine and Parkinson's Disease.

The Kennedy Krieger Institute (KKI), located just across the street from the Johns Hopkins Hospital, is an affiliate of The Johns Hopkins University School of Medicine and The Johns Hopkins Hospital. A majority of the the staff members hold faculty appointment with the School of Medicine, primarily in the Departments of Pediatrics and/or Neurology. The KKI, under the direction of Dr. Gary Goldstein, provides inpatient care in a 51-bed special pediatric hospital. It is organized into three units:

a developmental disabilities unit for children with cerebral palsy or other specilaiez diagnostic or therapeutic problems
a pediatric comprehensive neurorehavilitation unit where children recover from brain daamge acquired through injury or illness
and a neurobehavior unit, treating children with mantal retardation or autism who display severe behavior probelms such as self-injury or aggression.

Ambulatory services emphasize the evaluation and treatment of learning and behavioral disorders, developmental pediatrics, neurogenetic and metabolic disorders, birth defects, physical and occupational therapy, neruorehabilitaion, NICU follow-up and psychopharmacology.