OHSU

Child Neurology

High-quality clinical care is directly linked to the education of students, residents, and fellows. This is why the three-year, ACGME-accredited Child Neurology Residency Program is a top priority of the Division of Neurology. Our goal is to train clinical neuroscientists; individuals who provide expert patient care in the context of a strong foundation of basic and clinical neurosciences and who have the skills to pursue diverse career pathways, clinical and/or academic. Mentorship is abundantly available to help define, pursue, and reach those personalized goals.

Clinical Resources

Oregon Health & Science University (OHSU) and Doernbecher Children's Hospital (DCH) is a referral center, serving children from Portland, the expanse of Oregon, southern Washington, and western Idaho. Neurology faculty and trainees provide inpatient care to primary neurology patients including those on video EEG telemetry, as well as consultation services to the inpatient ward and neonatal and pediatric intensive care units. Outpatient care is provided in general neurology and subspecialty clinics including:

Doernbecher Childhood Epilepsy Program clinic (including surgical, vagus nerve stimulator, and ketogenic diet management)

Movement disorders/tic disorder clinic

Neurometabolic and genetic clinic

Neuromuscular clinic

Neurooncology clinic

Tone management/spasticity clinic

Close clinical and curriculum relationships are maintained with other disciplines including Neurodevelopmental Disabilities/Child Development and Rehabilitation Center, Child Psychiatry, Neurosurgery, Neuroradiology, and Adult Neurology. Clinical experiences occur at DCH, OHSU, and Shriner's Hospital, which are all on the OHSU campus.

Faculty

Thomas K. Koch, M.D., Division Chief
Stephen A. Back, M.D., PhD.
R. Jason Coryell, M.D.
Erika Finanger, M.D.
Richard Konkol, M.D., PhD
Kit Yeng Lim, M.D.
Michael Narus, D.O.- primarily in Medford, OR
Joseph Pinter, M.D.
Colin Roberts, M.D.
Barry S. Russman, M.D.
Jennifer Wilson
Carter Wray, M.D., Residency Program Director

For more details on faculty of the Department of Pediatrics and the pediatric residency program, see this link.

For more details on faculty of the Department of Neurology and the adult neurology residency program, see www.ohsu.edu/neurology.

Other tracks include one year of training in general pediatrics and one year of research in the basic neurosciences, OR one year of training in general pediatrics and one year of training in internal medicine. See http://www.abpn.com/neuro.html for further details.


Curriculum

The curriculum fulfills requirements by the Accreditation Council for Graduate Medical Education (see program requirements under Child Neurology section of the Neurology Residency Review Committee: http://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramRequirements/185childneurology07012007.pdf

The first two year are a part of the pediatrics residency program, but with a slightly different set of rotations to meet the Training Requirements for General Pediatrics for the Pediatrics-Child Neurology Pathway: https://www.abp.org/abpwebsite/becomecert/generalpediatrics/nonstandardpathways/pediatricsneurology.htm

The first neurology year (PGY-3) is divided between adult and child neurology, primarily on ward services. Two months are traditionally used for selected elective rotations such as Neuroradiology. The trainee becomes facile at the neurologic examination and develops a strong foundation in neuroanatomic localization.

Six months of the second neurology year (PGY-4) are spent in adult neurology rotations, including some senior-role ward service experiences as well as elective rotations. Throughout the remainder of the second and third neurology year (PGY-5), time is spent on some inpatient rotations, predominantly elective rotations, as well as a required rotation in Child Psychiatry. The curriculum may be organized to allow for a block of experience in research activities.

A weekly half-day outpatient continuity clinic occurs throughout the three years.

Conferences

Weekly Pediatric Neuroscience Seminar is jointly organized by Child Neurology and Neurodevelopmental Pediatrics, and is a forum for journal club, case discussions, or interdisciplinary didactic presentations. Presentations by trainees are often encouraged.

Trainees are expected to attend weekly conferences in the Department of Neurology, including morning report, Neuroradiology, clinical neurosciences conference, and grand rounds. Morning report and noon conferences often offer opportunities for the Child Neurology resident to present and teach colleagues.

Application Process

Application materials are obtained from and must go through the ERAS - Electronic Residency Application Service. For 2013-14, we are interviewing for a single catergorical position that will start with 2 years of pediatrics 2014-2016 and then feed into either our NeuroDevelopmental Disabilities (NDD) or Child Neurology (CN) programs as PGY3. To be compatable with the National Residency Matching Program, we need all applicants to apply to categorical CN to have a single rank list. You do not need to apply to our pediatrics program separately. Please feel free to discuss this with Dr. Carter Wray, the residency director for CN or Dr. Peter Blasco, the residency director for NDD.Our categorical five-year spot does not require applying to the OHSU Pediatric Residency Program.

After an application is received from ERAS and reviewed, we will e-mail selected applicants to notify them how to schedule an interview. Application materials should be received by the OHSU Child Neurology Residency Program no later than Nov 30. In general, interviews occur on Tuesdays between early November and early January. Interviewing with our program in addition to the OHSU Pediatric Residency Training Program, can be done over on or two days.

Frequently Asked Questions

Are there pediatric residents on the Child Neurology service?
Yes. Pediatric interns and residents care for subspecialty patients on the wards. In addition, each pediatric resident spends a month rotation on Child Neurology. In any given month, there may also be an adult neurology resident, neurosurgery resident, 4th-year Pediatric selective medical student, and 4th-year student on his/her Neurology rotation.

Does your program require in-house call and how frequent is call?
In-house call is required during pediatric residency, and on adult neurology ward rotations, on an average of every fourth night. There is NO in-house call during child neurology rotations, during which the trainee acts as a fellow taking call from home. Call is on average 2 evenings per week (approximately between 6 and 10 pm) and one weekend per month.

What research opportunities are available?
Although the emphasis of all Child Neurology residency programs is to provide a strong foundation in clinical neurology, our trainees are encouraged to pursue and complete a project, in order to take advantage of resources to learn about the academic process. The exact format is open-ended and may range from submitting a topic review to clinical research or basic science projects. Mentorship from Child or Adult Neurology faculty, or staff in other collaborating divisions is available.

Can international graduates apply?
Yes, if they have obtained an immigrant visa, and have fulfilled or are fulfilling the prerequisites noted above.

For More Information Contact Us

Carter Wray, M.D.

Assistant Professor of Pediatrics
Director, Pediatric Neurology Residency Program
Clerkship Director for Neurology residents and medical students
wrayc@ohsu.edu

Erika Finanger, M.D.

Assistant Professor of Pediatrics and

Neurology Associate Program Director, Clerkship Director (Pediatrics residents)
finanger@ohsu.edu

Thomas Koch, MD

Professor of Pediatrics and Neurology
Chief, Pediatric Neurology
(503) 494-9113