Pediatric Neurology Residency Program
Health System Overview
MUSC Medical Center
The MUSC Medical Center is a tertiary care center with a total of 709 licensed beds. Children’s Hospital contains 108 of these beds, not counting semiprivate rooms. MUSC provides care to more than 33,000 inpatients (4,700 children between 0-17 years) and more than 646,000 outpatients (1.2 million including ancillary services) every year. In addition, there are 58,000 emergency room visits annually.
The Medical University Hospital 9 West inpatient unit is shared jointly by the divisions of Neurology and Neurosurgery. The unit consists of consists of 23 private rooms, although patients can be admitted to any of the acute care beds in the hospital. The occupancy rate averages 97%. Eight of the rooms are wired with long-term video EEG monitoring equipment. Patients present from the emergency department, MUSC resident and physician clinics, private clinics, outside hospitals, and other hospital units with a broad spectrum of acute and chronic neurologic disorders. The consultation service covers the Medical University Hospital inpatient units (other than 9 West) and five ICUs, as well as the adjacent Institute of Psychiatry. Although the Institute of Psychiatry is located in a separate building, it is an integral part of the Medical University Hospital.
Children’s Hospital is comprised of three pediatric units (7A and 7B: toddlers and infants; 7 East: older children and adolescents), an intermediate care unit (7C), Pediatric ICU, Pediatric Cardiac ICU, Neonatal ICU, and an emergency department. Four of the rooms on 7 East are equipped with state-of-the-art EEG equipment and video monitors for long-term video EEG monitoring. The Pediatric ICU has 11 beds, the Pediatric Cardiac ICU has 12 beds, and the Neonatal ICU has 66 beds.
The Neurophysiology and Sleep Laboratories are located on the first floor of the Clinical Sciences Building, which is contiguous with the Medical University Hospital and Children’s Hospital. The Neurophysiology Laboratory has three rooms dedicated to routine and 6-hour EEGs (one of which is shared with the sleep laboratory). Other electrophysiologic studies, including SSEPs and VERs, are also conducted in this area. The Sleep Laboratory, which is accredited by the American Academy of Sleep Medicine, is comprised of eight beds.
Adult Neurology outpatient clinics—including the residents’ continuity clinic, specialty clinics, and general neurology clinics—are located on the 2nd, 6th, and 9th floors of Rutledge Tower (RT). This building is connected to Medical University Hospital, MUSC Children’s Hospital and Storm Eye Institute by a skywalk. There are 10 clinic rooms on RT-2, 13 clinic rooms on RT-6, and 6 clinic rooms on RT-9. EMG/NCS laboratory facilities are located within the RT-9 area.
Child Neurology outpatient clinics are located on the 1st floor of Rutledge Tower. The clinic consists of 12 examination rooms; an intake/triage room; a phone triage area; a charting area with multiple computers, printers, phones, and reference materials; and a small conference room. There is also office space for the nurse practitioners and clinic nurse coordinator.
Ralph H. Johnson Department of Veterans Affairs Medical Center
The Ralph H. Johnson Department of Veterans Affairs Medical Center is a 117-bed facility located two blocks from the MUSC Medical Center. It provides a full range of primary, secondary, and tertiary care services to veterans along the South Carolina and Georgia coasts, including acute medical, surgical, and psychiatric inpatient care as well as primary and specialized outpatient services and nursing home care.
The Neurology inpatient service does not have dedicated beds. Rather, the service is able to admit to any open bed in the VA Hospital. The Neurology outpatient service maintains six examination rooms in the outpatient clinic area. The clinic is in operation four days per week with a resident continuity clinic, General Neurology clinic, Movement Disorders clinic, Epilepsy clinic, ALS clinic, and EMG procedure clinic. A Botox procedure clinic will be added within the year. In FY2010, the Neurology outpatient clinic served 2,369 patients. All records are computerized at the VA, and there is ample access to both the internet and the electronic medical record system.
Other physical facilities at the VA Medical Center include an emergency department and radiology services, both of which are open 24 hours/day 7 days/week. There is one CT scanner and one MRI scanner.