Child neurology resdiency guide by UT Child Neurology

Child and Adolescent Neurology Residency Training Program

Table of Contents 4

Welcome to The University of Texas at Houston

The Program

The Campus & Facilities

Program Resources

The Texas Medical Center

Houston Information

Fellowship Opportunities

Program Roster & Graduates

Contact Information

The field of pediatrics is at a wonderful time in its development. With the continued advances in the scientific basis of pediatrics, better understanding of the unique needs of children in our changing society, and increased focus on pediatrics as a primary care specialty, there are more opportunities than ever before to make a difference in the lives and health of children. The Department of Pediatrics at The University of Texas Medical School at Houston is committed to training outstanding pediatricians in the art and science of the care of children. Our graduates practice in many different venues, including community practice, subspecialty fellowship training, and a variety of academic careers. Our faculty is young, dynamic, and dedicated to providing an educational environment which motivates residents to excellence. Your responsibilities as a resident will keep you busy but will still allow you time for outside interests, friends, and family. The Child Neurology Program is based in the Texas Medical Center, an extraordinary and diverse medical campus recognized as the worlds’ largest of it’s kind. Our principal inpatient sites are Children’s Memorial Hermann Hospital, a non-profit private children’s hospital, and Lyndon B. Johnson (LBJ) General Hospital, a county hospital serving a primarily indigent population. Children’s Memorial Hermann Hospital is a children’s hospital within the larger Memorial Hermann Hospital. It blends the unique features of a hospital for children with the resources of a large, sophisticated tertiary care hospital. Other affiliated institutions include The University of Texas M.D. Anderson Cancer Center, The University of Texas School of Public Health, Graduate School of Biomedical Sciences, School of Health Information Sciences, Nursing and Dentistry, and the Texas Medical Center Library. We are also affiliated with a number of community clinics to expand your experience beyond the Medical Center. Our Child Neurology Residency Program provides diverse experiences designed to permit our residents to develop into well-rounded child neurologists. You will work in public and private institutions, both inpatient and outpatient, providing a broad base of experience and training. Our socially and culturally diverse patient population will expose you to the full spectrum of child neurology, from those with a complex clinical diagnosis to management of critically ill patients. Situated in the heart of the 4th largest and most ethnically diverse city in the nation, the program will expose you to the full spectrum of child neurology, from the bread and butter cases to the management of complex and critically ill patients.

Ian J. Butler, MD

Jeremy Lankford, MD

Professor Director, Division of Child & Adolescent Neurology Director, Child Neurology Residency Program Department of Pediatrics Jacobo Geissler Distinguished Chair in West Syndrome Research Adriana Blood Professor of Pediatrics

Assistant Professor Assistant Director Child Neurology Residency Program Department of Pediatrics

THE PROGRAM 5

OUR TEACHING FACULTY Ian J. Butler, MD

Pedro Mancias, MD

Professor Department of Pediatrics Jacobo Geissler Distinguished Chair in West Syndrome Research Adriana Blood Professor of Pediatrics Director, Division of Child Neurology

Associate Professor Department Pediatrics Division of Child and Adolescent Neurology Assistant Dean, Diversity and Inclusion

Pauline Filipek, MD

Shadé Moody, MD

Professor of Pediatrics Division of Child and Adolescent Neurology Children’s Learning Institute Director, The Autism Center at CLI & LoneStar LEND Program CDC’s Ambassador from Texas to the “Learn the Signs. Act Early” Initiative

Assistant Professor Division of Pediatric Neurology Co-Director, Shriners Pediatric Neuromuscular Program

Michael Funke, MD, PhD

Nivedita Thakur, MD

Associate Professor Division of Child and Adolescent Neurology Department of Pediatrics Director, MHH Magnetic Source Imaging

Assistant Professor Movement Disorders and Neurorehabilitation Diseases Division of Pediatric Neurology

Mary Kay Koenig, MD

Gretchen K. Von Allmen, MD

Assistant Professor, Department of Pediatrics Division of Child and Adolescent Neurology Mitochondrial Clinic Director Tuberous Sclerosis Center Co-Director

Assistant Professor, Division of Child Neurology Department of Pediatrics Director, CMHH Pediatric Epilepsy Monitoring Unit Chief of Pediatric Epilepsy, Texas Comprehensive Epilepsy Program Co-Director, UT West Syndrome Center of Excellence

Jeremy Lankford, MD Assistant Professor Department of Pediatrics Division of Child and Adolescent Neurology Assistant Director, Child Neurology Residency Program

PROGRAM GOALS & OBJECTIVES GOAL: Our primary goal is to provide an academic and clinical learning experience that will enable the neurology resident to be competent in child neurology with special skills in the diagnosis and management of neurological disorders affecting the newborn infant and during early childhood and adolescence. OBJECTIVES:  Be able to obtain a thorough pediatric neurology history, including gestational, delivery, developmental

milestones and presenting neurological problem(s).  Be able to examine children at all stages of development and identify normal and abnormal neurologi-

cal features that are present.  Be able to describe and discuss common neurological disorders affecting children, such as seizures,

epileptic syndromes, headaches, neuromuscular disorders, neurogenetic conditions, neurometabolic disorders, developmental and learning disorders.  Be able to describe and discuss the underlying pathophysiology and management of these disorders.  Be able to describe the clinical role of current neurodiagnostic studies relevant to the practice of child

neurology including electrophysiology (EEG, EMG), neuroimaging (CAT, MRI< MEG), histopathology, diagnostic molecular studies and common neuropsychological testing procedures.  Develop attitudes and behaviors that are consistent with the team approach to medical care of children

with neurological disorders, including interactions with other medical and nursing personnel involved in the management of the patient. The neurology resident rotating on the inpatient and consultative Pediatric Neurology Service will be expected during that month to be clinically familiar with all the patients on the Service and will be supervisory to “the other residents (pediatrics, neurology and psychiatry)” and students (medical) rotating on the Service. The neurology resident will also be responsible for organizing the teaching and patient Service rounds with the attending child neurologist and will supervise the clinical presentations of patients to the attending physician by the students and residents on the Service. The neurology resident will also be responsible for supervising the consultation and daily medical record notations in the chart of the patients allocated to the other students and residents on the Service. The neurology resident is also responsible, together with the other residents on the Service, for the timely completion of a brief but pertinent discharge summary on all patients admitted directly to the Pediatric Neurology Service. The neurology resident will be expected to supervise the attendance of neurology residents, other residents and students at the various outpatient clinics of the Service attending and also other child neurologists in the Division. Although the Pediatric Neurology Service commitments are primary, selected members of the Service will also attend the various general and specialty (epilepsy, neuromuscular, neuro-oncology and movement disorders) child neurology clinics. The neurology resident will be expected to be actively involved in the teaching aspects of rotation on the Service, including supervision of other residents and students in history-taking, neurological examination and patient management, and also elaborating further on clinical and teaching information presented by the attending pediatric neurologist(s). The neurology resident will also be involved in the overall assessment and formal evaluation of other members of the clinical Service (residents and students) as required by the Medical School and the specific departments. 7

Child & Adolescent Neurology Residency 5 Year Training Program Candidates enter a five (5) year ACGME accredited program to include a two (2) year residency in General Pediatrics and three (3) years of residency in the Child Neurology Program. The program offers a variety of experiences in many different clinical, educational and research settings. The experience includes opportunities to observe, evaluate, and manage children with a wide array of neurological and developmental disorders of the nervous system. Our focus on diagnostic, procedural, and technical skills is reflected in both our didactic and clinical experiences.

Second Year - PGY2

First Year - PGY1 The internship year is spent in our Pediatrics Department learning the basic skills of inpatient pediatric diagnosis and patient management.

House officers spend significant time with outpatients to develop clinical skills while still being supported by the pediatric faculty. Elective time is available for residents to individualize their education. The residents broaden their skills by managing acute outpatient and emergency medicine services and taking on a more supervisory role during rotations.

CALL:

Night float system for certain rotations with NO overnight calls

Night float system on certain rotations and overnight call every 4-6th night on certain rotations.

TYPICAL ROTATIONS:

Development and Behavior

Adolescent Medicine

General Pediatric Service at CMHH

Cardiology or elective

Infectious Diseases

Development and Behavior

LBJ Clinic

ER (LBJ or CMHH)

Level 2/3 NICU

General Pediatric Service (CMHH or LBJ)

Medical Genetics/Chronic Care

Level 2/3 NICU (CMHH or LBJ)

Oncology (MDACC)

MDACC Oncology

Renal

PICU

Well Baby Nursery (CMHH or LBJ)

UTPB Sick Dock or LBJ ER 8

Third Year - PGY3

Fourth Year - PGY4

Residents broaden their experience through rotations in Adult Neurology & Pediatric Neurology, spending time on inpatient and out patient services, managing schedule/weekly coverage, carrying the team pagers, attending clinics and various didactic curriculum activities.

Residents continue to broaden their experience through rotations in Pediatric and Adult neurology, spending time on inpatient and out patient services. They spend 4 months on adult neurology and the remaining 8 months on Pediatric Neurology. 4 out the 8 months of the Pediatric Neurology rotations are designated electives based on the residentâ&#x20AC;&#x2122;s interests .

CALL:

Overnight call 3-4 times per month ONLY on Adult Neurology months (8 months out of the year)

Overnight call 2-3 times per month ONLY on Adult Neurology months (4 months out of the year)

TYPICAL SCHEDULE:

4 months Pediatric Neurology

4 months Pediatric Neurology Elective

3 months Adult Neurology Clinics

4 months Pediatric Neurology

2 months Adult Neurology Inpatient

1 month Adult Epilepsy Monitoring Unit

1 month Adult Neurology Stroke

1 month Adult Neuro Supervising Consults

1 month Adult Neuro-muscular

1 month Adult Neuro Supervising Consults

Fifth Year - PGY5 The final and the fifth year allows the resident 8 months of electives to develop the necessary skills and expertise based on their future interests (e.g. electives in Autism, Epilepsy, Movement Disorders, Neuro-oncology and Neuro-genetics to name a few). The remaining 4 months are spend on the Pediatric Neurology service (two weeks inpatient/two weeks outpatient). CALL: No overnight call 9

ADDITIONAL PROGRAM HIGHLIGHTS (please see our website for more detail at https://med.uth.edu/pediatrics/divisions/neurology/)

Continuity Clinic  One ½ day per week  Different attending every 6 months to enhance expo-

sure to different faculty members and teaching methods RITE Exam  Each February  One day divided into two sections

Journal Club  Monthly gathering to discuss 3 recent journal articles

over dinner at a faculty member’s home Lectures  To pediatrics department

I. Noon conferences II. Grand Rounds  To Methodist/UT Adult Neurology department  Pediatric Neurology Resident Weekly Educational

Conferences  Pediatric Neurology Grand Rounds  RITE Review

Conferences  Resident Weekly Educational Conference  Pediatric Neurology Grand Rounds  Pediatric Grand Rounds  General Neurology Grand Rounds  Epilepsy Surgery Conference  Monthly Brain Cutting Review Conference  Adult Neurology Resident Educational Conference

BENEFITS VACATION:  Residents classified as PL-1 are permitted the equivalent of two (2) calendar weeks of vacation each

year. Residents classified as PL-2 and above are permitted the equivalent of three (3) calendar weeks of vacation each year. During the Christmas holiday there is an additional block of at least 5 days off.

SICK LEAVE:  Paid sick leave accumulates at a rate of one day each month and accumulates to a maximum of thir-

ty days. Paid sick leave carries forward from year to year, but will not be compensated upon termination.

EDUCATIONAL LEAVE:  Each resident is permitted 7 CME days per year to attend conferences. Such paid leave is limited to

one week each year.

GROUP INSURANCE BENEFITS:       

Health insurance is provided to the Resident at no cost. Dependent coverage is available at group rates. Vision Insurance is provided at no cost to the resident. Dental Insurance is provided at no cost to the resident. $100,000 of life insurance is provided to the resident. Disability insurance is provided to the Resident at no cost. Each Resident Physician is required to participate in the supplemental disability insurance coverage program at group rates - this insurance benefit can be maintained after leaving the institution.  Professional liability insurance (PLI) is provided through the UT System Professional Liability SelfInsurance.

FOOD SERVICES/CALL ROOMS:  Residents on duty are provided with access to adequate food services 24 hours a day in all institu-

tions. Residents on call are provided with access to appropriate sleeping quarters with computer, television, phone, and bathroom. Each resident is provided a $10 meal card per call.

UT SYSTEM MEDICAL FOUNDATION:  Residents / Fellows are employees of the UT System Medical Foundation. For further information,

including more specific insurance plan information, please call: 713-500-5243

2014-2015 RESIDENT / FELLOW SALARIES PGY-1 $ 49,310 PGY-2 $ 51,156 PGY-3 $ 52,540 PGY-4 $ 54,662 PGY-5 $ 57,329 ** 2015-2016 WILL HAVE AN ANTICIPATED MINIMUM 3% INCREASE

CAMPUS & FACILITIES 12

UNIVERSITY CAMPUS MAP IN THE TEXAS MEDICAL CENTER

TEACHING AFFILIATIONS CHILDREN’S MEMORIAL HERMANN HOSPITAL

When families come to Children’s Memorial Hermann Hospital, they expect to find the technological advances and healing expertise of a universityaffiliated academic hospital. What continues to surprise them is the special compassion and focus on families that distinguishes Children’s Memorial Hermann Hospital as one of the finest in the nation. Founded in 1986, Children’s Memorial Hermann Hospital is the primary teaching institution for the pediatrics programs at The University of Texas Medical School at Houston. The hospital offers the latest advances in maternal-fetal medicine and neonatal critical care services, as well as renowned programs in pediatric trauma & neuroscience. Interdisciplinary teams include experienced nurses, child life specialists, social workers and more. In 2012, Children’s Memorial Hermann Hospital became the first in Texas to perform in–utero surgery in the treatment of Spina Bifida. As part of Memorial Hermann’s network of hospitals, patients can now access children’s healthcare or high-risk pregnancy services at our affiliated hospitals in the community or, for more acute healthcare needs, at Children’s Memorial Hermann’s main facility in the Texas Medical Center.

MEMORIAL HERMANN - TEXAS MEDICAL CENTER

For generations, Houston and its surrounding communities have trusted Memorial Hermann-TMC for outstanding care. Memorial Hermann-TMC built a reputation for excellence in heart and vascular, cancer, neuroscience, sports medicine and orthopedics, specialty surgery and organ transplantation. As the first hospital in the renowned Texas Medical Center, Memorial Hermann- TMC has a long history of innovation. These are just a few of the firsts: In 1946, was the first in Texas to perform a cardiac catheterization. In 1976, was the first in Texas and the second in the nation to launch an air ambulance program, Memorial Hermann Life Flight®, which remains Houston’s only hospital-based air ambulance service. In 1988, the hospital opened the first stroke center in Houston and one of the first dedicated stroke programs in the world. Through revolutionary advances in medicine and surgery, Memorial Hermann-TMC set new standards of care for the nation and has been recognized as an industry leader by prestigious national organizations, including Thomson Healthcare, VHA, U.S. News & World Report, University Health System Consortium and the American Heart Association. 14

TEXAS INSTITUTE OF REHABILITAION & RESEARCH

Some of the world’s leading physicians in rehabilitation medicine provide care at TIRR Memorial Hermann. TIRR Memorial Hermann transforms lives and inspires hope in people whose lives have been significantly altered by an illness or injury. Medical rehabilitation has rapidly developed and expanded in recent years, permitting many people with injuries or disabilities to achieve far greater levels of function and independence than previously thought possible. These medical and technological advances have prevented complications, improved quality of life and reduced lifetime medical expenses. TIRR Memorial Hermann offers comprehensive rehabilitation programs and services that address the individual needs of each patient who has experienced catastrophic injuries or illnesses. Core hospital rehab programs include: Brain Injury Stroke Spinal Cord InjuryAmputation Neuromuscular Disorders and Multiple Trauma. These programs focus on maximizing the patient’s functional abilities by providing specialized medical management, nursing and therapy services in individual, group and community settings.

THE UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER

Celebrating seven decades of Making Cancer History®, The University of Texas M.D. Anderson Cancer Center ranks as one of the world’s most respected and productive centers devoted exclusively to cancer patient care, research, education and prevention. It is one of the nation’s original three comprehensive cancer centers designated by the National Cancer Act of 1971. In 2011, more than 108,000 patients, about one-third of them new patients, sought care at M.D. Anderson. About one-third of these patients come to Houston from outside Texas seeking the research-based care that has made M.D. Anderson so widely respected. MD Anderson’s clinical trials exploring novel therapies and diagnostic tests continues to be one of the largest such programs in the nation. More than 1,000 clinical residents and fellows come to M.D. Anderson each year to receive specialized training in the investigation and treatment of cancer. More than 500 graduate students are working on advanced degrees at the Graduate School of Biomedical Sciences in which M.D. Anderson cooperates with UTHealth, and more than 1,500 research fellows are being trained in M.D. Anderson laboratories. M.D. Anderson employs more than 18,000 people, including more than 1,500 faculty members. A volunteer corps of about 1,100 people supplements its workforce; these volunteers provide more than 200,000 hours of service each year, the equivalent of 96 full-time employees. Faculty, staff and volunteers are dedicated to M.D. Anderson’s mission of eliminating cancer as a major health threat.

SHRINERS HOSPITAL FOR CHILDREN

Shriners Hospitals for Children has a mission to:

 Provide the highest quality care to children with neuromusculoskeletal conditions, burn injuries and other special healthcare needs within a compassionate, family-centered and collaborative care environment.

 Provide for the education of physicians and other healthcare professionals.

 Conduct research to discover new knowledge that improves the quality of care and quality of life of children and families. This mission is carried out without regard to race, color, creed, sex or sect, disability, national origin or ability of a patient or family to pay.

LYNDON B. JOHNSON HOSPITAL

The Lyndon Baines Johnson Hospital, owned and operated by the Harris Health System, is the second primary teaching facility for The University of Texas Medical School at Houston. This 332-bed hospital opened in 1989 and is a full-service general hospital with easy access for the indigent patients it serves. Health care services for the hospital district are provided by Affiliated Medical Services (a nonprofit organization composed of UT faculty), which staffs LBJ.

RESOURCES The university understands that balancing personal life with the demands of UT COUNSELING & WORKLIFE SERVICES academia can be difficult. Therefore any concern that troubles a resident or reduces his or her ability to concentrate can be brought to UT Counseling & Work Life Services at no cost. Available services include individual or couples therapy sessions for a wide variety of concerns. In addition, to help residents balance the competing demands of education and personal life, UT Counseling & Work Life Services also offers resources and referrals for such legal issues as a simple will, financial concerns, child/elder care, adoption, and daily living. Records are kept strictly confidential to the extent allowed by law, and there is no fee for service. Residents who desire or who are in need of long-term therapy or of complicated medication management will be assisted with referrals. UT Counseling & Work life also sponsor outreach and prevention programs, such as for managing stress or coping with test anxiety. Referrals are not necessary and students are encouraged to call this office to make their own appointments.

CHILD DEVELOPMENT CENTER DAYCARE

UTHealth operates a Child Development Center for children ages six weeks through kindergarten. The Center is designed to create a safe, wholesome environment where children enjoy living and learning. The educational environment for infants is designed to provide visual and auditory stimulation in an atmosphere of warmth and nurturance. The program for toddlers and older children features open learning centers that provide for individual instructional activities with large and small group interaction. All children are encouraged to develop according to their own unique abilities, interests and growth rates. In addition to being licensed by the State of Texas, the UTCDC is nationally accredited by the National Academy of Early Childhood Programs, a division of the National Association for the Education of Young Children. The UTCDC program was the first nationally accredited center in the Texas Medical Center. Each classroom has its own four-year degreed teacher and follows a developmentally appropriate curriculum. Parents are encouraged to participate in various projects involving their children and to serve as liaisons between their home and the UTCDC. Regularly scheduled parent/teacher conferences apprise parents of their childâ&#x20AC;&#x2122;s growth and development. 17

THE UTHEALTH RECREATION CENTER

The Recreation Center offers a variety of recreational and athletic facilities and equipment with a discount for employees. Programs are designed for health, fitness, relaxation and fun. Facilities Available:            

Free Weights & Resistance Equipment Cardiovascular Equipment Racquetball Court Leisure Game Area Including Table Tennis & Billiards Locker Rooms Outdoor Olympic-Size Swimming Pool (Heated in Winter) Tennis Courts Outdoor Basketball Courts Athletic Fields for Softball, Soccer, Flag Football & More Recreational Field Sand Volleyball Courts Jogging Trail & iTrack Fitness Stations

Personal Training Personal Training involves designing a workout plan to suit your individual needs. Your Personal Coach will assist you in attaining the goals you set for yourself based upon your Fitness Assessment. Half an hour and one hour sessions are available. Group Fitness Group Fitness classes aim to improve flexibility, muscular strength and cardiovascular fitness. We offer a variety of options, including: Cardio Interval, Zumba, R.I.P.P.E.D., Cardio Kick Box, Piloxing, Body Sculpt, Turbo Kick, Pilates, Yoga and our newest addition, Booty Barre.

THE TMC LIBRARY

The Houston Academy of Medicine-Texas Medical Center (HAM-TMC) Library serves as the accredited library for most Texas Medical Center institutions and is the primary library for The University of Texas Medical School at Houston. The Library is also home to the John P. McGovern Historical Research Collection, as well as the Menninger Collection on Psychiatry and Psychoanalysis, one of the worldâ&#x20AC;&#x2122;s most comprehensive collections of books. Currently, the HAM-TMC Library contains 76,500 square feet of space and holds over 357,023 volumes, including books and journal volumes. Additionally, the Library has subscriptions to over 200 electronic databases and over 8,000 electronic journals. Over 50 public access computers are available to library users for Internet access and research, as well as word processing, database development and preparation of spreadsheets and public presentations through MicrosoftÂŽ software applications. WiFi is available throughout the Library. Chosen by the National Library of Medicine, there are only eight Regional Medical Libraries in the nation.

BOOKSTORE

The bookstore sells textbooks, medical supplies, software, office & school supplies, white coats, medical uniforms and UT Medical School clothing and gift items with a major discount to students and employees. The UT Bookstore is located in the basement of the UT Medical School Building.

TEXAS MEDICAL CENTER 20

FACTS & STATS As the largest medical complex in the world, the Texas Medical Center is an internationally recognized community of healing, learning and discovery. The Texas Medical Center in Houston is home to many of the nation’s best hospitals, physicians, researchers, educational institutions and health care providers. Recognized by U.S. News & World Report’s Annual Survey of American’s Best Hospitals, the member institutions of the Texas Medical Center are known throughout the world for the quality of patient care, teaching, research and prevention of illness and injury.

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2011-2012 Member Institutions: 54 Patient Visits: 7.2 million Employees: 106,000 Physicians: 5,000 Nurses: 15,000 Researchers: 5,700 Faculty: 17,500 Research: $3.4 billion Patient Beds: 7,000 Babies Delivered: 25,000 Annual Surgeries: 71,000 Total Operating Budget: $15 billion 1,345 Acres 290 Buildings

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The Texas Medical Center is home to the largest concentration of medical professional and experts anywhere in the world.

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Collectively, the Texas Medical Center is the largest employer in Houston.

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By itself, it would rank as the 8th largest business district in the nation right after Philadelphia and Seattle

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Texas Medical Center member institutions have been recognized in such national surveys as U.S. News & World Report, The Joint Commission, AARP, Fortune Magazine, and Consumer Choice as among the best in all specialties in adult and pediatric care.

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More than 68 babies are born every day in the Texas Medical Center.

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Clinical research in the Texas Medical Center generates an average of 15 new start-up businesses a year and averages a new discovery every other day.

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More heart surgeries are performed in the Texas Medical Center than anywhere else in the world.

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Memorial Hermann Life Flight operates around the clock – 24 hours a day, 365 days a year. Since its inaugural flight, Memorial Hermann Life Flight has flown more than 120,000 missions.

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The Texas Medical Center Library houses rare medical books dating back to the 1500s and historical manuscripts such as the McGovern Collection on the History of Medicine, the Menninger Collection of Psychiatry and Psychoanalysis, and the Atomic Bomb Casualty Commission, which recorded the after-effects of the bombs dropped on Hiroshima and Nagasaki. 21

TEXAS MEDICAL CENTER Texas Medical Center

Texas Medical Center (TMC) is a comprehensive medical complex that was organized in the mid-1940s as a means for coordinating medical and health education, patient care, and related research in a not-for-profit setting. Today it stands as the leading health care destination for people all over the world. More than 160 permanent buildings, not including Rice University, occupy nearly 1,000 acres that include 15 patient care facilities and 21 academic and research institutions, housing 20,000 advanced-degreed professionals in the life sciences. There are approximately 12,000 volunteers who assist with a wide variety of tasks benefiting the TMC. More than 93,000 full and part-time employees work in the Texas Medical Center in member institutions with a combined annual operating budget in excess of $6 billion. TMC hospitals contain more than 6,800 licensed beds. More than 6 million patient visits were recorded in 2010, the most recent year of record, which included about 18,000 international patients. With nearly 72,000 students, the Texas Medical Center includes three medical schools, six nursing schools, a dental school, two colleges of pharmacy, a school of public health, a high school for the health professions (with an annual rate of greater than 95 percent of its graduates going on to college), a community college specializing in health careers training, plus other graduate and post-graduate schools and programs to provide training in the allied health professions. The Houston Academy of Medicine-Texas Medical Center (HAM-TMC) Library, which serves as the accredited library for most of the TMC institutions, is recognized as one of the largest academic health sciences libraries in the United States. In addition, research expenditures of the Texas Medical Center member institutions total about $1.8 billion annually. One of the most distinctive and visited locations in the Texas Medical Center is The John P. McGovern Texas Medical Center Commons amenities building, which is the central meeting and gathering place for thousands of staff, patients and visitors who frequent the campus daily. It features an exterior 64-foot waterwall; Waterside Court, which provides eight diverse food concepts; Trevisio Restaurant for fine dining, meetings and special events; and a 500-space parking garage. A major part of this â&#x20AC;?biomedical cityâ&#x20AC;? called the Texas Medical Center is UTHealth, the most diverse of the academic health institutions in the Texas Medical Center.

HOUSTON 23

QUICK FACTS: ► THE FOURTH LARGEST CITY IN THE US, FOL LOWING NEW YORK, LOS ANGELES AND CHICAGO ► OVER 2 MILLION PEOPLE LIVE IN THE CITY OF HOUSTON AND MORE THAN 5 MILLION IN THE METRO AREA ►

THE COST OF LIVING IN HOUSTON IS GREAT: 18% BELOW THE NATIONAL OVERALL COST OF LIVING; 39% BELOW THE AVERAGE HOUSING COSTS.

VISIT WWW.HAR.COM FOR LISTINGS

Houston Metrorail

Theater District

Museum District 24

HOUSTON AT A GLANCE

DIVERSITY Houston, with 2.3 million residents, is the 4th most populous city in the United States, trailing only New York, Los Angeles and Chicago. Houston is the nation’s demographic future. In racial and ethnic composition, Houston has surpassed both New York and Los Angeles as “Most Diverse City in Nation” - 83 languages are spoken in Houston.

CULTURE Houston came in at No. 7 on The New York Times' list of the 46 Places to Go in 2013. Second largest concentration of theater seats in the nation behind only New York City.

Forbes named Houston the "Coolest City" in the country in 2012, citing factors such as the strong economy, dynamic arts scene and multiculturalism.

BusinessWeek and Bloomberg also ranked Houston one of the best cities in the U.S. in 2012 thanks to the local food scene, sports and parks.

GREEN SPACE Houston rates first among the nation’s 10 most populous cities in total acreage of parkland and third behind only San Diego and Dallas in park acreage per capita, according to a study by The Trust for Public Land. Houston has 50,632 acres of total park space, with 22.6 acres per 1,000 residents. In 2012, the American Planning Association named Buffalo Bayou one of the nation's 10 "great public spaces." Houston was named one of the 10 greenest cities in the U.S. by causes.com (2013).

VALUE Houston ranks 1st among U.S. cities where paychecks stretch the furthest, according to Forbes. 25

HOUSTON HIGHLIGHTS PARKS

Houston is surrounded by beautiful green parks and due to the warm climate and mild winters it typically stays green 10 months out of the year!

SHOPPING

You will find every type of brand name in Houston. We have one of the largest malls in America boasting a huge ice rink an d just out side of town are the Premium Outlets boasting stores like Coach. You will not want for anything living in Houston! A shopping favorite include the Galleria, with over 375 stores: Nordstrom, Bvlgari, Jimmy Choo, Tiffany & Co, and Kate Spade. Highland Village, with outdoor shopping, has such stores as Crate & Barrel, Williams-Sonoma, and Pottery Barn.

CULTURE

The Theater district features nine renowned Performing arts organizations, and many smaller ones, in four venues: Jones Hall, Wortham Theater Center, Alley Theatre and Hobby Center for the Performing Arts. World class, year round Resident companies in all of the major performing arts including opera, drama, ballet and symphony.

TRAVEL

Leading visual arts Collections at the Museum Of Fine Arts Houston, The Contemporary Arts Museum Houston, and the Menil Collection. WWW.HOUSTONMUSEUMDISTRICT.ORG

Being centrally located and having two International airports makes traveling from Houston a major plus! IAH is the United hub and Hobby is the Southwest hub. Cancun is just an 1 1/2 flight and major cruise lines depart from Galveston just 40 minutes away. 26

MAJOR EVENTS Such as Super Bowl, All-Star games, and several concerts

GALVESTON The beach is only 40 minutes away

WARM WEATHER RECREATION Mild winters allow year round outdoor activities

FESTIVALS Rodeo Houston in the largest rodeo in the world - It is a 3 week celebration of Texas Culture in February & March every year 27

FELLOWSHIP PROGRAMS 28

One (1) or two (2) years specialty fellowship programs are currently available in: 

Pediatric Movement and Neurodegenerative Disorders



Clinical Magnetoencephalography and Neurosurgical Epilepsy

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Pediatric Epilepsy

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Pediatric Neurophysiology

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Pediatric Neuro-Oncology

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Pediatric Stroke

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LEND Fellowship for Neurodevelopmental Disorders (Autism)

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Clinical Mitochondrial Disorders

The above fellowships have been added in the past 5 years, there are great opportunities to for m specific fellowships here at UT Houston. With guidance from our director we will walk you through the process of obtaining approval from the Texas Medical Board and our Graduate Medical Education Office. 29

CURRENT FELLOWS MEG & Epilepsy Surgery Fellowship Michael Watkins, MD Pediatric Stroke Fellowship David Doan, MD

CURRENT RESIDENTS Class of 2015 Kelly Averill, MD Leon Grant, DO Michelle Tran, MD

Class of 2016 Thara Bala, MD Michelle Christie, MD Cristina Trandafir, MD

Class of 2017 Keely Fitzgerald, MD Henry Osso-Rivera, MD

Class of 2018 Nitish Chourasia, MD Dustin Paul, DO Regina Troxell, MD

Class of 2019 Shilpa Dass, MD Surabhi Kaul, MD Carlos Perez, MD

GRADUATES 1989

1991

John M. Slopis, MD UT-MD Anderson

Marilyn Duke-Woodside, RN, MD Anne Anderson, MD University of Missouri Baylor College of Medicine

1993

1995

2001

Pedro Mancias, MD UT-Houston

Alfreda Maller, MD, PhD Private practice

Yu-tze Ng, MBBS, FRACP Children’s Hospital of San Antonio

2004

Fernando Acosta, MD Cook Children’s Hospital

Freedom Perkins, MD University of Tennessee

Amy McGregor, MD University of Tennessee

2007

2009

Mary Kay Koenig, MD UT-Houston

Michael Quach, MD Baylor College of Medicine

Michael L. Pearlman, MD, PhD Blue Sky Neurology – Colorado

2010

Brian Aalbers, DO Children's Mercy Hospital

Shade’ Moody, MD UT-Houston

Zsila Sadighi, MD St. Jude Children’s Hospital

2011

2012

2013

Ara Hall, MD Children’s Mercy Hospital

Jeremy Lankford, MD UT-Houston

Michael Watkins, MD UT-Pediatric MEG & Epilepsy Surgery Fellowship

2013

2014

Nivedita Thakur, MD UT-Houston

David Doan, MD UT-Pediatric Stroke Fellowship

Edward Espineli, MD Texas Children’s Hospital

2014

Celine Robinson, DO Children's Hospital of Colorado

Shaun Varghese, MD THINK Neurology 30

PROGRAM GRADUATES PRACTICE LOCATIONS

Please do not hesitate to contact us if you have any further questions. Our goal is for you to be well informed and understand our core values before you apply to the program to ensure it is the right fit for you. Ian J. Butler, MD Director Ian.j.butler@uth.tmc.edu Jeremy Lankford, MD Assistant Director Jeremy.e.lanlford@uth.tmc.edu Brandy K. Chandler Coordinator Brandy.k.chandler@uth.tmc.edu