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Neurology Residency

The Neurology residency is a 4 year, OGME-1/R program.

To apply for an externship, please click here.

Stroke Center of Excellence

On December 18, 2006, Grandview and Southview Hospitals were recognized as the first-ever Primary Stroke Center of Excellence by receiving accreditation from the Healthcare Facilities Accreditation Program (HFAP). A five-star rating from HealthGrades and a certificate of distinction from HFAP demonstrates the commitment of the Primary Stroke Center team to continue in the forefront of diagnosis and treatment for cerebrovascular diseases

Program Director

Michael Valle , D.O., FACN
Medical Education
405 W. Grand Ave.
Dayton, OH 45405
Phone: (800) 497-1559
Fax: (937) 723-5017

Dr. Valle is a graduate of the Michigan State University College of Osteopathic Medicine in East Lansing. He completed his residency in adult neurology at Garden City Osteopathic Hospital in Garden City, Michigan. He has been practicing in Dayton, Ohio since 1990 and is a senior partner at the Dayton Center for Neurological Disorders.

Dr. Valle is board certified in neurology by the American Osteopathic Board of Neurologists and Psychiatrists (AOBNP). He holds Certificates of Added Qualification in Sleep Medicine and Clinical Neurophysiology. He is also a Diplomate of the American Board of Sleep Medicine and a Fellow of the American College of Osteopathic Neurologists and Psychiatrists (ACONP).

Currently he is Program Director for the Neurology Residency Training Program at Grandview Hospital and Medical Center. He is Medical Director for hospital's Sleep Centers in Centerville and Huber Heights, the EEG Department and the Neurology Clinic at Cassano Health Center. He is a board member and examiner for the AOBNP and the representative for the Conjoint Board for Sleep Medicine.

Dr. Valle's interests include the interface between sleep disorders and neurology, clinical neurophysiology and movement disorders.

Potential candidates may contact Dr. Valle at:

Dayton Center for Neurological Disorders
1975 Miamisburg Centerville Rd.
Dayton, OH. 45459
(937) 424-3012
mvalle@dcndinc.com

Positions

Approved: 8
Funded: 8
Filled: 2 OGME1, 2 OGME2, 1 OGME3, 3 OGME4

Program Description

The Neurology Residency at Grandview Hospital is a comprehensive four year program that will prepare the candidate for a career in adult neurology. Upon completion of the course of training, the graduate will be eligible to sit for the national certifying examination in neurology, which is administered by the American Osteopathic Board of Neurology and Psychiatry (AOBNP).

The resident's training begins with the OGME 1 year. This is a preparatory year for the trainee which has a heavy emphasis on internal medicine. The resident will have rotations in general internal medicine, cardiology, critical care, emergency medicine and ophthalmology. There will be 2 months spent on the neurology inpatient service and 1 month on sleep medicine. Hospital coverage will be a part of experience. All these rotations will be at Grandview and Southview Hospitals.

The OGME 2 year is an immersion in hospital neurology. The resident is assigned to run the inpatient services at either Grandview (350 beds) or Kettering Hospitals (500 beds). Responsibilities include admissions to the service, consultations and an active role in the stroke team. Procedures include diagnostic as well as therapeutic lumber punctures. The resident will be in charge of teaching rotators on the service, which include medical students, medicine as well as psychiatry residents.

In the second half of the OGME 2 year there is a required 2 month rotation on the epilepsy service. Here the resident will learn to interpret electroencephalograms and manage patients with epilepsy. Ambulatory EEG, intraoperative monitoring and an epilepsy monitoring unit are all integral to this rotation. Upon completion of the rotation, the resident is expected to continue to interpret EEGs on a scheduled basis for the remainder of their training. There will also be a month rotation in the ambulatory setting at the Dayton Center for Neurological Disorders. During the second half of the year, the resident will begin seeing their own patients in the Neurology Clinic at Cassano Health Center. They will follow this set of patients throughout the remainder of their training program.

The OGME 3 year begins with a 3 month required rotation on the EMG service. During this rotation the resident will focus on peripheral neurology and learn how to perform electrodiagnostic testing. EMG clinics will be regularly scheduled for the resident upon completion of the rotation in order to further refine their diagnostic skills.

A 2 month required rotation in Child Neurology is completed during the second half of the OGME 3 year. This is with the Neurology Department at Children's Hospital in Dayton. There is exposure to inpatients as well as the ambulatory patients with neurological disease. There is opportunity to interpret pediatric EEGs. Monthly, throughout the residency, the child neurologists host a child neurology journal club, which focuses on issues that have relevance to the adult neurologist.

The resident will continue to gain experience in adult neurology the remainder of the OMGE 3 year in the ambulatory as well as hospital settings. Hospital rotations may include one of the other four institutions the faculty covers. These rotations allow the resident to have more autonomy and work one on one with the faculty members. Elective rotations are encouraged and are arranged individually with the program director. Rotations through the hospital network include sleep medicine, memory disorders, epilepsy, neurosurgery, neuroradiology, vascular/interventional neurology and PM&R. The resident can spend time in the Neuro-rehabilitation & Balance Unit. Time is allotted to learn the use of Botox for a variety of disorders.

During the OGME 4 year, the resident embarks on a 3 month required rotation in neuropathology. This will serve to enhance the understanding of neurological disease at the basic science level. During this rotation there is time for ongoing exposure to outpatients, EEG and EMG. Time is allotted for study.

The remainder of the senior year places a heavy emphasis on outpatient neurology and practice management skills. The residents are involved in the business of medicine from their first day however; this becomes more important as the resident nears the end of the program and prepares to enter practice. Exposure to this is gleaned from the faculty's private practice. There is also required hospital coverage, with the resident being expected to function at the level of an attending neurologist.

Didactics are a vital part of the program. Here is an overview of the academic schedule:

1. Clinical Neurology (weekly): This 1.5 hour session focuses on the basic science of neurology as it pertains to the clinical setting. Emphasis will be placed on anatomy, physiology and the clinical examination. The spectrum of neurological disorders will be entertained.

2. EEG (monthly): Individual case studies and recording will be discussed from actual patients. Emphasis will be placed on identification of normal electrocerebral activity and the interface of abnormal finding with the clinical history and neuropathology.

3. EMG (monthly): Individual case studies will be discussed with the non-EMGers discussing the anatomy and differential diagnosis. The EMGers will discuss the methodology by which they will refine the differential and arrive at their diagnosis. Clinical management will be reviewed.

4. General Neurology Case Presentation (2 times per month): The residents will present cases 2 times per month to be discussed from the molecular level to the clinical setting in which they present. This is an informal discussion meant to refine the resident's diagnostic approach. This session will be proctored by one or more of the faculty.

5. Journal Club (monthly): This critical review of the current literature will involve recent developments as well as areas of controversy in the field.

6. Child Neurology Journal Club (monthly): This conference will be hosted by the child neurology service at Children's Hospital and will focus on areas of relevance to adult neurologists.

7. Child Neuroradiology Conference (monthly): This conference will be hosted by the neuroradiolosists at Children's Hospital and will focus on cases of interest to neurology and neurosurgery.

8. Neurology Osteopathic Residents Organization (monthly): NORO is a conjoint teleconference with the department of Neurology and Ophthalmology at Michigan State University. A six hour series of lectures covering various topics in neurology from September though May.

9. Board Review: This series of informal discussions is led by the senior residents in preparation for taking Part I of the AOBNP Examination.

There are many additional lecture programs which occur throughout the year through the hospital or a pharmaceutical company.

Grandview Medical Education

405 W Grand Ave
Dayton, OH 45405
(937) 723-3248
(800) 497-1559

Fax: (937) 723-5017




 
 
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