Harper University Hospital is one of the nation’s premier health care centers providing extraordinary care to patients from around the world. The hospital offers award-winning services in a broad range of clinical areas, including the neurosciences, hypertension and heart failure, vascular and organ transplant.
Researchers and clinicians at Harper are making dramatic strides in the treatment and management of neurological diseases and disorders. And, since each patient is unique, so is the Harper approach to patient care. Depending on the specific case, the neurology team at Harper calls on specialists from a wide variety of disciplines to provide the right care at the right time. With all this going for it, it's easy to see why U.S. News & World Report considers Harper University Hospital's Neurosciences program one of the best in the nation. U.S.News & World Report named Harper University Hospital one of 2008 "America's Best Hospitals" -- ranking it #27 in Neurology and Neurosurgery.
With 795 beds, Harper is DMC's largest teaching hospital. It provides primary through tertiary care and enjoys an international reputation for the neurosciences. Full-time faculty admit the majority of Harper's neurology patients, although some private physicians also have admitting privileges. Neurology faculty research has enabled Harper to develop leading clinical programs in neuroimmunology, neuro-oncology, stroke, neuromuscular diseases, epilepsy, and neurodegenerative diseases.
Harper houses the DMC's magnetic resonance imaging (MRI) center, which, in addition to performing routine imaging, also can perform MR spectroscopy and angiography. The Holden Electrophysiology Laboratory performs electroencephalography (EEG), electromyography (EMG), and evoked potential studies. Harper also has a two-bed epilepsy-monitoring unit.
Junior residents spend about four months at Harper; senior residents, a little under three months. On average, the neurology service admits about 400 to 500 patients per year and performs 1600 consults.
Senior residents may choose to do the following electives at Harper: EEG and evoked potential studies (EPs), EMG, and neuromuscular, neuropathology, and epilepsy . The department also offers fellowship positions in clinical neurophysiology (EEG, EMG, EPs), neuromuscular diseases (including EMG), and epilepsy (EEG, monitoring, intraoperative studies and EPs).
With 340 beds, DRH specializes in adult emergency and trauma care. It houses a specialized unit for traumatic brain injury.
As at Harper, the residents work in teams of two juniors, a senior, and a faculty attending. Faculty do not admit their own patients to DRH; instead, patients arrive at the emergency room and, when consulted, neurologists determine whether to admit patients to the neurology floor or to another service. Admissions to the neurology service average 400 to 500 patients a year; admissions to neurotrauma average 500 per year. Each year the neurology staff also performs approximately 1600 consultations that result in a patient either being admitted to non-neurological service or being discharged without admission.
In addition to spending two or three months supervising junior residents, seniors spend two months on the neurotrauma service. The department also offers a fellowship in neurotrauma and stroke.
The types of neurological disorders DRH residents most commonly see include cerebrovascular disease, seizures, traumatic injury of the nervous system, and infectious and metabolic encephalopathies.
The John D. Dingell VA Medical Center is a 108-bed full service medical center that provides primary, secondary and tertiary care. The medical center provides acute medical, surgical, psychiatric, neurological, and dermatological inpatient care. Primary care, medical and surgical specialties are also provided by the VAMC as well as mental health clinics that include substance abuse treatment, a day treatment center, and a community based psychiatric program with the goal of maintaining patients in their home community. The medical center also operates an 109-bed nursing home care unit and a Health Care for Homeless Veterans (HCHV) program. The medical center administers two contract Community Based Outpatient Clinics (CBOC) located in Yale, Michigan and Pontiac, Michigan as well as two veteran outreach centers in Dearborn, MI and in downtown Detroit. The VAMC serves approximately 330,994 veterans in Wayne, Oakland, Macomb and St. Clair counties.
The John D. Dingell VAMC is affiliated with the Wayne State University School of Medicine and supports 75.2 resident FTE. Other major training programs at the medical center include Audiology & Speech Pathology, Dietetics, Nursing, Psychology, Rehabilitation.
Medicine, Social Work, Surgical Auxiliaries and a Compensated Work Therapy (CWT) program. The John D. Dingell VA Medical Center has a strong and diverse program of research with a FY 2006 budget of $3.5 million dollars in VA grant funding.
The residents at the VAH work in two-junior/one senior teams such as those at Harper or DRH. Admissions to the neurology unit have averaged 500 to 600 per year; the annual number of consultations averages 500. Residents assigned to the VAH also staff its outpatient clinic. Senior residents may do their sleep elective at the VAH, and the department also offers a sleep fellowship here. The most common diseases found at the VAH are vascular diseases, degenerative diseases, and seizure disorders.
CHM is a 260-bed hospital run by the Wayne State University Department of Pediatrics. CHM has a Positron Emission Tomography (PET) scanner unit. Its director is a member of the Division of Child Neurology.
Pediatric neurology functions as a distinct division within CHM. That division's attendings hold Wayne State faculty appointments in both Pediatrics and Neurology.
All senior residents spend at least three months at CHM, handling both inpatient and outpatient duties. The pediatric neurology service has an average of 400 admissions annually and performs approximately 750 consults. Residents see all types of neurological complaints, including those unique to children.
Hutzel houses the medical center's Departments of Obstetrics and Gynecology, Orthopedics, Rheumatology, and Ophthalmology. The ophthalmology department runs the Kresge Eye Institute. Neurology residents provide consultations to those departments.
Senior residents spend at least one month providing neurological consults for obstetrical and gynecological patients. The average number of consults per year is 100. Residents may also do electives in neuro-ophthalmology.
The Rehabilitation Institute is the Midwest's largest specialty hospital and treatment center for adult physical medicine and rehabilitation. Its specialties include many related to neurological problems: traumatic brain injury, spinal cord injury, multiple sclerosis and stroke. Neurology provides consultant services and its residents may take a physical medicine and rehabilitation rotation.
The Barbara Ann Karmanos Cancer Institute is designated by the National Cancer Institute as among the very best cancer centers in the United States. They are ranked by the National Research Corporation as metro Detroit’s most preferred cancer center. Based in midtown Detroit, the Barbara Ann Karmanos Cancer Institute is committed to a future free of cancer. The Meyer L. Prentis Comprehensive Cancer Center of Metropolitan Detroit, operated by the Institute, is one of 39 National Cancer Institute-designated comprehensive cancer centers in the United States. The Barbara Ann Karmanos Cancer Institute cares for more than 6,000 new patients annually on a budget of $200 million, conducting more than 400 cancer-specific scientific investigation programs and clinical trials, the Institute is among the nation’s best cancer centers. The Institute strives to prevent, detect and eradicate cancer through 1,200 staff including 300 faculty members supported by hundreds of volunteers and thousands of financial donors.
Source: The Barbara Ann Karmanos Cancer Institute website