The Albany Medical Center residency training program in Neurology is fully accredited by the Accreditation Council of Graduate Medical Education. There are 18 full time adult neurologists and 3 full time pediatric neurologists at the Albany Medical Center. The daily inpatient census varies from 10-15.
The full time neurology faculty staff approximately 11,000 inpatient encounters annually. There are more than 30,000 outpatient visits to the subspecialty adult and pediatric neurology clinics. In addition to the Adult Neurology Continuity Clinic throughout the three year program, residents will have exposure to specific attending clinics in movement disorders, dementia, epilepsy, MS and neuromuscular disease, thereby enhancing the outpatient experience.
The modern Clinical Neurophysiology laboratory at Albany Medical Center is staffed by certified EEG technologists with equipment for intensive video monitoring, routine and ambulatory 24-hour recording, evoked potentials, electrocorticography/ cortical mapping and electromyography/nerve conduction. It is fully accredited by the American EEG Society – one of only 77 accredited labs in the United States and one of only three in New York State. We specialize in neonatal and pediatric EEG. We perform approximately 2300 routine or sleep studies annually in addition to 150 intensive 24 hour ambulatory recordings. Long term video EEG monitoring is available for more complicated diagnoses and treatments. We have an active program for the surgical treatment of patients with intractable epilepsy, as well as intra-operative corticography (brain mapping). Albany Medical Center is the only designated neuromuscular center in the area recognized by the Muscular Dystrophy Association. Our subspecialty trained physicians see a wide variety of hereditary adult and pediatric neuromuscular diseases. The peripheral electrodiagnostic laboratory is also very active with state-of-the-art EMG/nerve conduction velocity equipment. Approximately 1000 of these studies, as well as more than 400 visual, auditory or somatosensory evoked potentials are performed annually at the Medical Center. Our physicians have expertise in the administration of botulinum toxin for patients with dystonia, hemifacial spasm and other focal movement disorders. There is an ongoing program in collaboration with Neurosurgery for deep brain stimulation in various movement disorders.
Our three Pediatric Neurology physicians and pediatric neurology nurse practitioner offer a complete array of consultative, diagnostic and treatment services for children. In addition to treating children with attention deficit/hyperactivity disorder, headaches, neuromuscular and other disorders, we see a large number in our Comprehensive Epilepsy Program and Muscular Dystrophy Clinic.
At AMC a dedicated 22 bed Neurosciences Unit is the primary site for admission of patients with neurological issues (D Building). The Neurosciences Unit possesses a Neurological Observation Unit featuring fourteen beds with sophisticated instrumentation to closely monitor hemodynamic and respiratory status in acutely ill patients. It is the only such unit in the Region with a team dedicated to caring for patients with stroke and other serious neurological conditions.
The new addition to the Neurosciences Unit (22 beds in the M building which opened July 2010) is designed to care for stable patients with any neurosurgical or neurological condition. The 5 bed Neurological Intensive Care Unit (NeuroICU) is also the only such unit in the region designed to care for patients with severe neurological conditions or injuries (D Building). The unit utilizes therapeutic hypothermia to care for patients with critical stroke, traumatic brain injury and cardiac arrest. Patients admitted to the NeuroICU are critically ill and often require ventilatory support, advanced monitoring of neurological status (i.e. intracranial pressure), or have complicated medical/surgical issues. There is a 13-bed Medical ICU and 17-bed Surgical ICU.
The 6 bed (adult and pediatric) inpatient Epilepsy Monitoring Unit (EMU), part of Albany Medical Center's adult Comprehensive Epilepsy Program, has been granted membership into the prestigious National Association of Epilepsy Centers (NAEC), becoming one of just six such programs in the state to be so recognized, and one of only three upstate. The program also received a Level 4 designation by the NAEC, the highest it offers, and shared by the best academic centers in the country. A Level 4 rating from the NAEC indicates a center offers the most advanced medicaland surgical diagnostic and treatment options for epilepsy. The EMU has been completely renovated and now offers wireless brainwave monitoring technology that uses advanced computer systems and seizure recording equipment enabling patients to move around the unit more freely. The EMU operates around the clock and is staffed by dedicated epilepsy nurses and technologists.
The outpatient clinic and offices for the majority of the Neurology Faculty are located in the Physician’s Pavilion (A Building). Clinic space, shared with Neurosurgery and Physiatry, encompasses 37 exam rooms, a separate adult and pediatric waiting area, as well as physician and nursing workstations. Computer terminals in each exam room, physician and nursing workstations provide access to the electronic health record and clinical reference material. The Movement Disorders and Demyelinating Disease Section are situated in adjacent clinic/office space that includes 10 exam rooms, resource/reference room and research laboratory. Clinic and office space for specialists in dementing illnesses is located in the Advanced Neuro Imaging Research Center (S Building). The Center contains 4 exam rooms and a patient resource/education room.
The Department of Radiology maintains an endovascular suite for angiographic procedures and interventions, computerized tomography and magnetic resonance imaging immediately beneath the Neurology clinic and offices. There is a neuro-reading room for reading of CT and MRI scans.
Research in neurodegenerative disorders is being conducted. Active clinical trials in the treatment of Alzheimer’s disease, as well as movement disorders, diabetic neuropathy, multiple sclerosis and stroke are ongoing.
STRATTON VA MEDICAL CENTER
The Stratton VA Medical Center, a tertiary care facility and part of the VA Healthcare Network Upstate New York, is located directly across the street from Albany Medical Center. Opened in 1951, the VAMCr serves veterans in 22 counties of upstate New York, western Massachusetts and Vermont. In 1990 this facility was named in honor of Samuel S. Stratton, U.S. Congressman for 30 years of the 23rd District, a staunch supporter of veterans and a frequent visitor to our hospital. Affiliated residency programs are fully integrated with Albany Medical College. Residents and medical students from Albany Medical College and other medical schools rotate through the medical center on a continuous basis. We also provide internships/fellowships for most health care disciplines, including: social work, nursing, public relations, and health care administration. Three full time neurologists staff the VA Medical Center. There are 156 authorized beds.
The Stratton VA Medical Center provides specialized medical services such as: cardiac catheterization, cardiac rehabilitation, nuclear medicine, radiation oncology, stereotactic radiosurgery, hospice/palliative care, adult day health care, post-traumatic stress disorder, compensated work therapy, memory clinic, geriatric assessment, nursing home and respite care. In addition, we offer a Women Veterans Health Program that addresses a variety of health care needs specific to women veterans. Services include gynecology, bone density screening and on-site mammography. There is also extensive diagnostic laboratory medicine and radiology including computerized tomography, and magnetic resonance imaging.
For more information about this facility visit the VA Healthcare Network Upstate New York web site.