The Pediatric Neuromuscular Clinic is one of the features of the Child Neurology Residency. Run by Dr. Darryl De Vivo in collaboration with Dr. Claudia Chiriboga this clinic is a true multidisciplinary clinic for children with neuromuscular disorders of all kinds. Disorders in the clinic include myasthenia gravis, Duchenne and Becker Muscular Dystrophy, Myotonic Dystrophy, CIDP, SMA and other rare neuromuscular disorders. Frequently children with hypotonia and weakness are referred without a known diagnosis for initial evaluation and management.
Each week the clinic meets on Tuesday afternoons. At 12:00 an interdisciplinary review of the patients scheduled for the day takes place with the Pulmonologists, Geneticists, Child Neurologists and Physical and Occupational Therapists that attend the clinic. Residents scheduled to attend the clinic are expected to attend this conference. At 1pm patients begin being seen. As needed they are seen by the various subspecialists. Many patients are actively enrolled in ongoing clinical research. Child Neurology Residents in their 2nd and 3rd program years and senior Adult Neurology Residents are assigned to this clinic periodically throughout the year.
Core competencies are consistent with those in the Ambulatory Clinic and are listed separately in Appendix 2.
Required Ambulatory Child Neurology Rotation Schedule (4 Weeks)
The outpatient rotation schedule is noted below. The physicians in question have agreed to supervise during these sessions. Kindly alert Sofia Diaz the Child Neurology Practice Manager (sd524@cumc.columbia.edu) prior to starting the rotation and any changes thereafter to alert the participating physicians.
Weekly schedule for Pediatric Neurology Outpatient Rotation: Tuesday clinic Friday clinic follow up/academic, and all day Monday, Wednesday, Thursday in HP5 pending opening of W86th St
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Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
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AM |
Alternate: TBD Alt/ Epilepsy attending Adult Noon Conf. |
Mov. video NI-1 7AM Vargas 8:45-12/alt Fryer |
Dr. Heshmati-HP-5 Alternates w/ Spasticity clinic 1st and 3rd Wed |
Dr. Heshmati/ Dr. Chiriboga HP-5 |
Academic time CN Division Rounds (11am) |
| Noon | Child Neurology Teaching conference | Peds Neuro Rads | |||
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PM |
Drs. McBrian/Mandel/ Akman/McDonough
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Child Neurology Resident Clinic VC-3 |
Dr. Chiriboga HP-5 Alternates w/ Spasticity clinic 1st and 3rd Wed |
1pm: Neurosurg 2pm: Dr. De Vivo HP5 Peds Rehab VC-3 |
Neurology Grand Rounds 1:00 VC-3 Clinic Follow Up/McKearney |
*May be adjusted based on Attending’s vacation/service time or resident interest
Additional Required Rotations for Child Neurology Residents:
Mandatory rotations include Child Psychiatry (1 month) Child Neurology Ambulatory block (1month) and Neuropathology (1 month), (1mo PEMU), (1mo of EMG) AND 3 years of VC3 Tuesday Afternoon clinic (each count as 1 month of ambulatory child neurology). THESE DO NOT COUNT TOWARD THE RESIDENTS ELECTIVE TIME.