Vascular Neurologist, University of Alabama at Birmingham
Company: Academic Med
Location: Alabama
Posted on: April 9, 2021
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Job Description:
-- New Division Chief of Cerebrovascular Disease, Dr. Toby Gropen
Dr. Toby Gropen was recruited to the University of Alabama at
Birmingham and assumed the roles of Division Chief of
Cerebrovascular Disease and Director of the UAB Comprehensive
Stroke Center in July 2015. Dr. Gropen is a board certified
neurologist, vascular neurologist, and neurosonologist that
previously served as the Chief, Division of Vascular Neurology at
Ochsner Health System. Prior to joining Ochsner, Dr. Gropen served
as the Chairman of the Department of Neurology and the Director of
the Division of Cerebrovascular Disease at Long Island College
Hospital, as well as the Vice Chairman of the Department of
Neurology at SUNY Downstate Medical Center.
Array of Stroke Disorders Treated As the only comprehensive stroke
center in the region, the UAB stroke program treats a wide exposure
of common and rare stroke pathology. UAB has one of the highest
intravenous tPA treatment rates in the nation at 100+ cases per
year (not including drip and ship). In addition to ischemic and
hemorrhagic stroke, less common disorders include cerebral venous
thrombosis, genetic and hematological clotting disorders, arterial
dissection, CNS vasculitis and non-atherosclerotic vasculopathies.
The Kirklin Clinic Clinical Treatment Options The Division of
Cerebrovascular Disease provides a comprehensive array of
treatments including:
-- Neurosonology Laboratory The Neurosonology laboratory, run by
Dr. Gyanendra Kumar, is adjacent to the inpatient stroke unit and
provides carotid and transcranial Doppler ultrasonography (TCD) for
stroke patients. Special techniques such as bubble tests, emboli
detection and vasomotor reactivity are also utilized.
Cerebrovascular ultrasound is available 7 days per week, and CT and
MRI services are available 24 hours a day.
-- The UAB Stroke Center achieved Joint Commission Comprehensive
Certification in May 2015; the certification recognizes UAB's
ability to receive and treat the most complex stroke cases. In
addition to the Stroke program's contributing faculty members, the
program is supported by a full team of:
--
-- Recently Renovated Neuro-ICU Adjacent to the stroke center,
UAB's 36-bed Neuro-Intensive Care Unit (Neuro-ICU) is a
multidisciplinary, tertiary referral-based intensive care unit
designed to treat patients on a 24/7 basis with serious and
life-threatening diseases of the central and peripheral nervous
system. The newly renovated 36-bed Neuro-ICU is equipped with the
latest technology and equipment, including Computer WOW (Work
Stations on Wheels) that enable physicians to provide real-time
statistics on the status of Neuro-ICU capacity and discharge
strategy, optimizing efficiency of the unit. Since the renovation,
the Neuro-ICU has run at an average daily census of 95% (34.5/36
beds), making it one of the nation's busiest programs of its type.
The multidisciplinary Neuro-ICU, staffed by the neurology,
neurosurgery and anesthesiology departments, provides an excellent
platform for research collaboration on clinical outcomes and
pharmaceutical trials. Director of Neurocritical Care
The NICU at The University of Alabama at Birmingham (UAB) is a
dedicated unit consisting of 36 beds. The clinical service is
predicated on a co-primary model, in which patients are managed
collaboratively by the NICU team and the admitting service, which
might be general neurology, vascular neurology, or neurosurgery.
Critical care services are provided by a multidisciplinary team
consisting of an attending physician, advanced practice providers,
fellows, various residents, clinical pharmacists, registered
dieticians, and respiratory therapists as well as dedicated team of
neuroscience nurses. The NICU faculty includes intensivists from a
variety of backgrounds, including anesthesiology, neurology, and
emergency medicine. All have specialized training in the
intricacies of neurosurgical and neurologic diseases and employ the
latest technologies to treat them. They work collaboratively with
the Departments of Neurosurgery and Neurology to deliver the
highest possible quality of care. Twenty-four-hour resident
coverage is provided by residents from the Departments of
Anesthesiology, Neurosurgery, and Neurology, along with advanced
practice providers.
Dr. Angela Hays Shapshak is the Director of Neurocritical Care, and
she represents the Neurology Department as Co-Director of the
multi-disciplinary NeuroICU. Dr. Shapshak also serves as the
Program Director of the UCNS Accredited Neurocritical Care
Fellowship.
-- Neurovascular Surgery Team Drs. Winfield Fisher (L) and Mark
Harrigan (R) The neurovascular surgery program at UAB focuses on
multidisciplinary management of complex central nervous system
vascular conditions including arteriovenous malformations,
cavernous angiomas, aneurysms, as well as carotid and intracerebral
stenosis. UAB's neurovascular program includes Winfield S. Fisher
III, MD, Mark R. Harrigan, MD and John Deveikis, MD, an
interventional neuroradiologist. William Stetler, MD, will join the
program in the summer of 2016 upon completion of additional
training in vascular and endovascular surgery at the University of
Florida, Gainesville.
The vascular neurology (stroke) service works has a strong and
collegial relationship with neurosurgery. The neurologists and
neurovascular surgery team co-manage patients, and share a Tuesday
afternoon neurovascular conference. UAB vascular neurosurgeons have
published extensively, with recent work including the standard
teaching handbook for cerebrovascular surgery, Handbook of
Cerebrovascular Disease and Neurointerventional Technique.
Neurorehabilitation, UAB Spain Rehabilitation Center The UAB Spain
Rehabilitation Center ("Spain Rehab") is a specialty hospital
connected to the UAB Medical Center. It houses a 49 bed (all
private) inpatient rehab facility as well as outpatient therapy and
MD services. As one of the Southeast's foremost providers of
comprehensive rehabilitation care, Spain Rehab is a
multidisciplinary treatment facility promoting a team approach
between OT/PT/ST/RT, psychology, nursing, physicians and support
staff. The Stroke program benefits from an inpatient
neurorehabilitation service provided at the Spain Rehabilitation
Hospital. Spain Rehab has a dedicated on-site neurologist that
specializes in Stroke Rehabilitation (Victor Mark, MD), and serves
as a key liaison between the stroke service and the rehab process.
The inpatient neurorehabilitation service utilizes advanced
research, technology and expertise to address every aspect of a
patient's rehabilitation, including physical, social and
psychological health. Spain Rehab is one of only 14 spinal cord
injury model systems and one of 16 traumatic brain injury model
systems in the nation.-- Birmingham VA Stroke Center The Birmingham
VA Hospital (BVAH) is also located on the UAB Medical Campus. In
November 2013, the BVAH stroke center received VHA Primary Stroke
Center designation. The BVAH Stroke Center has 4 dedicated floor
beds for stroke patients. It now is near the top of VA hospitals in
the country for IV tPA treatments, and is in the early stages of
becoming the pilot site for stroke telemedicine for the VA. UAB
vascular neurologist Dr. Michael Lyerly serves as the Director of
the BVAH Stroke Center. Vascular Neurology Fellowship UAB's
Department of Neurology offers a one year ACGME accredited Vascular
Neurology fellowship program. Two Vascular Neurology Fellowship
positions are available each year. A second year of fellowship,
focusing on research training and experience may be made available
based on candidate interest and availability of funding. Dr.
Michael Lyerly is the Director of the Vascular Neurology
fellowship. Stroke Research The UAB stroke team is actively
participating in a number of NIH trials and three
industry-sponsored clinical trials. Stroke faculty members are
actively engaged in a wide range of research activities including
acute stroke management, neurosonology, stroke systems of care,
neuroimaging and pharmacology. Recently, UAB was named a StrokeNet
satellite affiliate of the UT Houston Stroke Center, which will
greatly enhance the stroke team's access to clinical trials and
research collaborators across the country. The incoming stroke
neurologist will have ample opportunity to collaborate in existing
research and clinical trials, and initiate new research projects.
Some of the ongoing cerebrovascular related research projects
within UAB include:
The REGARDS study (Reasons for Geographic and Racial Differences in
Stroke) is led by UAB Epidemiologist Dr. George Howard, and is the
nation's largest population-based study. Initiated in 2001, REGARDS
encompasses 30,000+ individuals > 45 years of age from across
the nation. The study is aimed at exploring racial and geographic
differences in stroke risk factors and stroke occurrence, and it
has received nearly $50 million in funding to date.
-- Telestroke
Telemedicine, and specifically telestroke, represents an exciting
growth opportunity for the UAB College of Medicine. Currently the
Neurology department receives roughly 1,000 patient transfer and
consult requests on a yearly basis, with the majority being stroke
cases. UAB's executive leadership has recognized that there is a
strategic growth opportunity to address an unmet need in
telemedicine throughout the 50,000 square mile catchment region,
representing a population of roughly 5 million. A rollout of the
telemedicine initiative will begin with telestroke in early 2016,
and additional service lines will be added in short order.
-- Department of Neurology Overview The US News & World Report
nationally-ranked UAB Department of Neurology is led by David G.
Standaert MD, PhD, Professor and John N. Whitaker Chair of
Neurology. It is home to eight comprehensive divisions and seven
centers offering an array of clinical activities. More than 27,000
patients are cared for annually through state-of-the-art
subspecialty care and innovative treatments. The Neurology
Department faculty has experienced rapid growth under the
leadership of Dr. Standaert, expanding from 22 faculty members to
63 faculty members in 2015.
The Neurology faculty spans all the major subspecialties of the
field. Major clinical programs include stroke and cerebrovascular
disease, epilepsy, memory disorders and neuropsychology, movement
disorders, multiple sclerosis, neuromuscular disease,
neuro-oncology, and headache and pain. As the Neurology faculty has
dramatically expanded, so has the clinical volume of the
program:
--
-- Under the leadership of Dr. Jerzy Szaflarski, Division Chief of
Epilepsy, the UAB Comprehensive Epilepsy Center has become one of
the busiest centers in the country. As a Level IV Center, the
highest level recognized by the National Association of Epilepsy
Centers, UAB has the capability to diagnose and treat epilepsy
using the latest and most current medical and surgical techniques
available anywhere in the world.
State-of-the-art facilities and equipment are available for
diagnostic studies and treatment. Intracranial electrode
implantation, cortical stimulation studies, specialized EEG
procedures, and a full range of conventional and special tests are
available. The only magnetoencephalography (MEG) laboratory in the
Southeast, the UAB-HSF MEG Laboratory, is part of the Epilepsy
Center. MEG provides a more accurate way of locating the origin of
seizures and is also used to locate brain areas responsible for
speech, sensation, and vision. See below for elaboration on the
clinical volume of the Comprehensive Epilepsy Center:
--
-- Neurology Department Research Overview
The Neurology Department's clinical care is provided in the context
of a vibrant neuroscience research community which has expanded
rapidly in the last five years. In recent years, the UAB
administration has placed a high priority on the Neurosciences as a
strategic pillar to the Medical School's growth and infrastructure
moving forward. Much of this growth can be traced to new
leadership: Dr. Kevin Roth, recruited as Division Director for
Neuropathology and now Chair of Pathology; Dr. Ray Watts, recruited
as Chair of Neurology who later served as Dean of the School of
Medicine and now is President of UAB; Dr. David Sweatt, Chair of
Neurobiology; Dr. Jim Meador-Woodruff, Chair of Psychiatry, and Dr.
David Standaert, recruited as Chair of Neurology by Dr. Watts in
2006. The result of this new leadership has been a substantial
increase in both numbers of faculty and extramural support. The
Shelby Interdisciplinary Biomedical Research Building Within the
Department of Neurology, clinical research is a major focus.
Regulatory and financial management of Neurology clinical trials is
managed by a central administrative group. The Department of
Neurology offers research opportunities in various fields at both
the basic science and clinical levels; currently, the department
has more than 120 clinical trials ongoing, amounting to more than
$3 million in cash receipts annually. Clinical trials of new agents
for epilepsy, multiple sclerosis, motor neuron disease, and brain
tumors enroll large numbers of patients.
-- NIH Funding & Infrastructure The infrastructure for research is
substantial: UAB has an NIH Clinical Translational Science Award
(CTSA) which supports a range of translational activities, and was
named as one of the 25 sites which form the NIH funded NeuroNEXT
Program (Network for Excellence in Neuroscience Clinical Trials).
This network hosts a wide range of Phase II trials in neurology,
providing a robust, standardized, and accessible infrastructure and
funding to facilitate rapid development and implementation of
protocols in neurological disorders affecting adult and/or
pediatric populations. All told, Neurology research expenditures
have tripled since 2006, and for the 2015 year UAB will rank in the
top 25 with $6.3 million.
There is also an NIH R25 program for training of residents in
neurology, neurosurgery and neuropathology in research methodology.
Qualified candidates will have 80% protected across two full years
of support, with the goal of an increase in the number of residents
who subsequently obtain K08/K23 funding.
-- Neuro-Imaging Research Infrastructure In 2013, UAB opened the
Advanced Imaging Facility, featuring one of the largest cyclotrons
at an academic medical center in the US, and new PET/CT and PET/MRI
facilities. There is also extensive infrastructure for research MRI
imaging, including a recently commissioned Siemens Prizma scanner,
representing the latest generation of technology for fMRI and other
advanced imaging techniques. UAB is also the only institution in
the Southeast with a MEG laboratory. Neurosurgeons utilize the MEG
on a daily basis for both brain tumor and epilepsy surgery
cases.
-- Education Overview UAB's Neurology Residency Program The
incoming vascular neurologist will have the opportunity to teach
and mentor residents and fellows through the Department of
Neurology's various training programs. The 4-year, ACGME accredited
Neurology Residency program has 6 Residents per year, 24 total,
plus 4 additional positions in clinical neurophysiology. The UAB
Neurology residents, as a whole, have scored above the 90th
percentile on the RITE exam for the past 5 years.
-- UAB's Fellowship Programs There are 10 clinical fellowship
programs offered within the UAB Department of Neurology, including
the ACGME accredited Vascular Neurology fellowship and the UCNS
accredited Neurocritical Care fellowship. Additionally, the
department has or will have postdoctoral fellowships in all
subspecialties that, where applicable, will lead to board
certification. Clinical fellowships are available in the following
subspecialties:
--
-- UAB School of Medicine The UAB School of Medicine is a
nationally ranked, world-class setting where cutting edge research
meets boundless collaboration to produce one of the most unique
medical educations in the country. The UAB School of Medicine was
established over 60 years ago and has a long tradition of
interdisciplinary research, which has played a large part in
enabling UAB to consistently rank among the leading recipients of
the NIH funding. Total research funding exceeds $450 million
annually; $250 million in NIH funds can be attributed to the School
of Medicine alone. UAB ranks 27th among academic institutions in
federal research funding and 20th in funding from NIH. In the past
few years, the School of Medicine has added more than half a
million square feet of space for clinical facilities, research
laboratories, classrooms, surgical suites, and administrative
space. The medical center, now at 1,150 beds, is also undergoing
substantial upgrades including new OR suites, ICU's,
catheterization/imaging/interventional suites and an ER department
covering almost a full square block. A recently completed expansion
project is the 430,000 square feet Women's and Infant Center and
Hazelrig-Salter Radiation Oncology Center. In late 2012, UAB
celebrated the grand opening of the Alabama Children's Hospital
occupying more than 700,000 square feet. Together with existing
facilities, the net square footage at the UAB School of Medicine
exceeds 12 million square feet and nearly 100 city blocks. For more
than 20 years, the UAB Hospital has been ranked by US News & World
Report as one of "America's Best Hospitals". UAB President & Dean
of Medical School UAB's former Chairman of Neurology, Dr. Ray Watts
was recently appointed as the President of the University of
Alabama Birmingham, after serving as the Sr. VP and Dean of the
School of Medicine. In August 2013, Dr. Selwyn Vickers was selected
as the new Sr. Vice President and Dean of the School of Medicine.
Dr. Vickers, a member of the prestigious Institute of Medicine of
the National Academy of Sciences, is a world-renowned surgeon,
pancreatic cancer researcher, pioneer in health disparities
research and a native of Alabama. Dr. Vickers returns to UAB after
serving as the Professor and Chair of the Department of Surgery at
the University of Minnesota.-- $1 Billion Campaign for UAB
In October 2013, it was announced that UAB would begin the school's
largest-ever fundraising campaign titled "The Campaign for UAB:
Give Something, Change Everything." The campaign will run through
2018, with the plans to raise $1 billion. "We are working hard to
strengthen our position as one of the nation's most productive and
dynamic universities," said University President Ray Watts.
Location Specifics - Birmingham, Alabama The Vulcan Statue -
Largest Cast Iron Statue in the World The rolling countryside of
the greater Birmingham area provides a beautiful metropolitan city
with an excellent quality of life. Birmingham is the largest city
in Alabama with a population of approximately 1.3 million people.
It is a culturally diverse city that ranks as one of the most
important business centers in the Southeastern United States. The
Birmingham metropolitan area has consistently been rated as one of
America's best places to work and earn a living based on the area's
competitive salary rates and relatively low living expenses.
Birmingham is perfectly suited to young families with superior
public and private schools and a low cost of living. It is one of
the few places in the United States where a 4-hour drive affords
one the access to mountains, beaches or a major metropolitan area.
For your convenience we have provided some facts about Birmingham
that may pleasantly surprise you: Region's Field, located within
walking distance of the Children's Hospital Culture & Arts
-- World Class Cuisine
-- Largest Business Centers in Southeastern US
-- Education Hub
-- Largest Banking Centers in US
To provide trustworthy and exemplary professional services,
resources, and consultative advice to healthcare enterprises and
medical professionals throughout the country. , Academic Med's
Vision Statement:
Our vision is to be the most client-focused, knowledgeable, and
trustworthy advisers in the healthcare recruitment industry,
providing nothing short of excellent services in every aspect.
Academic Med is a full service executive search and physician
recruitment firm that provides healthcare recruitment solutions to
academic medical schools, children's medical centers, and health
systems throughout the country. Academic Med has developed a very
successful recruitment model for national, executive-level
physician leadership searches as well as non-physician leaders that
serve in clinical and research-oriented capacities.
Keywords: Academic Med, Rochester , Vascular Neurologist, University of Alabama at Birmingham, Healthcare , Alabama, New York
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