Detroit Medical Center Hospitals (DMC)
Harper University
Hospital
 With 650 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).
Detroit Receiving Hospital
(DRH)
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
Veterans Administration Hospital (VAH)
 Most of WSU School of Medicine departments maintain services at the
VAH. Neurology maintains its own 20-bed inpatient unit. The Neurology
outpatient and inpatient services have recently relocated from Allen
Park to a recently constructed complex that is part of the Detroit
Medical Center.
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.
Children's Hospital of Michigan
(CHM)
 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 Hospital
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
of Michigan
 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.
For further information regarding the Detroit Medical Center and
its hospitals, please click here http://www.dmc.org
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