Chief, Division of Child Neurology, UK Healthcare
- Chief, Child Neurology
- Neurology - Pediatric, Pediatrics - Neurology, Neurology - Pediatric Epilepsy, Neurology - Research, Leadership, Neurology - Neonatal, Neurology - Neurocritical Care, Neurology - Stroke
- Lexington, Kentucky
The UK Child Neurology Program includes:
Professor of Neurology and Pediatrics
Chief, Regional Clinic Program
Assistant Professor of Neurology
Clinical Interest: General Pediatric Neurology
Associate Professor of Neurology and Pediatrics
Clinical Interest: Pediatric Epilepsy
Assistant Professor of Pediatrics
Clinical Interest: Pediatric Neuro-Oncology
Assistant Professor of Pediatrics and Neurology
Clinical Interest: Neuro-Genetics
Professor of Neurology and Pediatrics
Clinical Interest: Neuromuscular Disease
The Department of Neurology at the University of Kentucky College of Medicine (UK HealthCare) is seeking an experienced, board certified child neurologist to serve as the Chief of the Division of Child Neurology. The role of Chief of the Division of Child Neurology in the Department of Neurology presents an exciting leadership opportunity at one of the fastest growing academic medical centers in the country. To accommodate this substantial growth UK HealthCare invested $532 million for a 1.2 million-square-feet expansion of the UK Albert B. Chandler Hospital, effectively doubling hospital bed count to more than 700. The UK Chandler Hospital, which contains the Kentucky Children’s Hospital (KCH), is the only level 1 trauma center and tertiary referral center within a catchment population of more than 8 million people. Over the past 10 years, UK HealthCare has experienced exponential growth in patient volume, clinical infrastructure, faculty size, and national recognition. Continuing with the exciting momentum, UK HealthCare welcomed Dr. Larry B. Goldstein as the new Chairman of the Department of Neurology on June 1, 2015. Dr. Goldstein, a nationally-acclaimed vascular neurologist with 650+ publications, joined UK after serving as Director of the Duke University Comprehensive Stroke Center and Chief of the Division of Stroke and Vascular Neurology. Dr. Goldstein has already brought on an additional 8 new faculty members since his arrival.
Dr. Robert J. Baumann, current Chief of the Division of Child Neurology has spent the past 30 years establishing a robust program that is poised for rapid growth as he transitions into an Emeritus role. The UK Division of Child Neurology is comprised of 6 - soon to be 7 - pediatric neurologists that provide specialized care at the KCH, the Kentucky Neuroscience Institute (KNI), and 13 satellite locations as part of the Pediatric Outreach Clinic Network in the Appalachian counties of Eastern Kentucky. The division has an ACGME accredited child neurology residency program that was established in 1967 by world renowned neurologist, Dr. David B. Clark, and has been a stable and effective training platform over the years. Dr. Kimberly S. Jones, a former child neurology resident at UK, serves as the Director of the Child Neurology Residency Program.
The quest to continue academic excellence and remain on the cutting edge of research is an institutional commitment at UK. The appointment of a new Dean, Dr. Robert DiPaola, underscores this point; Dr. DiPaola is an accomplished translational researcher in his own right, and as leader of the Rutgers National Cancer Institute-designated Comprehensive Cancer Center he increased external research funding to more than $100 million annually. Dr. DiPaola will take over as Dean of the UK College of Medicine in the spring of 2016. More specific to the Department of Neurology, Dr. Goldstein recently announced the appointment of Frank Gilliam, MD, MPH, as the Director of the new EpiCenter. The EpiCenter will link clinical epilepsy efforts with translational and clinical research and is indicative of UK's vision to both provide top clinical care while also furthering scientific discovery.
Child Neurology Program
Since 1967, the Division of Child Neurology has been serving the families of eastern and central Kentucky through direct patient care and research; the division is also strongly invested in its academically-oriented nature.
The Division of Child Neurology is located within the Kentucky Clinic. UK Child Neurologists see patients on an outpatient basis at the Kentucky Neuroscience Institute, whereas inpatients are managed at the Kentucky Children’s Hospital. Additionally, Pediatric Neurologists visit 13 satellite clinics as part of the Pediatric Outreach Clinic Network in the Appalachian counties of Eastern Kentucky; these clinics are held in conjunction with the CCSHN, Commission for Children with Special Health Needs. Spanning more than a 100 mile radius through Kentucky, the satellite clinics present many unique and unusual neurological cases due to the large referral area. The clinics are located in:
The diverse clinical interests of the Child Neurology division’s faculty offer exciting opportunities for collaboration on and intra-departmental support for patient care. The Child Neurology division, pictured above, includes six board-certified pediatric neurologists. Dr. Baumann is entering an emeritus role in the near future, and another pediatric epileptologist will be joining the team in the summer of 2016.
Robert J. Baumann, MD
Chief, Division of Child Neurology
Exciting research opportunities are available as a member of the Division of Child Neurology. Ongoing clinical trials are focused on Lennox-Gastaut Syndrome, seizures and medication management, and uncontrolled complex seizures provide a wide array of research avenues for faculty to pursue while also bolstering the quality of patient care. Additionally, since the use of cannabinoid oil was decriminalized by Kentucky legislature in the spring of 2014, work is now underway on enabling legislation that will allow doctors and patients access to the CBD oil for potentially life-altering epilepsy treatment and unique research opportunities.
Child Neurology Residency Program
Continuing in the tradition of excellence established by Dr. David B. Clark in 1967, the Child Neurology Residency Program – accredited by the AGCME – trains child neurologists of the highest caliber. Dr. Kimberly Jones serves as Director of the Child Neurology Residency Program. Dr. Jones completed residencies in general pediatrics and child neurology at the UK College of Medicine in 2010; since graduating, Dr. Jones has served as an Assistant Professor of Neurology at UKCOM.
With five residency positions available, one for each PGY level, the UK Child Neurology program is unconventional in how it integrates adult and child neurology experiences. Incoming PGY-3 residents begin their training on the Child Neurology services. Once oriented with child neurology, residents go on to do 12 months of adult neurology as well as 12 months of selective time interwoven with child neurology experiences throughout the three years of the program. The unique design is meant to keep residents in touch with their pediatric expertise while also showing how adult neurology experiences contribute to a better overall understanding of neurological disorders of infants and children. The adult neurology experience also allows child neurology residents to build stronger relationships with the adult neurology faculty; the better relationships make for easier access to the subspecialty skills and guidance of the adult neurology faculty. As a testament to the strength of the curriculum and experience, the Child Neurology Residency Program has had a 100% first time board pass rate for the last five years.
- The Division of Child Neurology faculty conduct roughly 250 telehealth encounters per year. Because all of the telehealth infrastructure is already in place, the division has the capability to expand telehealth efforts to around 600 encounters per year.
- An incoming candidate with a background in neonatal, neurodevelopmental or neurocritical care/stoke care would be strongly supported in the development of such subspecialty programs
- Childhood epilepsy represents another area of potential growth. There are an estimated 90,000+ cases of epilepsy amongst the residents of the Kentucky/Southern Indiana region. With such a broad patient base, more pediatric epileptologists could have a pronounced impact on an underserved population.
- Expansion of patient territory into neighboring states, namely West Virginia, Tennessee and Northern Virginia, is another means by which the Pediatric Neurology Division could be developed. Currently the Pediatric Outreach Network services only Eastern Kentucky; additional efforts could be made to broaden the scope of the Pediatric Outreach Network across state borders.
- The Shriner’s Hospital, located in Lexington, is relocating to the UK medical campus. With them, the Shriner’s Hospital will bring a wealth of Cerebral Palsy and Muscular Dystrophy patients increasing opportunities for collaborative care.
Department of Neurology
UK Neurology boasts some of the leading clinical and research centers in the country for cerebrovascular disease, epilepsy and Alzheimer’s disease, including a Joint Commission certified Comprehensive Stroke Center, a Level 4 NAEC Comprehensive Epilepsy Center, and a NIA-designated Alzheimer’s Disease Research Center (ADRC) that has become an international referral center and research powerhouse. The Neurology program includes an ACGME-accredited neurology residency program, three neurology fellowships and a post-residency clinical fellowship. The nationally recognized UK Department of Neurology is comprised of a team of 30 neurologists and other providers, dedicated to patient care, research, and education. The UK Neurology program is based at the Kentucky Neuroscience Institute within the UK Chandler Hospital, one of the fast growing academic medical centers in the country. Additionally, UK Neurology has been very successful at creating a vast network of community and affiliate hospitals across a 25,000 square mile radius that includes the UK Stroke Care Network and the Pediatric Outreach Clinic Network for Child Neurology.
New Chairman of Neurology, Dr. Larry Goldstein
Larry Goldstein, MD
Chairman, Department of Neurology
Co-Director, Kentucky Neuroscience Institute
Professor of Neurology
UK HealthCare named Dr. Larry B. Goldstein Chairman of the Department of Neurology as of June 2015; Dr. Goldstein was also named Co-Director of the Kentucky Neuroscience Institute. Dr. Goldstein is a stroke and stroke-related disorders expert, having served as Director of the Comprehensive Stroke Center at Duke University and Chief of the Division of Stroke and Vascular Neurology. An active academician, Dr. Goldstein has published more than 650 peer-reviewed journal articles, editorials, book chapters, abstracts and other professional papers. Dr. Goldstein’s research has spanned stroke-related laboratory-based studies, clinical trials, quality of care and care delivery studies, as well as clinical effectiveness and epidemiological investigations. Under Dr. Goldstein’s leadership, the department has mapped out a number of exciting expansion opportunities, including the strategic recruitment of top tier physicians and investigators to continue building the clinical enterprise, clinical research initiatives, as well as translational and basic science discovery.
The Department of Neurology offers the following list of treatments and programs to its broad patient base:
- Botulinum Treatment
- Pediatric Neurology
- Epilepsy Program
- General Neurology
- Headache & Pain Clinic
- Memory & Aging Program
- Movement Disorders
- Neurology Research Program
- Neuroinfectious Disease
- Neurotoxicology Program
- Stroke Program
- Sclerosis Program
The stroke program is particularly noteworthy, having garnered the AHA/ASA “Get With The Guidelines” Stroke Gold Plus Quality Achievement Award in April of 2015.
The Joint Commission certified UK Comprehensive Stroke Center includes a state-of-the-art dedicated 20-bed stroke unit in the UK Chandler Medical Center. The stroke program was the first in the region to offer the Merci Retrieval System – a leading-edge tool for removing potentially lethal blood clots in the brain.
The UK Neurology Department boasts one of the region’s only Level IV Epilepsy Center as recognized by the NAEC. The adult Epilepsy Monitoring Unit (EMU) is a dedicated 6-bed unit in the Chandler Medical Center with the latest diagnostic monitoring equipment to accurately diagnose the causes of epileptic seizures allowing the physicians to create a more accurate treatment plan. A dedicated 3-bed pediatric EMU exists within the Kentucky Children’s Hospital and provides the same high-quality care as its adult counterpart.
Headache and Pain Clinic
Another excellent program within the Neurology Department is the Headache and Pain Clinic. The Headache and Pain Clinic is the only comprehensive headache clinic accredited by UCNS in the state. From an academic standpoint, this prestigious clinic is one of only 20 in the country that provides advanced training in Headache Medicine to eligible physicians.
There are approximately 20 clinical trials running concurrently in addition to faculty members with wet labs for basic/translational science research, and 3 PhD-level Neuropsychologists. Additional exciting clinical trials involving cannabidiol oil (CBD) are currently pending action by the Kentucky legislature to make cannabidiol oil available for use in these potentially ground-breaking research studies.
The Sanders-Brown Center on Aging houses the National Institute on Aging-funded University of Kentucky Alzheimer’s Disease Center (UK-ADC). The UK-ADC has created a vigorous program in the clinical, neuropathological, educational, and research aspects of Alzheimer’s disease, which serves as a critical resource for the university, community, state, and nation.
The UK Neurology Department offers LCME accredited educational programs for third and fourth year medical students, ACGME accredited residency programs in adult and pediatric neurology, and post-residency clinical fellowships. Also offered are 4-week clinical observer positions to candidates (US and international) who are interested in learning the practice of neurology at the UK medical facilities.
Fellowship opportunities are available in the following fields:
• Headache Medicine
• Movement Disorders
• Vascular Neurology
Additionally, a postdoctoral residency in Clinical Neurophysiology is offered.
The University of Kentucky has more than 100 UK affiliated with UK Albert B. Chandler Hospital, Kentucky Children’s Hospital and UK HealthCare Good Samaritan Hospital whom appear on the Best Doctors in America® list for 2014 – more than any other hospital in Kentucky. Only 5 percent of doctors in America earn this prestigious honor, decided by impartial peer review.
Kentucky Neuroscience Institute
The UK HealthCare System has identified 4 service lines as strategic pillars of growth: cardiology, surgery, neuroscience and cancer. The UK HealthCare neuroscience service line is effectively integrated within The Kentucky Neuroscience Institute (KNI) and includes the full spectrum of adult and pediatric neurology, neurosurgery physicians, and associated researchers into a seamless health care delivery model for neurologic care. The KNI also serves as a regional referral center.
Department of Pediatrics
Located within the Kentucky Children’s Hospital, the Department of Pediatrics is home to 81 pediatric specialists and more than 300 pediatric nurses working in 24 areas, as well as respiratory therapists, dietitians, social workers and pharmacists, all of whom are dedicated to caring for children. Dr. Carmel Wallace, Jr., an accomplished general pediatrician, serves as Chair of the Department of Pediatrics.
Three combined residency training programs are available:
- Internal Medicine and Pediatrics
- Pediatrics, Psychiatry and Pediatric Psychiatry
- Pediatric Neurology
The UK Pediatrics Department considers collegial interaction among residents in all training programs to be a strength. Residents also participate in quality improvement and scholarly activities, have the opportunity to go to local and national academic meetings, participate in research and to work with mentors to develop their future careers. Additionally, the Pediatrics Department offers a Neonatal-Perinatal Medicine Fellowship. Accredited by the ACGME and the AAP, the Neonatology Fellowship is focused on training physician-scientists expecting to pursue a career in academic medicine with a research focus.
The Makenna David Pediatric Emergency Center, completed in 2011, is the only 24-hour pediatric emergency and trauma care center in Eastern Kentucky; additionally, the facility is the only such ER in the state that has been verified as a pediatric level I trauma Center by the American College of Surgeons Committee on Trauma. Inpatient admissions at Kentucky Children’s Hospital each year number roughly 5,000 with about 3,500 non-ICU floor admissions, 700 PICU admissions, 750 NICU admissions and 1,400 admissions to the newborn nursery. There are approximately 84,000 outpatient and clinic visits each year throughout the Department of Pediatrics. Patients are admitted by pediatrics, pediatric surgery, other surgical subspecialties, neurology and pediatric dentistry.
University of Kentucky College of Medicine
The University of Kentucky College of Medicine was founded as a public program in 1956 and is accredited by the Liaison Committee on Medical Education (LCME). The Kentucky Medical Curriculum, a national model, relates scientific principles and concepts to the prevention of disease and to the delivery of modern, compassionate medical care. Because students with diverse backgrounds and interests pursue a variety of medical careers, the curriculum provides the knowledge and skills essential for further professional development. Admission to the UK College of Medicine continues to be competitive with more than 2,500 applicants from across the Commonwealth of Kentucky and the nation applying annually for 136 positions in each class.
Robert DiPaola M.D., Dean of the College of Medicine
- Dr. DiPaola previously served as leader of the Rutgers National Cancer Institute-designated Comprehensive Cancer Center, where he increased extrernal research funding to more than $100 million annually
- He will oversee the entire medical school come Spring 2016, which includes the education of future physicians and scientists, all clinical and basic science research, and the clinical services provided by UK physicians.
David J. Moliterno, M.D., Vice Dean for Clinical Affairs
- Dr. Moliterno oversees all matters related to the clinical services offered by the College of Medicine’s faculty. Dr. Moliterno also serves as Chair of Internal Medicine.
Alan Daugherty, Ph.D., D.Sc., Senior Associate Dean for Research, and James W. Geddes, Ph.D. Associate Dean for Research
- Drs. Daugherty and Geddes oversee the COM Office of Research that provides a complete range of services for stimulating research in a compliant environment.
Charles H. Griffith, III, M.D., Senior Associate Dean for Medical Education
- Dr. Griffith oversees all aspects of the Office of Medical Education, including medical student admissions, student affairs, curriculum, student evaluation and program assessment; Graduate Medical Education; the Clinical Skills Training and Assessment Center; and the combined degree programs: M.D./Ph.D., B.S./M.D., M.D./MBA, M.D./MPH.
The UK College of Medicine also encompasses two core research entities: the Small Molecule Mass Spectrometry Laboratory directed by Andrew Morris, PhD, and the Medical Imaging Technologies and Resources for Human Research, directed by Peter Hardy, PhD.
The productivity of the College’s faculty has led to impressive gains in research funding. Grants and contracts in the College of Medicine reached $134.8 million in fiscal year 2010, including in excess of $88 million in National Institutes of Health (NIH) funding. Coupled with the UK Center for Clinical and Translational Science’s recent Clinical and Translational Science Award from the NIH, UK is part of a select national biomedical research consortium and is on the way to becoming a top 20 research institution. Noteworthy facts about UK’s research infrastructure and statistics include:
- Grants and contracts in the College of Medicine reached $98.9 million in fiscal year 2013, (July 1, 2012 to June 30, 2013) including in excess of $50 million in National Institutes of Health (NIH) funding.
- In federal fiscal year 2012, (October 1, 2011 to September 30, 2012) UK received 58 percent of the NIH research funding granted to Kentucky medical schools.
- The College of Medicine accounts for more than 49.79 percent of UK’s grants and contracts.
- Currently, the college has more than 245,000 net square feet of research space.
- In 2011 the NIH awarded UK’s Center for Clinical and Translational Science $20 million to move research discoveries to health care solutions more quickly. Awarded through the NIH’s institutional Clinical and Translational Science Awards, this designation makes UK’s Center for Clinical and Translational Science a part of a select national biomedical research consortium.
Established in 1957, UK HealthCare is committed to the pillars of academic health care: research, education and clinical care. Dedicated to the health of the people of Kentucky and surrounding regions, UK HealthCare strives to provide the most advanced patient care and serve as an information resource to the Commonwealth as a whole. UK HealthCare represents the hospitals, clinics, outreach locations, and patient care services and activities of the university’s six health profession colleges:
- College of Dentistry
- College of Health Sciences
- College of Medicine
- College of Nursing
- College of Pharmacy
- College of Public Health
Since 2003, UK HealthCare has grown from an academic medical center (AMC) at the 25th percentile, in terms of patient volume compared to AMCs nationwide, to a center above the 75th percentile. This growth has placed UK HealthCare at the top of the fastest growing AMCs nationwide. Additionally, the acuity of patients seeking our care has also risen and UK HealthCare’s case mix index – an indicator of the severity and complexity of the patients we treat – now also rivals the nation’s top medical centers.
Oversight for UK HealthCare’s activities is provided by the University of Kentucky Board of Trustees, with particular responsibility placed on members of the board’s University Health Care Committee. The university’s executive vice president for health affairs (EVPHA), Michael Karpf, MD, reports to university President Eli Capilouto. The EVPHA has executive responsibility for UK’s clinical facilities and services, as well as the UK College of Medicine. It is worth noting that the University of Kentucky owns all of the hospitals within the UK HealthCare system.
UK HealthCare offers 80+ specialized clinics, 143 outreach programs and a team of 9,000 physicians, nurses, pharmacists and health care workers dedicated to patient health; the UK physician faculty represents the state’s largest multidisciplinary group practice. The unique capabilities of this multispecialty group practice enable care providers of UK HealthCare to collaborate in multidisciplinary teams for patient care. Such teams are useful for managing complex medical and surgical cases.
Kentucky Children’s Hospital
The Kentucky Children’s Hospital (KCH) is the only facility in Central and Eastern Kentucky dedicated to the expert medical and surgical care of infants, children, and adolescents. KCH admits approximately 5,000 patients per year and is integrated in a child friendly manner within the Albert B. Chandler Hospital. Features of the Kentucky Children’s Hospital include:
- Over 70 attending pediatric physicians
- Over 300 nurses and clinical extenders
- Neonatal Intensive Care Unit (66 beds including levels 2, 3, and 4)
- Dedicated 3-bed EMU with video EEG capabilities
- 9 Portable EEG units shared with adult epilepsy
- Pediatric Intensive Care Unit (12 beds)
- 23-hour Observation (23 beds)
- Pediatric Emergency Center and Trauma Care (24 hour, Level 1)
UK Albert B. Chandler Hospital
UK HealthCare opened the new 1.2 million-square-foot pavilion at UK Albert B. Chandler Hospital in May 2011. Two patient floors with a total of 128 beds (48 intensive care and 80 acute care beds in all private rooms) were the first to open: Floor 6 for neuroscience services; Floor 7 for trauma and acute care surgery patients. The new Pavilion A incorporates the best that medicine has to offer with art, music and landscaping reflective of the spirit of Kentucky. The facility is expected to be completed in phases over the next six to ten years, eventually replacing the original UK Chandler Hospital. The new pavilion also includes:
- The new UK Chandler Emergency Department, home to the only Level 1 trauma center serving Central and Eastern Kentucky
- The Makenna David Pediatric Emergency Center
UK Good Samaritan Hospital
Founded in 1888, the Good Samaritan Hospital has a long tradition of providing exceptional patient care in a community-hospital atmosphere. Its acquisition in July 2007 by UK HealthCare added the resources of a major health care system.
With 302 beds, more than 600 clinical and ancillary staff, and a medical staff of more than 600 physicians, UK Good Samaritan is able to offer a broad range of health care services to meet the needs of the residents of central and eastern Kentucky. The hospital also offers:
- All single-occupancy rooms, ensuring each patient privacy and individual attention
- The second-largest orthopedic and joint replacement program in Kentucky
- A state-of-the-art diagnostic center provides walk-in appointments for MRI and X-ray
- A 50,000-square-foot medical office building is conveniently connected to the hospital by a pedway and is home to specialty physicians including orthopedics, internal medicine and plastic surgery.
The University of Kentucky has had an active telehealth program since 1995. UK was the first to implement telehealth in the state of Kentucky, and Kentucky was the first state in the country to get mandated Medicare/Medicaid reimbursement for telehealth.
- Roughly 7,000 clinical encounters per year
- Appalachia region is a large base from which many telehealth patients come
- 200+ facilities in the state have telehealth capabilities
The University of Kentucky College of Medicine is located in Lexington, Kentucky, the second-largest city in the commonwealth. Based in the heart of the Kentucky bluegrass region, Lexington’s fertile soil, excellent pastureland, and numerous horse and stock farms all lend to its apt “Horse Capital of the World” nickname. A closer look at Lexington, though, reveals a city with much to boast of beyond the horseracing that has made the city famous.
According to the 2014 US Census Estimate, the city of Lexington had a population of 310,797. While horseracing is a billion-dollar industry in the Bluegrass County, Lexington has also emerged as one of a handful of leading American cities in economic growth due to a concerted effort to diversify the area’s economy toward more manufacturing and high-technology ventures. More than 100 major companies have headquarters or facilities located in Lexington. Toyota’s multimillion-dollar assembly plant just north of Lexington employs close to 7,500 workers. Xerox, Lexmark International, Lockheed-Martin and IBM, all Fortune 500 companies, have strong presences in the area.
Lexington, KY, also offers a bevy of entertainment options and extra-curricular activities. Lexington’s list of thriving arts organizations includes a professional orchestra, two ballet companies, professional theatre, several museums, several choral organizations and a highly respected opera program at the University of Kentucky. Fans of athletics need look no further than the Kentucky Wildcats men’s basketball team. The fabled basketball program has won 8 NCAA championships and is the winningest program in college basketball history. Outdoor enthusiasts can revel in the fact that Lexington houses six public golf courses, four dog parks, the Raven Run Nature Sanctuary and the Arboretum, which is a 100-acre preserve adjacent to the University of Kentucky. Let’s not forget about the horseracing, though. Lexington is home to two horseracing tracks: Keeneland, which hosts live races in April and October and is largely unchanged from its 1936 opening, and The Red Mile Harness Track, which is the second oldest track in the nation.
Lexington also makes a great residence for those looking to start or raise a family. Ranked 10th in a list of America’s most educated cities and 13th in terms of literacy rate in the last 10 years, education is no small matter in Lexington. The University of Kentucky sets the bar for the city’s schooling system, with the Fayette County Public School System striving to replicate the university’s success. Lexington was also ranked 6th in America’s Best Value Cities within the last five years, proving that families in the area have access to a strong education while not having to break the bank.