Epileptologist, University of Kentucky
- Neurology - Epilepsy , Neurology - Clinical Neurophysiology, Neurology - Research
- Lexington, Kentucky
The Department of Neurology at the University of Kentucky College of Medicine (UK HealthCare) is seeking a board certified/eligible neurologist with fellowship training in epilepsy/clinical neurophysiology to join the acclaimed UK Comprehensive Epilepsy Program. The incoming epileptologist will provide care to a Kentucky region that is estimated to be home to more than 90,000 patients with epilepsy, the highest prevalence of such cases in the U.S.
The UK Epilepsy Program includes:
The epilepsy faculty position presents an exciting clinical and research opportunity at one of the fastest growing academic medical centers in the country. To accommodate this substantial growth UK HealthCare has recently 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 is the only level 1 trauma center and tertiary referral center within the region. Located within the UK Chandler Hospital is the UK Comprehensive Epilepsy Program, a Level 4 epilepsy center as recognized by the NAEC. The epilepsy program is comprised of four epileptologists/clinical neurophysiologists, three neurosurgeons, three neuropyschologists, a radiologist, and an epilepsy nurse practitioner. The program has a dedicated 6-bed adult Epilepsy Monitoring Unit (EMU), a dedicated 3-bed unit within the Kentucky Children’s Hospital, and 9 portable EEG units shared across the EMUs. EEG laboratory services are available at both the UK Chandler Hospital and the UK Good Samaritan Hospital.
New Chairman of the Department of Neurology Dr. Larry Goldstein, the former Director of the Duke University Comprehensive Stroke Center, is targeting the epilepsy and epilepsy surgery programs as strategic pillars for growth for the Kentucky Neuroscience Institute. An exciting first step was made in late 2014 when Dr. Craig van Horne of UK neurosurgery became the first neurosurgeon in the state of Kentucky to place the seizure-combating Neuropace implant in a patient. As another avenue of growth, the University of Kentucky is exploring the creation of a statewide Epilepsy Network in collaboration with Norton Healthcare to best serve the broad epilepsy patient base. Protocols will be created for rural hospitals to improve care for epilepsy patients, using the flourishing UK Stroke Care Network as a model of success. 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.
The University of Kentucky has been providing specialized epilepsy care for more than two decades. Kentucky is estimated to be home to more than 90,000 people with epilepsy, representing the highest incidence rate of epilepsy within a population in the U.S. Due to the significant number of patients affected, epilepsy represents a strategic opportunity for growth within the institution.
The University of Kentucky Comprehensive Epilepsy Program is recognized by the NAEC as a Level 4 epilepsy center, a designation indicating the facility can provide the highest level of medical and surgical evaluation and treatment for patients with complex epilepsy.
The UK Comprehensive Epilepsy Center offers diagnostic testing and the latest treatments for the management of all forms of epilepsy through outpatient services as well as inpatient care with the latest diagnostic monitoring equipment.
Adult Epilepsy Monitoring Unit (EMU)
- A dedicated 6-bed unit
- 9 portable EEGs shared with the pediatric EMU
- Located in the UK Albert B. Chandler Medical Center
- Equipped 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 unit
- Located within the Kentucky Children’s Hospital
- Provides the same high-quality care as its adult counterpart, and an additional 9 portable EEG units are shared between the adult and pediatric epilepsy programs.
Outpatient ambulatory EEG studies are offered through the two UK EEG laboratories; one located at the UK Chandler Hospital and the other at UK Good Samaritan Hospital.
Additional services offered through the Comprehensive Epilepsy Center include:
- Specialized MRI procedures
- WADA tests
- SPECT studies
- Intra-operative mapping with awake craniotomy
- Neuropsychology evaluations
- Neurosurgical consultations
- Epilepsy surgery
- Anti-epileptic drug treatment
- VNS therapy
- Ketogenic diet
The Comprehensive Epilepsy Program is home to a multispecialty team of dedicated professionals focused on improving the lives of patients and families who are living with epilepsy. The program is designed to address the needs of children, adolescents, adults, women of childbearing age and elderly with epilepsy requiring specialized care, taking also into account the needs of their caregivers. In addition to the adult epilepsy leadership shown above, the team is made up of the following:
Qutubuddin G. Khan, MD
Associate Professor of Neurology
Residency: Neurology, M.B.B.S Gandhi Medical College
Fellowship: Neurophysiology, Children’s Hospital of Michigan
Thomas Pittman, MD
- Co-Director, Gamma Knife Radiosurgery Center
- Professor of Neurosurgery and Pediatrics
- Residency: Neurosurgery, St. Louis University Hospital
Craig van Horne, MD, PhD
- Director of the Deep Brain Stimulator Center
- Associate Professor of Neurosurgery
- Residency: Neurosurgery, Brigham and Women’s Hospital/Harvard Medical School
Thomas M. Moriarty, MD, PhD
- Professor of Neurosurgery
- Residency: Brigham and Women’s Hospital/Harvard Medical School
Stephen J. Ryan, MD
- Director, EEG Lab
- Professor of Neurology
- Residency: Neurology, University of Kentucky
- Fellowship: Clinical Neurophysiology and Neuromuscular disease, University of Kentucky
Abdulnasser Alhajeri, MD
- Assistant Professor of Radiology and Neurology
- Residency: Radiology, University College Hospital, Galway, Republic of Ireland
- Fellowship: Neuroradiology, University of Texas Southwestern
- Fellowship: Pediatric Neuroradiology, Children’s Medical Center Dallas
- Fellowship: Endovascular Surgical Neuroradiology, Washington University School of Medicine
Dong (Dan) Y. Han, PsyD
- Associate Professor of Neurology
- Program Director, Neuropsychology Service
- Residency: Dreikurs Psychological Services Center, Chicago
Frederick Schmitt, PhD
- Professor of Neurology
Amelia Anderson, PhD
- Assistant Professor of Neurology
Dr. Thomas Pittman, an accomplished neurosurgeon, serves as the Director of the Epilepsy Surgery and the Gamma Knife Radiosurgery program. Dr. Craig van Horne was the first surgeon in Kentucky to place the Neuropace implant in an epilepsy patient. The Neuropace implant is a novel device designed to lessen the frequency and severity of epileptic seizures.
The epilepsy program has ongoing clinical trials that are evaluating the safety and efficacy of various epilepsy treatments. 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.
UK HealthCare is exploring the creation of a statewide Epilepsy Network in collaboration with Norton Healthcare. The goal is to establish protocols for rural hospitals that will improve patient care for pediatric epilepsy, similar to the UK Stroke Care Network. Tremendous opportunity is available through this statewide Epilepsy Network creation.
The addition of Tom Moriarty, a pediatric neurosurgeon from Norton Healthcare, brings the epilepsy program up to 3 qualified surgeons. The incoming epileptologist could have a substantial role in re-energizing an epilepsy surgery program to push beyond the 50 epilepsy surgeries performed in 2011.
The Shriner’s Hospital, located just outside of downtown Lexington, is relocating to the UK medical campus with an anticipated start date of May 2017. The Shriner’s Hospital will bring a wealth of patients and new 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
- Stroke Program
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. Additionally, the program garnered the AHA/ASA “Get With The Guidelines” Stroke Gold Plus Quality Achievement Award in April of 2015.
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. 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 HealthCare physicians affiliated with UK Albert B. Chandler Hospital, Kentucky Children’s Hospital and UK HealthCare Good Samaritan Hospital 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.
The UK adult and pediatric neuroscience programs are vital to the citizens of the Commonwealth of Kentucky, who remain medically underserved with respect to neurological care. According to the Kentucky Institute of Medicine’s Comprehensive Statewide Physician Workforce Study – 2007, Kentucky had 150 neurologists, resulting in an average of 3.57 neurologists per 100,000 population compare to the national average of 4.4 per 100,000.
From a research standpoint, the KNI supports ongoing clinical trials as well as a number of basic science and translational research initiatives. Research funding for the Kentucky Neuroscience Institute totaled nearly $5 million in 2014.
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.
Frederick C. de Beer, M.D., Dean and Vice President for Clinical Academic Affairs
- Dean de Beer oversees the entire medical school, which includes the education of future physicians and scientists, all clinical and basic science research, and the clinical services provided by UK physicians. Dean de Beer also holds a faculty appointment as professor of Internal Medicine.
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
Lexington Veteran Affairs Medical Center
The Lexington Veterans Affairs Medical Center was established in 1931 and is accredited by The Joint Commission. Affiliated with the University of Kentucky College of Medicine, the Lexington VAMC is designated as the Polytrauma Site for the VA MidSouth Healthcare Network (VISN 9); a team of experts coordinate care and services across the network for severely injured soldiers. The facility has 199 beds across two divisions, Leestown and Cooper, with community based outpatient clinics located in Berea, Hazard, Morehead, and Somerset. The veteran population in Lexington’s primary service area is estimated at more than 83,000.
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.