Vascular Neurologist, Hazard Hospital, ARH
- Vascular Neurologist
- Neurology - Stroke, Neurology - Vascular, Neurology - General
- Hazard, Kentucky
Stroke Neurology Opportunity
Appalachian Regional Healthcare
Appalachian Regional Healthcare and their flagship location, Hazard Hospital, are seeking a neurologist with advanced training in vascular neurology to join their expanding program to help treat the underserved population of the region. Many years are invested to develop clinical skills as to make an impactful difference in the lives of your patients. This opportunity affords one the benefit of focusing their clinical pursuits at the epicenter of arguably the highest concentration of neurological disorders in the US. The complexity and acuity of cases plays a big factor in the numerous residency programs based at our 350 bed tertiary referral center. We are also closely affiliated with the University Of Kentucky Department Of Neurology, who enables our neurologists with the opportunity to apply for a faculty appointment at UK.
The Appalachian Regional Healthcare System (ARH) is a not-for-profit health system serving 350,000 residents across Eastern Kentucky and Southern West Virginia. Operating 10 hospitals, multi-specialty physician practices, home health agencies, HomeCare Stores and retail pharmacies, ARH is the largest provider of care, single largest employer in southeastern Kentucky and the third largest private employer in southern West Virginia.
According the Appalachia Regional Commission (ARC), a regional economic development agency established by the US Congress in 1965, the 25,000 square mile region that ARH serves contains one the highest concentrations of economically distressed counties in the United States. The catchment population is encompassed by the 11-state region widely known as the ‘Stroke Belt’ or ‘Stroke Alley’ based on the unusually high incidence of stroke and other forms of cardiovascular disease. According to the ARC, high death rates from stroke appear to cluster primarily in Eastern Kentucky, Southern West Virginia and Southeastern Ohio. Other pervasive health challenges include diabetes (triple the national average), lung cancer, colorectal cancer, obesity, mental illness and incidence of drug dependency. Unusually prevalent neurological disorders in addition to stroke, include Huntington’s disease, Myasthenia Gravis and undiagnosed epilepsy. The population is culturally prone to a poor diet, prescription drug dependence and sedentary life style.
It is especially pertinent to note that the area is considered by the U.S. Department of Health and Human Services as Medically Underserved. Thus in cooperation with the US Department State, Immigration Services and Homeland Security, holders of J-1 and H-1B visas may be considered for eligibility to waive the requirement to return to the country of last permanent residence for a period of time prior to applying for a Green Card.
The opportunity, located at the Hazard ARH Regional Medical Center in Hazard, KY (ARH-Hazard) is ideal for the mission oriented neurologist driven to treat complex neurologic disorders and improve the overall health of patients in an area where neurologic care is sorely lacking. As a result, the incoming neurologist will routinely treat cases of such complexity that is rarely seen in other areas of the US, due in part to the successful 1-800-ARH-DOCS program that enables primary physicians in remote areas to consult with an ARH specialist.
Neurologists with training and interests consistent with general neurology will find a supportive and collegial environment consisting of 100 close-knit interdisciplinary oriented physicians. Approximately 60% of the incoming neurologist’s clinical service will be dedicated to the high acuity inpatient consult service at ARH-Hazard with an average patient census of 15-18. The remaining clinical service will be in outpatient clinics adjacent to the hospital or at routinely scheduled outreach clinics located in nearby community locations. Average full day clinics consist of 4 new and 10 follow up patients.
Neurologists with subspecialty training and interests in specific areas will realize large opportunities for clinical growth, including
- Administer TPA individually or via consult with UK Stroke Network
- Access available Doppler ultrasound technologies
- Achieve Primary Stroke Center Certification and regional stroke referral status
- Perform diagnostic angiograms in onsite angiosuite with bi-plane
- Interact with a UK Neurosurgeon during routinely scheduled clinics
- Develop a dedicated inpatient neurology service
- Enhance inpatient rehabilitation service to treat a wide array of stroke patients
- Read routine EEGs from Psychiatric inpatient, ED, ICU and general wards
- Treat adult and pediatric patients including first onset seizure & diagnosed epilepsy
- Develop a continuous EEG monitoring program
- Treat a large backlog of Parkinson’s Disease cases
- Treat the genetic propensity to Huntington’s Disease
- Treat patients using Botox Therapy
- Treat a large backlog of acute Myasthenia Gravis cases
- Read routine EMGs
- Perform lumbar puncture procedures on degenerative spine and other disorders
- Treat patients in the impending Level 3 Trauma Center
Medical Center Overview
The Hazard ARH Regional Medical Center (Hazard-ARH) is a 350-bed, acute-care hospital with an adjacent psychiatric hospital, the ARH Psychiatric Center, with 100 beds is the designated State acute mental health facility for a 21-county region in Eastern Kentucky. Hazard-ARH also serves as a regional tertiary referral center for southeastern KY and WV. Quaternary cases are referred to the University of Kentucky, Lexington.
Hazard ARH also features an Accredited Chest Pain Center supported by open and interventional cardiac surgery; Level II Nursery, Accredited Cancer Center, Accredited Breast Center, Inpatient Physical and Occupational Therapy Specialties and a Sleep Lab. Hazard ARH also participates in the Joint Commission Certified University of Kentucky Neurology Stroke program via the UK Stroke Affiliate Network of 25 affiliate community hospitals spanning Eastern Kentucky and West Virginia. The UK Stroke Affiliate Network equips Hazard ARH neurologists with the ability to provide better emergent care to patients through direct access to UK attending stroke neurologists, including immediate administration of TPA as appropriate within the guidelines of UK Neurology protocol. In broader terms, the UK Stroke Affiliate Network enables Hazard ARH neurologists to better educate their community about ways to minimize the risk of stroke through lifestyle changes that include managing blood pressure and cholesterol levels and stopping tobacco use.
A recently completed $47 million construction project included expansion of the Hazard ARH ICU to a total of 32 beds, and preparation for new service lines including a wound center with hyperbaric chamber and an interventional pain clinic located at a conveniently located ‘medical mall ’. The fully renovated former Walmart location was designed to enhance the outpatient experience through a casual and disarming atmosphere. The renovated medical mall includes various specialty clinics dedicated to VA, psychiatry, eye center and OBGYN patients. The medical mall includes full imaging capabilities and has 20,000 square feet available for growth.
The incoming neurologist will have the opportunity to be considered for a faculty appointment with the University of Kentucky Department of Neurology. The department is the cornerstone of the University of Kentucky's Neuroscience Program and currently has 30 full time faculty with primary appointments and 15 faculty with secondary appointments. Dr. Larry Goldstein is the newly appointed Professor and Chair of Neurology. He is a nationally recognized stroke neurologist, former Chair of AHA Stroke Council, and spokesman for American Stroke Association with more than 650 publications in his career. UK Neurology faculty, regardless of location are supported and encouraged to pursue scholarly goals and interests ranging from recruitment into clinical trials, write articles for peer-review and pursue NIH grants.
UK Center for Rural Health
The Hazard-ARH campus is home to numerous residency and technical training programs, offering the opportunity to provide bedside and classroom instruction, including:
- UK Center of Excellence in Rural Health, includes
- The ACGME accredited East Kentucky Family Medicine Residency
- Doctor of physical therapy degreed program
- Medical Laboratory Sciences
- Bachelor and Master of Social Work
- ASHP accredited Appalachian Regional Healthcare Pharmacy Residency Program
- Lincoln Memorial University AACOM accredited Osteopathic Residency (core rotation)
- The APA accredited Appalachia Regional Healthcare Psychology Internship
- Medical Laboratory Technology training program sponsored by the Hazard Community and Technical College
Perry County Hall of Justice, Downtown Hazard, KY
Hazard is located in the heart of the Appalachian Mountains in Eastern KY. It is found at the crossroads of Highways 15 and 80 and the Hal Rogers Parkway (formerly the Daniel Boone Parkway). From the mammoth caves and lakes of western Kentucky to horse and bourbon country’s rolling hills and the Appalachian Mountains scenic beauty in the east, Kentucky is full of breathtaking natural attractions worth experiencing. It is the home of the longest cave system in the world (367 miles) at Mammoth Cave National Park. The Land Between the Lakes features more than 170,000 acres and 300 miles of undeveloped shoreline. Cumberland Falls State Park is the home to spectacular Kentucky waterfalls as well as the famous "moon bow." Other natural attractions include the Daniel Boone National Forest, the Red River Gorge and dozens of lakes, preserves, Kentucky hiking trails and more.
Hazard, Kentucky, is a great place to live, raise a family, worship, educate children and to do business. The area offers a low cost of living, an affordable housing market, and an opportunity for a physician to truly make a difference in the healthcare of the community. As in most of Eastern Kentucky, the main industry is coal mining, but the city is also focusing now on attracting new industries. Hazard and Perry County offer a variety of recreational facilities and activities, including three city parks with basketball courts, tennis courts, an amphitheater, a picnic shelter, playgrounds, a nine-hole golf course, and volleyball courts. The Hazard Pavilion offers an Olympic-size pool, tennis and racquetball courts, a weight room, and more. Nearby Buckhorn Lake State Park and Carr Creek Lake give visitors many exciting options, such as boating, swimming, and fishing. While various activities occur throughout the year, the entire community especially enjoys Hazard’s four-day celebration of the coal industry, Black Gold Festival, which is held each year in September. Academically, Hazard Independent School (HIS) district consistently ranks in the upper 25% of all Kentucky schools. Hazard High School during the last CATS testing cycle ranked within the top 10% of all Kentucky schools. The elementary, middle and high school teams have won district and regional competitions with many children being able to compete at the state level.Hazard Community and Technical College has its main campus in Hazard. Bachelors and Master degree programs are offered through the University Center of the Mountains, located on the Community College Campus.
Downtown Hazard, KY