Clinical Component

Navigating the Clinical Component

The Neurohospitalist serves as the primary inpatient neurology consultant for Memorial Health System. This is a consultative practice with strong interdisciplinary collaboration, and leadership consistently emphasizes quality patient care over volume-driven metrics. You care for a wide range of neurological diagnoses without any outpatient clinic responsibilities.

Clinical Snapshot

Setting: 100% inpatient, hospital-employed

Role: Primary inpatient neurology consultant

Average volume: 5 to 6 consults per day

Busy days: 7 to 10 consults

EMR: Paragon, transitioning to MEDITECH (go-live February 27)

EEG platform: Natus Digital EEG

Primary Responsibilities

  • General neurology consultations
  • Acute stroke evaluations
  • ICU neurology consults
  • Medical and surgical consultations
  • EEG interpretation
  • Lumbar punctures

Daily Volume

Measure Detail
Average consults 5 to 6 per day
Busy days 7 to 10 consults
Workload Well-balanced inpatient census

Physicians manage a variety of neurological diagnoses across the medical, surgical, and ICU services.

Stroke Program

You play an integral role in Memorial's inpatient stroke program. The hospital is a Joint Commission certified Primary Stroke Center with an established telestroke program for support when needed.

  • Joint Commission certified Primary Stroke Center
  • Established telestroke program
  • Acute stroke consultation
  • Shared stroke coverage across the team
  • Collaborative care model

Most patients present outside the thrombolytic treatment window, which produces a balanced consultative practice rather than continuous emergency stroke activations.

ICU Coverage

The ICU operates on an open model. IM Hospitalists run the units alongside the Neurohospitalist, who provides neurology consultation on ICU patients.

Procedures

Expected Not Required
Lumbar punctures EMGs
EEG interpretation Botox clinics
Outpatient procedures

The Emergency Department performs most lumbar punctures, with occasional inpatient LPs needed. EEG interpretation runs on the Natus digital platform.

Clinical Support and Collaboration

The Neurohospitalist works closely with a well-established Hospital Medicine team. Leadership describes this relationship as one of the most important components of the role.

  • Average hospitalist census: 16 to 20 patients per day
  • Approximately 2 to 3 admissions per day per hospitalist
  • Collaboration across Hospital Medicine, Emergency Medicine, Critical Care, Neurosurgery, nursing, and ancillary services

Neuroscience Resources

Current neurological support includes:

  • Neurohospitalists
  • Outpatient neurologists
  • Tele-neurology

Neurosurgery is employed by the health system. Leadership expects continued recruitment and expansion as patient demand grows.

Teaching

Teaching is optional and available for physicians interested in academics, including Family Medicine residents, Emergency Medicine residents, and medical students.

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