Barnes-Jewish Hospital

Barnes-Jewish Hospital (BJH), a premier tertiary referral hospital of about 1,680 beds, is the central facility used in the adult neurology training program. All clinicians practicing in the hospital have faculty appointments in the Washington University School of Medicine. BJH ranked 8th in the nation among hospitals while neurology at BJH was recognized as one of the 7 best clinical neurology services in the country following a systematic assessment of hospitals recently reported in U. S. News and World Report.

The inpatient service at Barnes-Jewish South Campus consists of 59 acute neurological beds in a dedicated neurology unit in addition to 20 beds in a newly constructed Neurology-Neurosurgery Intensive Care Unit, which features its own positron emission tomography (PET) scanner.

Last year the inpatient neurology service at Barnes Hospital had over 2000 admissions, with patients drawn from the community practice of the clinical and full-time faculty, specialty referral clinics, resident clinics, emergency department and transfers from outside hospitals. The Department provides neurological consultations to the Emergency Department and to patients on other services in the hospital, including patients admitted to Barnes-Jewish North Campus (formerly Jewish Hospital). The Neurology Department saw over 2000 new inpatient consultations in 2008. The Department also operates EEG and EMG laboratories for Barnes-Jewish Hospital. In addition, the Mallinckrodt Institute of Radiology provides full neurodiagnostic imaging support, including PET with in-house cyclotrons, MRI, fMRI, CT, angiography and myelography, as well as radiation oncology services.

The outpatient service at BJH is a key part of training in the Medical Center. In 2008 department staff saw over 30,600 outpatients (new and follow-up visits). The residents' neurology clinic at Barnes-Jewish South meets three afternoons a week. Residents evaluated approximately 4100 new and return patients in 2008. Full-time and clinical faculty members supervise each clinic. In addition, residents participate in specialty clinics in neuromuscular diseases, multiple sclerosis, epilepsy, movement disorders, neurological infectious diseases and cerebrovascular diseases, all supervised by faculty members with specific research interests in each of these areas.

In 2008 there were over 19,000 rehabilitation in-patient admissions and outpatient visits to Neurology faculty at The Rehabilitation Institute of St. Louis, including visits to specialty specialty neurorehabilitation units in stroke and spine and head trauma. This facility, on the main campus of the Medical Center on Forest Park Parkway, opened in July, 2001 and offers state of the art facilities for rehabilitation medicine and research.

St. Louis ConnectCare

The St. Louis ConnectCare Medical Center, located two miles from Barnes-Jewish Hospital, provides care for medically indigent people in St. Louis City and St. Louis County. It is an important site for out-patient care with an integrated clinic system providing general neurologic care and evaluation, supported by home care, pharmacy and transportation services. All residents participate on a half day clinic at this site providing continuity care for patients who otherwise might be unable to receive specialty care. Indigent patients from in-patient care at Barnes-Jewish Hospital may be followed at this site to provide enhanced support services. The Neurology Clinic at St. Louis ConnectCare provided 2471 clinic visits in 2000. Each clinic is staffed by two full-time attendings from the faculty.

St. Louis Children's Hospital

The St. Louis Children's Hospital is one of two regional pediatrics hospitals in St. Louis. The hospital is staffed by both full- time academic pediatricians and community pediatricians. There were nearly 700 admissions to the inpatient Neurology Service in 2000, in addition to consultations from other inpatient services and intensive care units. A designated nursing unit serves both Neurology and Neurosurgery. Three rooms are specifically equipped for long term neurophysiological monitoring. There were also over 9000 Pediatric Neurology outpatients visits in 2000.

Shriner's Hospital

A referral clinic for neurological problems focusing primarily on rare genetic disorders and neuromuscular disorders is held twice a month at Shriner's hospital, located in St. Louis County. Referrals come from approximately six Midwestern states and provide broad exposure to rare neurological problems. Residents from the pediatric and adult neurology service with two full-time attendings participate in each of these clinics, seeing 200-300 patients annually.

The BJC Health System

Barnes-Jewish Hospital is part of the BJC Health System which has its roots in the 1992 affiliation of two St. Louis hospitals, Barnes Hospital and The Jewish Hospital of St. Louis. Both were nationally recognized hospitals and affiliated with Washington University School of Medicine. The affiliated organization, Barnes-Jewish, Inc., merged in June 1993 with Christian Health Services, a network of suburban and rural healthcare facilities. The combined organization was named BJC Health System and now encompasses 13 hospitals and 5 skilled nursing facilities in regions of Missouri and Illinois near St. Louis (combined inpatient bed capacity of over 4,500), and has a 30% share of St. Louis' health care market.