Neurology

Neurology is the branch or medicine dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue, such as muscle.

The Division of Neurology at St. Paul's Hospital now comprises a faculty of 12 clinicians and clinician scientists including one basic scientist. Over the past few years there has been an increase in the size of the Division as well as an increase in the subspecialty expertise within the Division. The Division of Neurology at St. Paul's Hospital has continued its longstanding traditions of excellence in clinical teaching and patient care. In addition, active research programs in clinical and basic neurological science have developed as well.

Contact Information
The Division of Neurology
1081 Burrard Street
Vancouver, B.C., V6Z 1Y6 
Email: prout@telus.net 

Head
Dr. Alister Prout, Clinical Assistant Professor and Division Head 

Members
Dr. Robert Keyes, Clinical Professor
Dr. G. Y. Robin Hsiung, Associate Professor
Dr. Milton Wong, Clinical Associate Professor (Emeritus)
Dr. Kristine Chapman, Clinical Associate Professor
Dr. Dean Johnston, Clinical AssociateProfessor
Dr. Matt Kula, Clinical Assistant Professor 
Dr. Alister Prout, Clinical Assistant Professor and Head 
Dr. Ana-Luisa Sayao, Clinical Assistant Professor
Dr. Sara Simpson, Clinical Assistant Professor 
Dr. Jason Valerio, Clinical Assistant Professor 
Dr. Chris Fox, Clinical Instructor
Dr. Charles Tai, Clinical Instructor


The inpatient activities of the Division are based at St. Paul's Hospital. However, active and busy consultative services are maintained at St. Paul's Hospital, Mount St. Joseph's Hospital and B.C. Women's Hospital. Ambulatory Neurology clinics are located in the Rapid Access Clinic and the Medicine Clinic in the outpatient departments at St. Paul's Hospital. A specialized clinic related to the neurological complications of HIV/AIDS is located in the Infectious Disease Clinic at St. Paul's Hospital. As well an ambulatory Neurology Clinic has recently been established in the outpatient department at Mount St. Joseph's Hospital. A wide range of clinical services related to general neurology, HIV/AIDS, cerebrovascular disease/stroke, neuromuscular diseases and multiple sclerosis are provided through these many outpatient clinics. 

The neurophysiology laboratories are located at St. Paul's Hospital and the activity levels within those laboratories have increased over the past 8 years as the size of the Division has increased. EEG, EMG and Evoked Potentials Studies services are provided within these laboratories for all inpatients and outpatients associated with the entire Providence Health Care System. Some intraoperative neurophysiological capabilities exist as part of the neurophysiology laboratory services. Over the past 8 years the numbers and varieties of studies performed in these laboratories has more than tripled. These laboratories provide a significant resource to the entire Providence Health Care community. 

The Division of Neurology at St. Paul's Hospital carries out active undergraduate and postgraduate clinical training. Clinical training includes a Royal College accredited specialty training program in neurology as well as rotating residents from internal medicine, physical medicine and rehabilitation, psychiatry and neuropsychiatry. Medical students from the University of British Columbia and from other universities throughout Canada regularly participate within the Division of Neurology at St. Paul's Hospital. The main research areas are related to clinical problems in neurology and include stroke prevention, acute stroke management, multiple sclerosis therapies, small fiber neuropathy therapies, neurodegenerative disease therapies and genetics of neurodegenerative diseases. 

Teaching

Faculty within the Division of Neurology at St. Paul's Hospital, maintain widespread and substantial contributions to education within the Faculty of Medicine and in the community. 

Both the Undergraduate and Postgraduate Training Program in the Division of Neurology at St. Paul's Hospital are under the direction of Dr. Alister Prout. The Division maintains a significant contribution to the undergraduate medical education program through rotations of medical students on the inpatient, outpatient and consultative services at St. Paul's Hospital. Medical students are primarily from the University of British Columbia, but medical students from other universities in Canada rotate through the Neurology Service at St. Paul's Hospital. The Faculty within the Division of Neurology at St. Paul's Hospital is always rated very highly as to their teaching skills. 

The Division maintains a leading role and a high profile in the teaching of resident trainees at multiple levels. Residents from Neurology, Internal Medicine, Physical Medicine and Rehabilitation, Pediatric Neurology and Psychiatry all rotate through the various services within the Division of Neurology at St. Paul's Hospital. The majority of the residents come from the University of British Columbia. However, residents from other universities in Canada also rotate through the Division of Neurology at St. Paul's Hospital. The Faculty within the Division of Neurology at St. Paul's Hospital is always rated very highly as to their clinical expertise and teaching skills. The St. Paul's Hospital Neurology rotation is highly sought after by residents in all training programs. 

The Division of Neurology at St. Paul's Hospital is also responsible for the training of neurophysiology technology students from BCIT and BC Children's Hospital. These students regularly rotate through the Clinical Neurophysiology Laboratories at St. Paul's Hospital. The St. Paul's Hospital Clinical Neurophysiology rotation is highly sought after by the neurophysiology students. 

Clinical Research

The clinical research in the Division of Neurology at St. Paul's Hospital emphasizes clinical trials and outcomes research. The Division is actively involved in industry sponsored and peer-reviewed research in a number of areas related to central nervous system disease and peripheral nervous system disease. Areas of particular interest are stroke outcomes trials, stroke neuroprotective agent trials, multiple sclerosis drug treatment trials, treatment of diabetic small fiber neuropathies, treatment of HIV/AIDS related peripheral neuropathies and the neurological complications of pregnancy. 

For more information on Neurology, please explore these useful websites: 

ALS Society of Canada 
ALS Society of BC 
Epilepsy - BC 
Epilepsy Canada 
Headache Network Canada 
Muscular Dystrophy BC 
Muscular Dystrophy Canada 
Multiple Sclerosis Society of Canada 
Myasthenia Gravis Association of BC 
Myasthenia Gravis Coalition of Canada 
Canada Neuropathy Association