Aging and Dementia at Rhode Island Hospital/Brown University

Mission

The Alzheimer’s Disease and Memory Disorders Center at Rhode Island Hospital is a clinical and research facility constituted by the memory disorders clinic in the Department of Neurology and the Neuropsychology program in the Department of Psychiatry and Human Behavior.  Our tri-fold mission is to 1) provide state of the art care for the wide range of people in our community with Alzheimer’s and related dementia disorders, 2) provide educational opportunities and training for future researchers in aging and dementia in both basic laboratory science and clinical neuroscience, and 3) contribute to the advancement of translational research that will someday lead to effective therapies for prevention as well as management of Alzheimer’s disease and related disorders, including the latest and most promising experimental therapies available in clinical trials.  To this end the Aging and Dementia Research Fellowship is established to provide an integrated training program for post-graduate trainees in neurology, psychiatry, geriatric medicine, and neuropsychology who are planning to include clinical research in their career.

Program Goals

The fellowship program is weighted equally toward clinical care and clinical research.  Based upon the American Academy of Neurology Geriatric Neurology Fellowship Core Curriculum, the program is designed to provide a concise yet comprehensive education that will help practitioners’ understand and manage multiple facets of  the wide range of age associated dementia disorders as well as normal aging effects on the brain.

The fellowship will provide a flexible training program in aging and dementia focused on one of three basic tracks in the field of translational research (see below).  We aim to provide the fellow with training in the essentials of study design and methodology that will enable him or her to successfully prepare for an academic career in aging and dementia.  The fellow will learn the basics of grant writing, project development, methods of data collection and management, statistical analysis of data, as well as clinical trial design and conduct, ethics in research, and effective presentation of results in written and verbal communications.

Overview

The Alzheimer's Disease and Memory Disorders Center was established in 1989 to provide specialized consultation for people with a variety of memory disorders. Since then it has become a regional referral center for southeastern New England, serving patients from Connecticut and Massachusetts, as well as Rhode Island.  The Center combines its high quality neurological services with the exceptional neuropsychologic and psychiatric services of Rhode Island Hospital, thus creating a comprehensive diagnostic and treatment center for patients with memory disorders.  In Rhode Island, with its large elderly population, Alzheimer's Disease is particularly common, affecting an estimated 25,000 men and women. As a result, many of the Center's services are tailored to this particular problem.  For more details, see  Aging and Dementia Subspecialty Program

There is currently no cure for Alzheimer’s disease and other degenerative memory disorders, but new treatments are available to help alleviate patients’ symptoms and slow their progression. Innovative research studies are ongoing and are continually shedding new light on these illnesses in the hope that someday soon an effective means of preventing or significantly delaying disease onset will be achieved.   To help accomplish this end we have established a wide-ranging program of collaborative research.  Our primary strengths and focus for fellowship training include the areas of 1) epidemiology and public health, 2) cognitive neuroscience, and 3) neuropathology and laboratory research.  Consequently, the fellow will choose a focus for their training from one of these tracks. 

Length of training

1 - 2 years

Prerequisites

Successful completion of:

1.  An ACGME-accredited Neurology residency, Psychiatry residency, or Geriatric Medicine fellowship, or 

2.  PhD from an APA-approved Clinical Psychology Graduate Program and Internship with specialty training in Neuropsychology

Training schedule

The training schedule is flexible and will be determined by joint agreement between the fellow and the program co-directors, according to the fellow’s specific background and research career goals. 

50% of time will be spent at Rhode Island Hospital under the primary mentorship of Drs. Ott and Tremont, the program directors, and will include clinical evaluations of patients being seen either in the memory clinic of the RIH Department of Neurology on APC 5 or the memory clinic of the RIH Division of Neuropsychology on POB 4. 

The other 50% will be spent doing work in the clinical trials program at the RIH Alzheimer’s Disease & Memory Disorders Research Center on APC 7, as well as primary research at a Brown University campus affiliated program or laboratory in aging and dementia research in one of three tracks:

1.  Epidemiology and Public Health

2.  Cognitive Neuroscience

3.  Neuropathology laboratory research in neurodegeneration

Research time will be divided according to one of two schedules dependent upon the individually defined training program and research project goals

            1.  2.5 days/week at the Rhode Island Hospital Alzheimer’s Disease & Memory Disorders Center + 2.5 days/week at Brown campus or laboratory

            2.  6 months continuous/year at the Rhode Island Hospital Alzheimer’s Disease & Memory Disorders Center + 6 months continuous/year at Brown campus or laboratory

Elective experiences can be arranged as well with the Brown Institute for Brain Science Program, the University of Rhode Island Interdisciplinary Neuroscience Program, the Butler Hospital Memory and Aging Program, and the Providence Veterans Administration Hospital.

3 weeks/year vacation and 1 week/year conference time.

Conferences

Day

Time

Title

Location

Monday, Tuesday, Thursday, Friday

  8:30-

  8:45               

ADMDC research staff daily planning meeting

ADMDC, RIH, APC 7

Tuesday               

  9:00-10:00               

Mentorship meeting

ADMDC, RIH, APC 7

Neuropsychology, POB 4

Wednesday               

  8:00-

  9:30               

Neurology Grand Rounds

George Auditorium, RIH


12:00-

  1:00               

Neuroradiology Conference

Neurology Department Conference Room, RIH, APC 5


  1:00-

  2:00               

Memory Clinic consensus meeting (weeks 1-3)

APC 1 Conference Room, RIH



Monthly Aging and Dementia Research seminar (week 4)

Neurology Department Conference Room, RIH, APC 5


  3:30-

  4:30

Clinical research staff meeting

ADMDC, RIH, APC 7

Thursday

  4:00 –

  6:30               

Neuropsychology Seminar

Butler Hospital

Friday

  TBA

Research Methods Seminar

Butler Hospital

Various days

 Various

 times

Brown Institute for Brain Science Lectures

See weekly schedule:http://events.brown.edu/cal/main/showMain.rdo;jsessionid=21B3F4D19E57844A321D289E8B9ECDAD

Application

A letter of interest, current curriculum vitae and three letters of reference (including one from the current/most recent program director).

Physician applicants should direct their application to:

Dr. Brian R. Ott
Alzheimer’s Disease & Memory Disorders Center
Rhode Island Hospital – APC 7
593 Eddy Street
Providence, RI  02903
Phone: (401)444-5745
FAX: (401)444-6858
Email: BOtt@lifespan.org

Neuropsychology applicants should direct their application to:

Dr. Geoffrey Tremont
The Neuropsychology Program
Rhode Island Hospital
110 Lockwood Street
Providence, RI  02903
Phone: (401)444-4500
FAX: (401)444-6643
Email: GTremont@lifespan.org

Faculty

Lori A. Daiello, PharmD, ScM, BCPP
Assistant Professor of Neurology
Assistant Professor of Health Services, Policy, and Practice Research
Administrator of Clinical Research, The Alzheimer’s Disease and Memory Disorders Center
Rhode Island Hospital

Jennifer D. Davis, PhD
Associate Professor of Psychiatry and Human Behavior
Division of Neuropsychology
Rhode Island Hospital

Suzanne DelaMonte, MD, MPH
Professor of Pathology and Laboratory Medicine
Professor of Neurosurgery
Rhode Island Hospital

John E. Donahue, MD
Associate Professor of Pathology and Laboratory Medicine
Associate Professor of Neurology
Rhode Island Hospital

Elena K. Festa, PhD
Lecturer, Department of Cognitive, Linguistic and Psychological Sciences
Brown University

Michael Friedman, MD
Assistant Professor of Psychiatry and Neurology
Geriatric Neuropsychiatry Consultant, The Alzheimer’s Disease and Memory Disorders Center
Rhode Island Hospital

William C. Heindel, PhD
Professor of Cognitive, Linguistic and Psychological Sciences
Chair of Cognitive, Linguistic and Psychological Sciences
Brown University

Rich Jones, PhD, ScD
Associate Professor of Psychiatry and Human Behavior
Director, Quantitative Science
Departments of Neurology and Psychiatry and Human Behavior
Brown University

Susan Miller, PhD
Professor of Health Services, Policy, and Practice
Center for Gerontology and Health Care Research
Brown University

Brian R. Ott, MD
Professor of Neurology
Program Director, Aging and Dementia Fellowship
Director, The Alzheimer’s Disease and Memory Disorders Center
Rhode Island Hospital

George Papandonatos, PhD
Associate Professor of Biostatistics (Research)
Center for Biostatistics
Brown University

Peter J. Snyder, PhD
Professor of Neurology
Vice President Of Research for Lifespan
Rhode Island Hospital

Edward G. Stopa, MD
Professor of Pathology and Laboratory Medicine
Professor of Neurosurgery
Director, Neuropathology Service
Rhode Island Hospital

Geoffrey Tremont, PhD
Associate Professor of Psychiatry and Human Behavior
Program Co-Director, Aging and Dementia Fellowship
Chief of Neuropsychology
Rhode Island Hospital

Thomas Trikalinos, MD
Associate Professor of Health Services, Policy and Practice
Director, Center for Evidence Based Medicine
Brown University

Support Staff

Michele Astphan, RN
Research nurse manager

Kerstin Calia, RN
Research nurse coordinator

Juliette Belliard
Senior research assistant

Charles Denby
Junior research assistant

Justine Bernier
Junior research assistant

Laura Moynihan
Social worker

Regina Binda
Administrative Assistant, Neurology
Email: RBinda1@lifespan.org

Melanie Renaud
Administrative Assistant, Neuropsychology
Email: MRenaud1@lifespan.org