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Dr. Marilou I. Ching, MPH, MD, FACP

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(Dr. Marilou Ching, MD)

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Specializes in: Neurology (Brain & Spinal Cord Disease)

Far Eastern University, Nicanor Reyes Medical Foundation (1985)

Professional interests include: stroke, neurological disorders

1001 Main Street 4th Floor
Williamsville, NY 14203

(716) 829-5063

Dr. Marilou I. Ching, MPH, MD, FACP is a neurologist in Buffalo, NY specializing in neurology (brain & spinal cord disease). She graduated from Far Eastern University, Nicanor Reyes Medical Foundation in 1985 and has 41 years of experience. Dr. Marilou I. Ching, MPH, MD, FACP is affiliated with University at Buffalo - Jacobs School of Medicine and Biomedical Sciences, Kaleida Health and UBMD Physicians' Group.

Office Locations

100 High Street
Buffalo, NY 14203

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UBMD Physicians' Group

1001 Main Street 4th Floor
Buffalo, NY 14203

(716) 932-6080

(716) 829-3010

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Kaleida Health

1001 Main Street 4th Floor
Williamsville, NY 14203

(716) 829-5063

(716) 829-5051

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University at Buffalo - Jacobs School of Medicine and Biomedical Sciences

1010 Main Street 2nd Floor
Buffalo, NY 14202

(716) 932-6080

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5851 Main Street Ubmd Stroke Division
Williamsville, NY 14221

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Some issues Dr. Marilou I. Ching, MPH, MD, FACP can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2012 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

hospital care	368
inpatient care	368

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2013 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

hospital care	283
inpatient care	283

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	96
Female	95

**Ethnicity**
Non-Hispanic White	143
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	67
85 and over	46
Less than 65	26

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2013

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	68
Depression	28
Chronic Kidney Disease	38
Asthma	11
Osteoperosis	9
Atrial Fibrilation	35
Heart Failure	42
Chronic Obstructive Pulmonary Disease	29
Diabetes	47
Dementia	26
Cancer	16

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2014 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

doctor visit	16
hospital care	187
inpatient care	187

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	66
Female	77

**Ethnicity**
Non-Hispanic White	110
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	41
From 75 to 84	44
85 and over	35
Less than 65	23

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2014

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	57
Depression	24
Chronic Kidney Disease	46
Asthma	9
Osteoperosis	9
Atrial Fibrilation	39
Heart Failure	43
Chronic Obstructive Pulmonary Disease	25
Diabetes	41
Dementia	32
Cancer	14

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

doctor visit	34
hospital care	221
inpatient care	221

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	168
Female	186

**Ethnicity**
Non-Hispanic White	236
Black	94
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	116
From 75 to 84	94
85 and over	84
Less than 65	60

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2015

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	52
Depression	29
Chronic Kidney Disease	45
Asthma	16
Osteoperosis	0
Atrial Fibrilation	34
Heart Failure	40
Chronic Obstructive Pulmonary Disease	25
Diabetes	49
Dementia	27
Cancer	12

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

doctor visit	43
hospital care	167
inpatient care	167

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	64
Female	89

**Ethnicity**
Non-Hispanic White	103
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	41
85 and over	36
Less than 65	29

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2016

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	58
Depression	33
Chronic Kidney Disease	50
Asthma	40
Osteoperosis	8
Atrial Fibrilation	40
Heart Failure	39
Chronic Obstructive Pulmonary Disease	34
Diabetes	49
Dementia	29
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

doctor visit	16
hospital care	179
inpatient care	179

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	66
Female	91

**Ethnicity**
Non-Hispanic White	126
Black	20
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	46
85 and over	44
Less than 65	27

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2017

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	57
Depression	40
Chronic Kidney Disease	53
Asthma	10
Osteoperosis	11
Atrial Fibrilation	29
Heart Failure	38
Chronic Obstructive Pulmonary Disease	29
Diabetes	46
Dementia	29
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

hospital care	155
inpatient care	155

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	55
Female	78

**Ethnicity**
Non-Hispanic White	86
Black	32
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	41
From 75 to 84	39
85 and over	26
Less than 65	27

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2018

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	65
Depression	37
Chronic Kidney Disease	58
Asthma	11
Osteoperosis	12
Atrial Fibrilation	29
Heart Failure	41
Chronic Obstructive Pulmonary Disease	32
Diabetes	50
Dementia	27
Cancer	16

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

hospital care	157
inpatient care	157

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	58
Female	68

**Ethnicity**
Non-Hispanic White	101
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	37
From 75 to 84	38
85 and over	36
Less than 65	15

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2019

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	65
Depression	33
Chronic Kidney Disease	61
Asthma	11
Osteoperosis	0
Atrial Fibrilation	38
Heart Failure	50
Chronic Obstructive Pulmonary Disease	31
Diabetes	45
Dementia	27
Cancer	18

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

doctor visit	18
hospital care	161
inpatient care	161

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	54
Female	69

**Ethnicity**
Non-Hispanic White	93
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	37
85 and over	28
Less than 65	18

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2020

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	67
Depression	38
Chronic Kidney Disease	59
Asthma	0
Osteoperosis	13
Atrial Fibrilation	25
Heart Failure	52
Chronic Obstructive Pulmonary Disease	28
Diabetes	46
Dementia	41
Cancer	13

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

doctor visit	25
hospital care	137
inpatient care	137

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	66
Female	57

**Ethnicity**
Non-Hispanic White	97
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	36
85 and over	28
Less than 65	19

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2021

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	59
Depression	30
Chronic Kidney Disease	57
Asthma	10
Osteoperosis	9
Atrial Fibrilation	33
Heart Failure	54
Chronic Obstructive Pulmonary Disease	28
Diabetes	46
Dementia	31
Cancer	20

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

doctor visit	20
hospital care	220
inpatient care	220

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	89
Female	75

**Ethnicity**
Non-Hispanic White	135
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	50
From 75 to 84	55
85 and over	36
Less than 65	23

Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP in 2022

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	49
Depression	29
Chronic Kidney Disease	45
Asthma	13
Osteoperosis	11
Atrial Fibrilation	43
Heart Failure	45
Chronic Obstructive Pulmonary Disease	39
Diabetes	49
Dementia	18
Cancer	20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Marilou I. Ching, MPH, MD, FACP for Medicare patients.

The highest averages for the top procedures that Dr. Marilou I. Ching, MPH, MD, FACP treated as a neurologist in Buffalo, NY were hospital care and inpatient care.

doctor visit	24
hospital care	203
inpatient care	203

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP.

**Gender**
Male	71
Female	80

**Ethnicity**
Black / African American	19
Asian / Pacific Islander	0
Non-Hispanic White	111
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	45
85 and over	36
Less than 65	24
65 to 74	45

Average of Total of Conditions of Medicare patients treated by Dr. Marilou I. Ching, MPH, MD, FACP From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Marilou I. Ching, MPH, MD, FACP treated were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	68
High Cholesterol	68
Stroke	68
Ischemic Heart Disease	54
Depression	29
Chronic Kidney Disease	46
Asthma	11
Osteoporosis	7
Heart Failure	40
Chronic Obstructive Pulmonary Disease	27
Diabetes	42
Atrial Fibrillation	31
Cancer	14
Dementia	26

Education & Training

Dr. Marilou I. Ching, MPH, MD, FACP graduated from Far Eastern University, Nicanor Reyes Medical Foundation in 1985. She completed residency at SUNY, University at Buffalo Affiliated Hospitals. She has a state license in New York.

Medical School: Far Eastern University, Nicanor Reyes Medical Foundation (1985)

Residency: SUNY, University at Buffalo Affiliated Hospitals (2005)

Licensed In: New York

Affiliations & Hospitals

Dr. Marilou I. Ching, MPH, MD, FACP is associated with these hospitals and organizations:

University at Buffalo - Jacobs School of Medicine and Biomedical Sciences

Kaleida Health

UBMD Physicians' Group

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Marilou I. Ching, MPH, MD, FACP appears to accept the following insurance providers: Group Health Incorporated (GHI), MVP Health Care, WellCare, Aetna, Railroad Medicare, UnitedHealthcare, MagnaCare, United Healthcare, Medicare, Medicaid, Cigna, Veterans Administration, Fidelis Care, Molina Healthcare, TRICARE, Coventry, Lifetime Benefit Solutions / RMSCO, Independent Health Medisource, Community Blue (HMO), Sisters Health Care, Better Health Plan, Inc. (HMO), Univera Community Health, North American Administrators, Sisters Health Care Empire Plan, Empire, Martin's Point Healthcare, Todays Options, Nofault, YourCare, Kalos Health, Independent Health Association (HMO), Nova, Preferred Care, Blue Cross & Blue Shield of WNY Inc, Univera Health Care (HMO) and Community Blue Advantage.

Insurance Accepted by Provider includes:

According to our sources, Dr. Marilou I. Ching, MPH, MD, FACP accepts the following insurance providers:

Group Health Incorporated (GHI)

MVP Health Care

WellCare

Aetna

Railroad Medicare

UnitedHealthcare

MagnaCare

United Healthcare

Medicare

Medicaid

Cigna

Veterans Administration

Fidelis Care

Molina Healthcare

TRICARE

Coventry

Lifetime Benefit Solutions / RMSCO

Independent Health Medisource

Community Blue (HMO)

Sisters Health Care

Better Health Plan, Inc. (HMO)

Univera Community Health

North American Administrators

Sisters Health Care Empire Plan

Empire

Martin's Point Healthcare

Todays Options

Nofault

YourCare

Kalos Health

Independent Health Association (HMO)

Nova

Preferred Care

Blue Cross & Blue Shield of WNY Inc

Univera Health Care (HMO)

Community Blue Advantage

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Marilou I. Ching, MPH, MD, FACP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$1,181 BRILINTA $1,181
Genentech USA, Inc.	$128 $128
Boehringer Ingelheim Pharmaceuticals, Inc.	$118 Pradaxa $108	Aggrenox $11
Medtronic Vascular, Inc.	$96 Reveal LINQ $96
Janssen Scientific Affairs, LLC	$78 XARELTO $78
Other	$155 XARELTO $52	Nuedexta $27	Rebif $23	Neupro $14	VNS Therapy $14	Other $25

**Types of Payments**
Food and Beverage	$835
Travel and Lodging	$702
Consulting Fee	$210
Education	$8

Research Payments

Dr. Marilou I. Ching, MPH, MD, FACP has received 40 research payments totaling $134,329.

Biography

Dr. Marilou Ching's area of specialization is neurology (brain & spinal cord disease). In her practice, Dr. Ching focuses on internal medicine, stroke, and neurological disorders. She is affiliated with Kaleida Health and UBMD Physicians' Group. Dr. Ching can accept UnitedHealthcare, Coventry, and Fidelis Care, as well as other insurance carriers. She welcomes new patients at her office inBuffalo, NY as reported by UBMD Physicians' Group. Dr. Ching attended Far Eastern University, Nicanor Reyes Medical Foundation and then went on to complete her residency at International and a hospital affiliated with SUNY, University at Buffalo. She has received the following distinctions: Louis A. and Ruth Siegel Award for Excellence in Teaching; Outstanding Accreditation Award; and American Academy of Neurology Resident Scholarship Award.