APPLICATION PROCESS AND REQUIREMENTS
Program Goals
- PGY2 year
- PGY3 year
- PGY4 year
Rotation Goals
- Inpatient Ward Rotation
- Consult Rotation
- Pediatric Neurology Rotation
- EEG/Epilepsy Rotation
- EMG Rotation
- Neuropathology Rotation
- Movement Disorders (elective)
- Psychiatry (elective)
- Neuroradiology (elective)
- NeuroRehabilitation (elective)
- Neurosonology (elective)
Conferences
Rotation and Scholarly Activity Requirements
Program Goals
PGY-2 Year
Knowledge: The resident will develop a fundamental knowledge base covering clinical neurology
and basic neuroscience. Residents will attend the clinical and basic science lectures
and neurology conferences as well as study independently. Reference material for each
rotation will be provided. Knowledge base will be assessed by the Residency Inservice
Training Examination (RITE).
Skills: The resident will develop clinical skills centering on the evaluation and treatment
of patients with neurological diseases. Special attention will be placed on neurological
examination skills, the management of neurology inpatients, and the management of
neurological emergencies. Skills will be assessed at the end of each rotation by the
appropriate attending and during the Mock Oral Examination.
Attitudes: The resident will develop skills in stress management, time management, and interpersonal
relationships with staff, colleagues, and patients. Skills will be assessed at the
end of each rotation by the appropriate attending. Residents will meet with their
faculty advisor each quarter to review their professional development.
PGY-3 Year
Knowledge: The resident will build on the fundamental knowledge base created during the first
year. Areas for improvement will be identified on the previous year's RITE and reviewed
with the resident during their quarterly meeting with the Assistant Program Director.
The resident will continue to attend the clinical and basic science lectures, conferences,
and study independently. Second Year rotations on subspecialty services including
Pediatrics, EEG/Epilepsy, and EMG/Neuromuscular will expand the resident=s knowledge
base in these areas. Knowledge base will again be assessed by the RITE.
Skills: The resident will expand their skills in the evaluation and treatment of patients
with neurological diseases. Special attention will be placed on patients receiving
outpatient neurological evaluations and inpatient neurological consultation. In addition,
subspecialty skills will be emphasized including developing pediatric neurological
examination techniques and fundamental interpretation of EEG and EMG. Skills will
be assessed at the end of each rotation by the appropriate attending and during the
Mock Oral Examination.
Attitudes: The resident will continue to improve their stress and time management skills with
special attention to the busy outpatient clinical setting. Professional development
will be reviewed with their faculty advisor each quarter. In addition, the residents
will work with the Assistant Program Director to develop future plans following residency
including applying for fellowship positions or private practice opportunities.
PGY-4 Year
Knowledge: The resident will again build their clinical and basic neuroscience knowledge base
especially centering on areas for improvement identified on the previous year's RITE.
The resident will continue to attend clinical and basic science lectures, conferences,
and study independently. Special attention will be placed on subspecialty training
on the resident's electives including Neuropathology. Knowledge base will be assessed
for the last time using the RITE.
Skills: The resident will continue to refine their skills in the diagnosis and management
of patients with neurological diseases. Special attention will be placed on supervision
of junior residents. The senior residents should progress toward independency in terms
of their clinical skills and at the end of the year be fully prepared to evaluate
and manage neurological patients without supervision. Skills will be assessed at the
end of each rotation by the appropriate attending and during the Mock Oral Examination.
Attitudes: The resident will continue to develop their stress and time management skills in
all clinical neurological settings. Professional development will again be reviewed
with their advisors on a quarterly basis. The resident will work with the Assistant
Program Director to complete the resident plans after residency including preparing
for fellowships or evaluating private practice job opportunities.
Rotation Goals
Inpatient Ward Rotations
Knowledge: Gain experience in localization of findings on neurological exam. Gain experience
in diagnosis and management of neurological emergencies including status epilepticus,
acute stroke, increased intracranial pressure, meningitis, etc.
Skills: Develop neurological exam skills under guidance of neurology attending. Gain experience
in the inpatient evaluation and management of common neurological problems. Develop
skills in neurological procedures such as lumbar puncture.
Attitudes: Develop time and stress management skills. Develop good professional attitudes in
dealing with patients, families, staff and colleagues.
Consult Rotations
Knowledge: Gain experience in localization of findings on neurological exam. Gain experience
in diagnosis and management of neurological emergencies including status epilepticus,
acute stroke, increased intracranial pressure, meningitis, etc.
Skills: Develop neurological exam skills under guidance of neurology attending. Gain experience
in the inpatient evaluation and management of common neurological problems. Develop
skills in neurological procedures such as lumbar puncture.
Attitudes: Develop time and stress management skills. Develop good professional attitudes in
dealing with patients, families, staff and colleagues.
Pediatric Neurology Rotation (Jim Carroll, M.D.)
Knowledge: Develop clinical knowledge base of pediatric neurological diseases. Gain experience
in the diagnosis and management of pediatric neurological diseases.
Skills: Develop pediatric neurological examination skills. Develop skill in neurological
procedures involving children including lumbar puncture.
Attitudes: Develop good professional attitudes in dealing with pediatric neurology patients,
their families, staff and colleagues.
EEG/Epilepsy Rotation (Anthony Murro, M.D.)
Knowledge: Expand basic clinical knowledge base in the diagnosis, evaluation and treatment of
various epilepsies including the pathophysiology of epilepsy, EEG, antiepileptic neuropharmacology,
and potential surgical therapies.
Skills: EEG interpretation including video intensive monitoring for diagnosis and localization
of seizures.
Attitudes: Develop good professional attitudes in dealing with patients with chronic illnesses
such as epilepsy. Develop good working relationships with the other members of the
epilepsy service including support staff, technicians and nurses.
EMG Rotation (Michael Rivner, M.D.)
Knowledge: Expand basic clinical knowledge base in the diagnosis, evaluation, and treatment
of various neuromuscular and peripheral nervous system disorders including a fundamental
understanding of EMG. Strengthen knowledge base of the peripheral nervous system.
Skills: EMG interpretation including the needle exam.
Attitudes: Develop good professional attitudes in dealing with patients, EMG technicians, and
support staff.
Neuropathology Rotation (Richard Hessler, M.D., Dept. of Pathology)
Knowledge: Expand basic knowledge of neuropathology and neuroanatomy including the neuropathological
findings in various neurological disorders including brain tumors, degenerative diseases
of the nervous system. CNS infections, etc. Gain experience and knowledge in the different
neuropathological tests available including different staining techniques, EM, PCR,
and their role in neuropathological diagnosis.
Skills: Develop skills recognizing the neuropathological characteristics of different neurological
disorders under the direction of the attending.
Attitudes: Develop good professional relationships with the neuropathological support staff
and technicians.
Movement Disorders (Kapil Sethi, M.D.)
Knowledge: Expand basic knowledge base of movement disorders including the characteristics of
normal and abnormal movements, the diagnosis of specific movement disorders such as
Parkinson's Disease, Dystonia, Myoclonus, Chorea, etc., and the diagnostic evaluation
and treatment of common movement disorders including BoTox, deep brain stimulation,
and pallidotomy.
Skills: Expand clinical skills in the clinical examination of movement disorders, interpretation
of diagnostic tests, such as neuroimaging and EMG, and treatment procedures such as
BoTox injections.
Attitudes: Develop good personal relationships with the patients, support staff, and nurses.
Psychiatry -- elective
Knowledge: Expand basic knowledge base of the diagnosis, evaluations, and treatment of different
psychiatric disorders.
Skills: Develop skills in the psychiatric examination.
Attitudes: Develop good professional relationships with psychiatrists, psychiatric patients,
support staff and nurses.
Neuroradiology -- elective (Ramon Figueroa-Ortiz, M.D., Dept. of Radiology)
Knowledge: Expand basic knowledge of the different neuroimaging procedures (IE, CT, MRI, Arteriography)
and the neuroimaging findings of various neurological disorders.
Skills: Refine skill in the interpretation of neuroimaging.
Attitudes: Develop good professional relationships with the neuroradiologists, radiology
technicians, and support staff.
NeuroRehabilitation -- elective
(Pamela Salazaar, M.D. Walton Rehabilitation Hospital)
Knowledge: Expand knowledge base in the rehabilitation of neurological patients with chronic
and acute illnesses including designing appropriate rehabilitation programs for individual
patients.
Skills: Develop clinical examination skills in assessing response to treatment and coordinating
a multidisciplinary approach to rehabilitation.
Attitudes: Develop good professional relationships with rehabilitation physicians, patients,
therapists, and support staff.
Neurosonology -- elective (Dr. Fenwick Nichols)
Knowledge: Expand clinical knowledge base in the diagnosis, evaluation, and management of patients
with cerebral vascular diseases including the use of TPA in acute stroke.
Skills: Expand clinical skills in the diagnosis of stroke including neuroimaging, Carotid
Doppler and Transcranial Doppler interpretation.
Attitudes: Develop good professional relationships with stroke patients, neurosonology technicians,
and other support staff.
| Required - General | |||
| Morning Report | Mon, Tues, &Thu | 7:30-8:00 am | Neuro Library |
| Fri | 8:00-8:30 am | Neuro Library | |
| Grand Rounds | Thur | 8:00-9:00 am | 3 West Amph. |
| Neuroradiology | Wed | 7:30-8:00 pm | Neuro Library |
| Neuroanatomy | Fri (Aug to Nov) | 7:00-8:00 am | 3 West amph |
| Resident Lecture | Mon | noon-1:00 pm | 3 West amph |
| Fri | 7:00-8:00 am | 3 West Amph | |
| M & M Conference | Thur (wk2) | 12:00-1:00 pm | 3 West Amph. |
| Journal Club | Wed (last wk) | 5:00-6:00 pm | 3 West amph |
| Professor Rounds | Thur | 11:00-12:00 pm | 3 West Amph. |
| Visiting Professors | Thur | TBA | TBA |
| Rounds | |||
| Child Neurology | Tues | 1:00-2:00pm | 3 West Amph |
| Neuropathology | 2nd Fri. | 10:00-11:00 pm | Path Lab |
| Subspecialty | |||
| Stroke | Thur (wk4) | 12:00-1:00 pm | 3 West Amph |
| Neuromuscular | Tue (wk4) | 12:00-1:00 pm | 3 West Amph |
| EEG | Thur (wk 1) | 12:00-1:00 pm | 3 West Amph |
* All conferences are on a weekly basis, except those specified.
Rotation and Scholarly Activity Requirements
During the 36 required months of the Neurology Residency the resident shall
have:
a minimum of 12 months of inpatient ward and/or inpatient consult experience
a minimum of 6 months of outpatient neurology
a minimum of 3 months EMG/ Neuromuscular experience
a minimum of 3 months Pediatric Neurology experience
a minimum of 2 months of Neuropathology
a minimum of 3 months EEG/ Epilepsy experience
Residents will be involved in scholarly activity such as independent research or in depth review of a neurologic topic of special interest to the resident. This scholarly activity will be presented to the department at a Grand Rounds conference.
| Askiel Bruno, M.D. Director, Residency Program Professor Department of Neurology |
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