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Neurology - Curriculum

The Einstein Healthcare Network Neurology Residency Program is structured to ensure that each resident has the opportunity to acquire the knowledge, clinical skills, interpersonal skills, professional attitudes and behaviors, and experience required to become an outstanding neurologist. The neurology residency program provides a comprehensive core curriculum in neurology. This is accomplished through supervised daily patient care activities as well as high-quality didactic educational experiences. For each required and elective rotation, our written curriculum defines the educational purpose, training objectives, principal teaching methods, educational content, educational methods, and evaluation methods. A sample block rotation schedule of the three-year training experience within neurology can be viewed under clinical rotations.

The didactic curriculum is a three-year cycle of lectures with the first year focused on neuroanatomy, the second year on neurophysiology and the third year on neurochemistry and neuropharmacology. Neurodevelopment also is included.

Neurology Grand Rounds or Neuroradiology conferences occur every Friday morning. These Friday sessions are mandatory for all residents and faculty. Each second and third year resident will be expected to present one in-depth discussion at Grand Rounds each year.

Noon conferences are held daily consisting of clinical case discussions using the AAN Continuum, Journal Club, and electrophysiology, ophthalmology, neuro-ophthalmology, psychiatry or basic science lectures.

Residents will be required to submit at least one manuscript to a peer-reviewed journal during their second or third year of neurology residency. Residents are encouraged to participate in an ongoing research project or to generate their own plan and project. Residents are also encouraged to participate in ongoing multi-center trials for patient recruitment and assessment when feasible.

Sample Rotation Schedule

We used the (x+ y) model for our clinical rotations. We meet the ACGME requirement of at least 12 weeks of Elective over 3 years, 12 weeks Pediatric neurology over 3 years, 4 weeks of Psychiatry, 6 months of Inpatient service.

Outpatient Continuity Clinic is held every 6 weeks at least and a total of 40 clinics per year for each resident.

37 weeks are divided up between essential services (Inpatient, Consult, Inpatient senior, Night Float, Admitting Resident, Child Neurology and Inpatient Attending rotations) and the elective services (EMG, EEG, Psychiatry, Elective of choice, Neuropathology. Radiology-Pathology).

10 weeks of clinic block divided between multispecialty clinic in the AM (Neuromuscular, Epilepsy, Multiple Sclerosis, Stroke, Dementia - in plan) and continuity clinic in the PM.

3 weeks of vacation each year and 1 week during the Holiday season.

Neurology Curriculum: Schedule at a Glance

 PGY-2  PGY-3  PGY-4
13 weeks Inpatient 4 weeks Inpatient 2 weeks Inpatient Senior
8 weeks Consult 4 weeks Consult 3 weeks Inpatient Attending 
2 weeks EEG 6 weeks Night Float 4 weeks Consult
2 weeks Movement/Elective 8 weeks Peds Neuro 4 weeks Peds Neuro
6 weeks Night Float 5 weeks Elective/Selective 2 weeks EEG
4 weeks Admitting Resident 2 weeks EEG 2 weeks EMG
2 weeks Elective 4 weeks EMG 2 weeks Cognitive
10 weeks Clinic 2 weeks Pathology 5 weeks Elective
   4 weeks ED Consult/Critical Care 4 weeks Psychiatry
  10 weeks Clinic  2 weeks Radiolgy Pathology
     2 weeks ED Consult/Critical Care 
     5 weeks Night Float
     10 weeks Clinic

Elective Choices: EMG, EEG, Sleep clinic, Neuroradiology, Neurosurgery, Psychiatry, Cognitive, Neurocritical care, Movement Disorder, Neuro-ophthalmology, Neuropathology, Headache.

A Typical Day: Neurology Residency

Daily Inpatient Schedule

6:30 - 8:15 AM     Sign out and pre-round on your patients
8:15 - 8:45 Morning report
8:45 - 10:30 Radiology and table rounds, teaching rounds
10:30 - 12:00 Work rounds with bedside teaching
12 noon - 1 PM Noon conference
1:00 - 4:30 Patient care, work rounds continuation
4:30 - 5:00 Sign out

* Teaching rounds with attending are held on a daily basis, at various times.

Daily Consult Schedule

6:30 - 8:15 AM     Sign out and pre-round on your patients
8:15 - 8:45 Morning report
8:45 - 10:30 Radiology and table rounds, teaching rounds
10:30 - 12:00 Work rounds with bedside teaching
12 noon - 1 PM Noon conference
1:00 - 4:30 Work rounds continuation
4:30 - 5:00 Sign out

Clinic Schedule

AM Specialty clinic on Monday (Neuromuscular), Tuesday (Epilepsy), Wednesday (MS), Thursday (Stroke), Friday (Stroke)
PM clinic 4 days Mon through Thursday – Resident Continuity clinic.

Elective Schedule (including EMG, EEG, Psychiatry)

8:15 - 8:45 AM Morning report, unless off campus
8:30 - 12 Noon Patient Care
12 noon - 1 PM     Noon conference, unless off campus
1:00 - 4:30 Patient Care

Night Float

Cover is provided from 1-2 weeks at a time no more than 6 days in a row. Schedule is from 8 pm to 6.30 am except on weekends when Night float starts at 7 pm on Saturday and Sunday and finishes at 6:30am.

Vacation Schedule

Residents receive three weeks of vacation per year. In general, these must be scheduled on non-service months. Five personal days, scheduled one day at time on non-service months, are also available. A Holiday schedule of 5 days is also provided during the last two weeks of December/first week of January.

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