Education : Neurology Residency Program

Core Curriculum

Internship (PGY-1):
The core curriculum for preliminary medicine/neurology residents is similar to that of first year categorical medicine residents. It includes experience in inpatient general medicine (16 weeks), night float (2 weeks), emergency medicine (4 weeks), neurology critical care medicine (4 weeks), ambulatory medicine (10-12 weeks), geriatrics or palliative care (2 weeks), elective (2-4 week), neurology (4-6 weeks), and vacation (4 weeks). All core experience during internship takes place at Jackson, the VA Medical Center and University of Miami Hospital.

First-Year Neurology Residency (PGY-2):
During the first year of the neurology residency training program, the resident is exposed to wide spectrum of neurological disorders, including those that are common and rare, acute and chronic. A two-month introductory lecture series is organized for new residents and covers management of acute and emergent neurological conditions. The PGY-2 Neurology resident schedule is the most intense of the training program.

Sample schedule is:

  • 4 weeks Neuro-critical Care Jackson Memorial: call Q4
  • 4 weeks on Epilepsy/EEG (JMH and UMH): no call
  • 4 – 6 weeks VA medical center inpatient service: no call
  • 4 – 6 weeks Jackson Memorial inpatient Neurology: call Q4
  • 8 – 10 weeks University of Miami Hospital consults: no call
  • 12 weeks Stroke at Jackson Memorial: call Q4
  • 8 weeks night float (alternating one-week on, one-week off = 5 nights on your ‘on’ week)
  • 4 weeks vacation – to be taken in 2 week blocks

Second-Year Neurology Residency (PGY-3):
The second year neurology resident spends much of the year in consultation services at the Jackson, UMH and the VA Center. Pediatrics, Neuromuscular and Critical care are also offered. There is also time for electives and research. The choice and duration of particular electives are arranged to meet the career plans of the individual resident and to satisfy requirements of the American Board of Psychiatry and Neurology. A wide range of elective rotations are available including neuroradiology, neuropathology, neurorehabilitation, neuro-ophthalmology, neuro-oncology, neurosurgery, psychiatry, neurophysiology, sleep medicine, multiple sclerosis, movement disorders, and basic neuroscience research.

Sample Schedule:

  • 4 weeks Neuromuscular: no call
  • 4 weeks Neuro-critical Care Jackson Memorial: Q4
  • 8 – 10 weeks Elective vs Research: no call (minimal clinic duties)
  • 2 weeks Dr. Adams Clinic: no call
  • 4 – 6 weeks VA consults: home call to be split with PGY-4 on service
  • 2 weeks Jackson Memorial Hospital Pediatrics: home call
  • 18 – 20 weeks Jackson Memorial consults: call Q4 (call starts at 4 PM)
  • 4 weeks University of Miami Hospital consults: no call
  • 4 weeks vacation – to be taken in 2 week blocks

Third-Year Neurology Residency (PGY-4):
The third year neurology resident has gained sufficient knowledge to serve as supervisor. He/she is the leader of the team and plays a critical role in education of junior residents and medical students. They serve as chief resident at each hospital and also rotate through Pediatrics, Psychiatry, Epilepsy/EEG and electives. Responsibilities of the chief resident include supervision of junior residents at Jackson Memorial Hospital and the Miami VA Medical Center, overseeing the care of acutely ill patients with neurological disorders in the intensive care units, and also teach residents and medical students. The chief resident conducts daily, early morning service rounds and evening sign-out rounds, during which clinical care of the patients on the neurology service is reviewed. The chief resident also monitors hospital admissions and discharges, conducts teaching conferences, and is responsible for maintaining an overall high quality of neurological care provided by residents on all the neurology services.

Sample Schedule (no in-house call PGY-4 year):

  • 4 – 6 weeks VA Chief: home call to be split with PGY-3 on service
  • 4 – 6 weeks Jackson Memorial Ward chief: home call (covered on 2 weekends by another 4)
  • 4 – 6 weeks University of Miami Hospital ward chief: home call
  • 10 weeks Jackson Memorial Hospital Pediatrics: home call split with others on team (3R)
  • 4 weeks Epilepsy/EEG: no call
  • 4 weeks Psychiatry: no call
  • 12 weeks Elective vs. Research: no call
  • 2 weeks Dr. Adams Clinic: no call
  • 4 weeks vacation – to be taken in 2 week blocks