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OVERVIEW OF THE RESIDENCY PROGRAM
The success of this program is evident in the careers of
individuals who have participated in it. Almost all of
our graduating residents take fellowships either at Case
or at other major institutions, including Harvard,
Cornell, University of Pennsylvania, Johns Hopkins, and
University of California San Francisco. About half of
our graduating residents ultimately go into private
practice and the other half into academic medicine.
Recent graduates have full-time faculty positions
locally or at other distinguished institutions including
Harvard, Johns Hopkins, and Cornell. Individuals
associated with the Department have gone on to take
important roles in clinical neurology, including
Chairmanships of Neurology at Bowman Gray, the Cleveland
Clinic Foundation, Johns Hopkins, the Massachusetts
General Hospital, St. Louis University, University of
California, Irvine, and University of Arkansas.
Additionally, those that wish to pursue private practice
have obtained attractive positions throughout the United
States.
Ten residents are selected annually.
During the first year of training (usually PGY 2), the
resident is focused on activities in direct patient care
in a hospital setting. The rotations include inpatient
blocks on the Cerebrovascular, General Neurology and
Neuro-Critical Care Services
at the Case Medical Center, inpatient ward/consult
blocks at the VA, one block of
night-float, one block of Neuro-rehabilitation at the
VA, and one-half block of Neuroradiology.
 Teaching in the second year of neurology residency
(usually PGY3) is organized as blocks within the various
subspecialties of Neurology in addition to learning
basic neuroscience. The year
includes attending the Neuroscience Committee, a course for
second year medical students at Case Medical School.
Residents attend the lectures and conduct small group
sessions for medical students. The remaining year,
residents attend blocks in EEG/Epilepsy,
EMG/Neuromuscular, and Pediatric
Neurology. Residents also spends some blocks as
the Assistant Senior resident on the Cerebrovascular and
General Neurology Services. This is a transitional role
preparing the resident for their senior
responsibilities.
During the third year of training (usually PGY 4), the
emphasis is on management of patients on the neurology
services, on teaching of fellow residents and rotating medical
students, and on preparing the
resident to practice neurology as an independent
physician. The responsibilities include overseeing the
care of patients admitted to the Cerebrovascular,
General Neurology and Epilepsy Services at Case Medical
Center adn te combined Ward and Consult Service at the
VA. In
addition, residents complete their Pediatric Neurology
rotation, as well as spend time on Neuropathology,
Neuroradiology, and Psychiatry, in addition to several
elective blocks.
In addition to learning through direct patient care and
attending rounds, there is a strong didactic curriculum.
Residents in all years of training participate in a core
series of seminars and lectures. Each year contains one
4-week block of vacation
time.
CLINICAL ROTATIONS
First Year Neurology - PGY2
(Sample
Schedule):
UH Cerebrovascular Service: This is a combined
primary inpatient and consultation service that cares
for patients with cerebrovascular disorders.
UH General Neurology Service: This is a combined
primary inpatient and consultation service that cares
for patients with a variety of neurological disorders.
VA Service: This is a combined primary inpatient
and consultation service that cares for veterans with
cerebrovascular and general neurological disorders.
Neuro-Critical Care: This is a combined ICU for
neurology and neurosurgical patients that required
intensive care.
Neuroradiology: A half block of time in the
Neuroradiology Department, learning to interpret MRIs,
CTs, and other common neuro-imaging.
Neuro-rehabilitation: TA comprehensive
introduction to rehabilitation on a variety of
neurological patients. The experience includes working
in the spinal cord unit, multiple sclerosis clinic,
stroke rehabilitation and gait laboratory.
Night Float: One block of working during the
weekdays covering consultations and new admissions at
night.
Vacation: One block.
Second Year
Neurology - PGY3 (Sample Schedule):
Case
Neuroscience Course:
1 block
EEG/Epilepsy: Two contiguous blocks, learning clinical
epilepsy, reading EEGs and rotating on the Epilepsy
Monitoring Unit.
EMG/Neuromuscular: Two contiguous blocks, learning
clinical neuromuscular disorders, and learning and
interpreting EMGs.
Assistant Senior, Cerebrovascular Service: One-two blocks
working on the UH Cerebrovascular Service in a transitional role between
Jr. and Sr. residents.
Assistant Senior, General Neurology Service: One-two blocks
working on the UH General Neurology Service in a transitional role between
Jr. and Sr. residents.
Pediatric Neurology: One and a half blocks of
working on the pediatric neurology service, both
inpatient and outpatient.
Vacation: One block.
Third Year Neurology - PGY4 (Sample
Schedule):
UH Cerebrovascular Service Senior: A block or two of running the
Cerebrovascular inpatient and consult service.
UH General Neurology Service Senior: A block or two of running the
General Neurology inpatient and consult service.
UH Epilepsy Service: A block working with the
Epilepsy Service helping manage the Epilepsy Monitoring
Unit (EMU) and inpatient epilepsy patients.
VA Senior: Overseeing care of inpatient
veterans and handling consultations from other services.
Pediatric Neurology: One and a half blocks of
working on the pediatric neurology service, both
inpatient and outpatient.
Psychiatry Consultation Service: One block
on the consultation-liason service.
Neuropathology/NeuroRadiology: One block of learning and
reviewing both microscopic and gross neuropathology,
half time, and the other half time, learning
neuroradiology.
Electives: At least three blocks in learning
individually selected areas of neurology.
Vacation: One block.
CONFERENCES AND
ROUNDS
Resident Conferences:
Emergency Neurology: Eight-week set of lectures
at the start of the academic year, reviewing the major neurological
emergencies.
Neuroscience Grand Rounds: Clinical and
scientific lectures of current interest.
Neuropathology CPC: A clinical-pathological
correlation conference consisting of a case-based
discussion of neuropathologic topics attended by both
the Departments of Neurology and Neurological Surgery.
Chairman's Rounds: Case-based
teaching by the Chairman at Case Medical Center.
Journal Club: Dissection of a current paper of
interest, organized by residents and professors with an
interest in biomedical statistics.
Visiting Professorships: Throughout the year
distinguished members of the neurological community
provide teaching sessions for residents and faculty.
Stroke Conference: A resident led discussion of
current research on topics related to cerebrovascular
disease.
Morbidity and Mortality Conferences: Senior
UH Ward residents present their cases from the month
before.
Neuro-Ophthalmology Conference. Clinical
conference on various topics in Neuro-Ophthalmology.
Comprehensive Epilepsy Conference: Includes acute
management of seizures, diagnosis of epilepsy, long term
management of epilepsy, and an introduction to the
interpretation of electroencephalograms.
Neuromuscular Conference: Discussion of the
fundamentals and clinical application of EMG and other
neuromuscular topics.
Resident Core Competency Conference: Includes a
variety of important topics, including bioethics,
palliative care, and neuro-rehabilitation.
Neuroradiology Conference: Discussion of recent
patient scans on the neurology and neurosurgical ward
and consult services.
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