Preliminary Year - Internal Medicine (PGY1)
The Department of Neurology offers a four year training program integrating the internal medicine experience required for board certification in neurology. The Department of Medicine at Washington University supervises the preliminary year in medicine with training at Barnes-Jewish and affiliated hospitals. Only one application will be required to apply for internal medicine and neurology through the ERAS.

First Year - Neurology (PGY2)
The emphasis of training during the PGY-2 year is on direct, inpatient care of patients with neurological diseases. The year is divided into rotations on the inpatient services at Barnes-Jewish Hospital (seven blocks), with an additional block in the Neurology-Neurosurgery Intensive Care Unit (NNICU), and the psychiatry service at Barnes-Jewish Hospital. One block is dedicated to specialty out-patient experiences in neurology.

Outpatient training and service begin during the first year. Residents have a weekly clinic at St. Louis ConnectCare where they follow the same patients through three training years. At both Barnes-Jewish and St. Louis ConnectCare, ward patients cared for by residents are followed up by the resident in outpatient clinics, providing an important longitudinal perspective on the management of neurological disease.

Second Year- Neurology Training (PGY3)
During the PGY-3 year, residents have roughly half of the year to participate in elective rotations. The remaining half of the year is spent at Barnes-Jewish Hospital North Campus focusing on neuro-rehabilitation, as neurologic consult resident for the Barnes Jewish Hospital, as consult resident at the BJH emergency ward, in the NNICU and at St. Louis Children's Hospital on the pediatric neurology service. At Barnes-Jewish Hospital North Campus, the resident participates in the care of rehabilitation patients with emphasis on neurological issues; the resident also participates in an active schedule of outpatient rehabilitation clinics. The Barnes-Jewish consult resident sees all ward and staff consultations. The adult neurology resident assigned to the pediatric service participates in the care of children admitted to the dedicated neurological floor in addition to children seen in the outpatient neurology clinics of St. Louis Children's Hospital.

While there are many second-year electives available, some areas are sufficiently central to the practice of neurology that they are recommended for most residents. These areas include neuropathology, EEG and EMG/neuromuscular diseases. Optional electives regularly selected either in the second or third year of training include movement disorders, neuro-ophthalmology, neuroradiology, neuroanatomy, ENT (vestibular lab), pain clinic, other specialty outpatient clinics or assisting members of the clinical family in outpatient practice. Opportunities to construct individualized elective experiences are a feature of the training program.

Third Year (PGY4)
The PGY-4 year is divided between supervisory/teaching roles as senior residents at BJH, as senior resident for outpatient services participating in specialty clinics, and further research or clinical elective experiences. The senior resident assumes a major role in the day-to-day operation of the neurology services and in teaching junior residents, rotating physicians and medical students. He or she participates in planning Neurology Grand Rounds, and schedules elective admissions. Emphasis is placed on flexibility with substantial blocks of elective time. Some residents considering academic careers elect to work in research. Others elect to participate in further sub-specialty training with clinical electives.

Fellowships
After completion of four years of residency training in adult or child neurology, many of our residents elect additional post doctoral fellowship training in either clinical or basic neuroscience. The department is highly supportive of this training and is usually able to assist residents in locating fellowship support from available sources, including ongoing departmental NIH training grants and internal resources. During fellowship years, trainees often maintain clinical activity by serving as an attending in an outpatient clinic.

Teaching Conferences
There are daily neurology or rehabilitation Attending Rounds at BJH South Campus, BJH North Campus, and at St. Louis Children's Hospital. Neurology Grand Rounds occur weekly in conjunction with Neurosurgery, Neuropathology, Neuro-Ophthalmology and Neuroradiology. The joint participation of these other services together with Neurology in this weekly clinical highlight conference is emblematic of the spirit of collaboration that pervades WUSM, and permits the conference to seek definitive, interdisciplinary conclusions regarding the optimal management of specific patients or disease conditions. Visiting professors and other outside lecturers enrich this conference on a regular basis. The Department hosts several named lectureships, including the Bishop, Gitt, Landau, and Levy Lectureships.

Brain-Cutting Conference is held weekly at BJH. A Clinical Neuroscience Lecture Series is provided by the faculty each Tuesday, September through May, providing formal instruction in neuroradiology, clinical neurophysiology, neuropharmacology and other selected topics. Additional clinical conferences within the department include Rehabilitation Rounds, Neuromuscular Conference, Epilepsy Conference, Stroke Conference and Memory and Aging Conference.

In addition, WUSM hosts a rich series of basic and clinical neuroscience research seminars throughout the year, and resident attendance at these is always encouraged. The Department of Neurology, the Center for the Study of Nervous System Injury and the Alzheimer's Disease Research Center all hold weekly research conferences. The larger neurosciences community at WUSM hosts seminars throughout the week involving both internal and external speakers; seminars aimed at community-wide attendance are held on Saturday mornings and twice a month on Wednesday or Friday afternoons. Furthermore, the McDonnell Centers for Higher Brain Function and for Cellular and Molecular Neuroscience co-sponsor a Neuroscience Retreat each fall.

During the summer months, instead of Grand Rounds, a special series of Resident Teaching Conferences are held, focusing on the management of neurological emergencies. This special teaching conference aims to help our new first year residents quickly acquire a needed understanding of key acute diagnostic and therapeutic techniques. Practical clinical management is emphasized. Additionally, an Introduction to Neuroradiology is provided each summer for incoming residents.