This is the first year of formal neurology training and is the most demanding year but will provide immense exposure to every type of neurological illness. Residents spend the majority of the year rotating on the inpatient general neurology and stroke services taking call every fourth night on a traditional 28- hour call cycle. Unique to our program, the PGY-2 on the consult and acute stroke services see all acute strokes, does the NIH Stroke Scale and makes the decision to give t-PA after discussing the case with an attending and/or the PGY-4 resident. There is one month dedicated to the Neurology/Neurosurgery ICU. By the end of this year, residents are confident, function independently on the inpatient services, while making t-PA decisions.
This year includes ten weeks serving as either the inpatient stroke or general neurology service chief. The chief is responsible for accepting admission, guiding the PGY-2 residents with management decisions, assisting with t-PA decisions via phone and most importantly, overseeing a busy inpatient service. The stroke/general neurology chiefs alternate home-call q2. The remainder of the year is divided into elective and rotations through adult and pediatric subspecialty clinics, allowing for ample time to master your clinical knowledge or delve into academic research.