Clinical Rotations

Second Year Neurology Training (PGY2)

• 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 Neurology Service: This is a combined primary inpatient and consultation service that cares for veterans with cerebrovascular and general neurological disorders.
• UH Epilepsy Service: A block working with the Epilepsy Service helping manage inpatient Epilepsy consults and admissions.
• 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: This is a 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 Service: One block covering consultations and new admissions at night. The junior resident is on a team with a supervising senior resident.
• Vacation: One block.

Sample PGY2 Schedule

• UH Cerebrovascular Service Jr - 2 Blocks
• UH General Neurology Service Jr - 2 Blocks
• VA Neurology Jr - 2 Blocks
• Neuro-ICU Jr - 2 Blocks
• Neuro-Rehabilitation - 1 Block
• Epilepsy Jr - 1 Block
• Night Service Jr - 1 Block
• Neuroradiology - 1/2 Block
• Vacation - 1 Block

VA Clinic ½ Day a week (when not assigned to a UH inpatient service).
General Continuity Clinic ½ Day every other week (either at UH or the VA).
Subspecialty Continuity Clinic ½ Day every other week.
* Note: Schedule may vary depending on number of residents in a class. No clinic is scheduled during vacation month.

Third Year Neurology (PGY3)

• Case Neuroscience Course: 1.5 blocks
• EEG/Epilepsy: Two contiguous blocks, learning clinical epilepsy, and how to read and interpret EEGs.
• 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.
• Electives: One block in learning individually selected areas of neurology.
• Vacation: One block.

Sample PGY3 Schedule

• EEG / Epilepsy Course - 2 Blocks
• EMG / Neuromuscular Course - 2 Blocks
• Assistant Senior Cerebrovascular Service - 1-2 Blocks
• Assistant Senior General Neurology Service - 1-2 Blocks
• Neuroscience Course - 1.5 Blocks
• Elective - 1 Block
• PedsNeuro - 1.5 Blocks
• Vacation - 1 Month

VA Clinic ½ Day a week (when not assigned to a UH inpatient service).
General Continuity Clinic ½ Day every other week (either at UH or the VA).
Subspecialty Continuity Clinic ½ Day every other week.
* Note: Schedule may vary depending on number of residents in a class. No clinic is scheduled during the vacation month.

Fourth Year Neurology (PGY4)

• UH Cerebrovascular Service Senior: A block or two of running the Cerebrovascular inpatient and consult service.
• 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-liaison service.
• Neuropathology/Neuroradiology: One block of learning and reviewing both microscopic and gross neuropathology, half time, and the other half time, learning neuroradiology.
• Ambulatory Neurology Block: One block dedicated to outpatient neurology with an emphasis on behavioral neurology and movement disorders.
• Quality Institute Block: One block of learning risk management, quality and process improvement, root cause analysis, and patient safety.
• Electives: At least two blocks in learning individually selected areas of neurology.
• Night Service: One block covering consultations and new admissions at night. The senior resident is on a team supervising a junior resident.
• Vacation: One block.

Sample PGY4 Schedule

• UH Cerebrovascular Service (Chief) - 1 Block
• UH General Neurology Service (Chief) - 1 Block
• VA Ward - 1 Block
• Neuropathology / Neuroradiology (Chief) - 1 Block
• Psychiatry Consultation Service - 1 Block
• Quality Center - 1 Block
• Peds Neuro - 1.5 Blocks
• Electives - 2 Blocks
• Epilepsy Sr. - 1 Block
• Night Service Sr. - 1 Block
• Ambulatory - 1 Block
• Vacation - 1 Block

VA Clinic ½ Day a week (when not assigned to a UH inpatient service).
General Continuity Clinic ½ Day every other week (at either UH or the VA).
Subspecialty Continuity Clinic ½ Day every other week.
* Note: Schedule may vary depending on number of residents in a class. Chief months are not contiguous. No clinic is scheduled during UH Chief months and vacation month.