Neurology PGY2 Bootcamp

After the internship year of internal medicine, neurology starts off with a full day of orientation for new neurology residents at University Hospitals Cleveland Medical Center and at Louis Stokes Cleveland VA Medical Center. This is followed by the Boot Camp and the summer introductory lecture series.

During the Boot Camp week, patient care responsibilities are minimal or none. Attendings, senior neurology fellows and faculty from the Case Western Reserve School of Medicine and Mount Sinai Simulation Center run the Boot Camp where the following topics are covered:

Neuroradiology

• Normal CT head
• Normal MRI
• Angiography
• MRA
• MRV
• Emergent findings on neuroimaging

Neurological Examination

• Overview of the exam and neurology tools
• Critical care examination
• Neuromuscular examination
• Movement disorder examination

Neuroanatomy

• Cortex
• Brain stem
• Cerebellum
• Basal anglia
• Spinal cord
• Muscle
• Nerve

Neuro-Emergencies

• BAT / tPA
• Status Epilepticus
• Coma and ICP management
• Myasthenic Crisis

Neurology Testing

• EEG basics
• EMG Basics

Practical Patient Management

• EMR and documentation
• Rotations responsibilities

Simulation Training

• Lumbar puncture
• Fundoscopy
• Central Lines

Conference Series

During the summer months, there is a special conference series designed for the new PGY2 residents that covers introductory and emergency neurology. These conferences occur every Wednesday at 12 p.m., Thursday at 12 p.m., Thursday at 4 p.m. and Friday at 8 a.m. Then, after Labor Day, the regular academic conference schedule begins.

Some of the topics covered during the summer lecture series include:

• Altered mental status
• Anoxic encephalopathy
• Brain death
• CNS infections
• Cord compression
• Dementia
• Dizziness/vertigo
• Emergency Neurological Life Support (ENLS) Course
• Epilepsy
• Eye movements
• Intracranial hemorrhage
• Intracranial pressure
• Introduction to headache and headache emergencies
• Introduction to nursing
• Movement disorder emergencies
• Multiple sclerosis
• Myopathies
• Neuro-oncology
• Non-organic neurology
• Sleep and fatigue
• Subarachnoid hemorrhage
• Vascular anatomy

The Neurology Residency Program has an extremely comprehensive didactic teaching program of conferences and seminars that start at the beginning of PGY2 and continue throughout the residency.