The three years of Child Neurology training are split up into a clinical adult neurology year (1st year Child Neurology, PGY-3), a clinical child neurology year (2nd year Child Neurology, PGY-4), and an elective/research year (3rd year Child Neurology, PGY-5).
The first year is spent learning about neurologic problems in adults. The resident is exposed to a wide spectrum of neurological disorders, including those that are acute, chronic, common and rare. The first year of training includes adult neurology inpatient and consultation rotations at two academic hospitals and one community hospital. During this year, the resident also gets ample outpatient exposure in general neurology and sub-specialty clinics including the adult and pediatric neuromuscular disease clinic, epilepsy center, multiple sclerosis center, memory care clinic, and movement disorders clinic. The resident will have an average of 4 weeks of night float, split in two week blocks, and will take intermittent in-house evening and weekend call throughout the year. The on-call services will involve both adult and pediatric neurological consultation. The resident will start a child neurology continuity clinic during this first year, and will maintain this clinic for the next three years.
The second year emphasizes clinical training in child neurology. The year is split with approximately 6 months being dedicated to inpatients and urgent patients with neurologic problems (including consultations for pediatric inpatients on the floor, neonatal and pediatric intensive care units). Approximately 6 months are spent in the child neurology outpatient clinics, rotating with each of the attending pediatric neurologists. The outpatient rotations include experience in general Pediatric Neurology as well as subspecialty clinics for children with epilepsy, movement disorders, attention deficit hyperactivity disorder, brain tumors, demyelinating disorders, and Tourette syndrome.
During the third year, the child neurology resident has ample elective time, including in neuropathology, child and adolescent psychiatry, developmental disabilities, EEG, and neuroradiology. The resident also spends 9 weeks teaching the 2nd year medical students in their neuroscience course (Mind, Brain, and Behavior). This is an excellent opportunity for the resident to re-learn basic neuroscience and neuroanatomy, and to gain experience as a medical educator. Other potential electives include additional EEG, EMG, neuro-ophthalmology, neuro-otology, neuro-genetics and metabolic disease, demyelinating disease, neuromuscular disease, neuro-oncology, movement disorders, and private practices.Our program at the University of Rochester supports the idea of a flexible residency. This format allows for more senior residents to choose from different paths in order to best prepare them for their career of interest. The most common paths chosen include research, clinical (private practice), clinical/education (academic). However, residents are not limited to these options.
The pediatric neurology resident has the option to stay on for a fourth year of research fellowship. The fourth-year pediatric neurology fellow devotes time exclusively to an independent research project guided by one of the investigators affiliated with the Division of Child Neurology. Current areas of ongoing research by Child Neurology faculty include:
- Molecular and Neurovirology
- Neuropharmacology and Developmental Neurobiology
- Movement Disorders and Motor Control Tourette Syndrome and ADHD
- Neuromuscular disorders
- Neonatal seizures
- Neuronal Ceroid Lipofuscinosis and other neurodegenerative diseases of childhood
- Experimental Therapeutics