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 academic and community hospitals. 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. Residents will get a full 6 months of outpatient experience, with a full 2 months of elective time. 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 5 months being dedicated to inpatient and urgent patients (including consultations for pediatric floor inpatients, neonatal and pediatric intensive care units), and approximately 5 months rotating through the child neurology outpatient clinics. The outpatient rotations include experience in general Child Neurology as well as subspecialty clinics for children with epilepsy, movement disorders, attention deficit hyperactivity disorder, brain tumors, demyelinating disorders, and Tourette syndrome. Residents often choose to have approximately 1.5 months of elective time during this year. There will be approximately 4.5 months of at-home call during this year, split into 2- or 4-week blocks. Please see Resident Call Responsibilities link below for details.
During the third year, the child neurology resident has ample elective time, with options to get experience with neuropathology, child and adolescent psychiatry, developmental disabilities, EEG, neuroradiology, EMG, neuro-ophthalmology, neuro-otology, neuro-genetics and metabolic disease, demyelinating disease, neuromuscular disease, neuro-oncology, movement disorders, and private practices. The residents also spend 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. Most residents choose to complete their clinical Child Neurology rotations in the third year with a 1 month inpatient/urgent rotation, and 2 week general outpatient rotation. 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.