The following is the basic layout of the 3 years of Child Neurology training. The UR Child Neurology residency program supports the idea of flexibility in residency, and thus will work with residents to adjust this schedule to meet the needs of an individual resident based on their interests.
The possible tracks that residents may choose to follow include a Research Track, Practice Track, Educational Track, or Global Health Track. The latter would include experiences rotating in Sub-Saharan Africa with our international neurology specialists.
First Year Child Neurology (PGY-3)
The first year includes a mix of adult and child neurology. The focus is on completing inpatient adult neurology rotations where the resident is exposed to a wide spectrum of neurological disorders, including those that are acute, chronic, common, and rare. They will also rotate through our child neurology outpatient clinics, spend some time on child neurology inpatient, and have 4 weeks of elective time. The first year includes (1 block = 2 weeks):
- Adult neurology inpatient and consultation rotations (7 blocks)
- Adult general neurology and sub-specialty outpatient rotations including the neuromuscular disease clinic, epilepsy center, multiple sclerosis center, memory care clinic, neuro-oncology, headache, and movement disorders clinics (4 blocks)
- Inpatient epilepsy monitoring unit for adults and children (2 blocks), Adult Neuro-ICU (1 block), Night float (2 blocks), and Urgent Outpatient/Evening Float Service (2 blocks)
- Child neurology outpatient (3 blocks), Child neurology inpatient/urgent service (1 block)
- Electives/Research in adult and child neurology (2 blocks) and vacation (2 blocks)
- The on-call time will involve both adult and pediatric neurological consultation.
- Child neurology continuity clinic
Sample PGY-3 Schedule
Second Year Child Neurology (PGY-4)
The second year emphasizes clinical training in child neurology. The year includes:
- Inpatient/Urgent service – inpatient admitting service + consult service (including consultations for pediatric floor inpatients, neonatal and pediatric intensive care units), and urgent outpatients referrals (10 blocks)
- Outpatient rotation –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, headache, and Tourette syndrome (8 blocks)
- Adult neurology outpatient clinics (3 blocks)
- Elective/Research (3 blocks) and vacation (2 blocks)
- There will be approximately 4.5 months of at-home call during this year, split into 2-week blocks
Sample PGY-4 Schedule
Third Year Child Neurology (PGY-5)
- Elective and/or research time – options to get more experience with developmental disabilities, movement disorders, headache, palliative care, neuro-ophthalmology, neuro-otology, neuro-genetics and metabolic disease, demyelinating disease, neuromuscular disease, neuro-oncology, child and adolescent psychiatry, and private practice, EEG, neuroradiology, EMG, neuropathology, and more. (14 blocks)
- Mind, Brain, Behavior course instructor – 2nd year medical student neuroscience course. This is an excellent opportunity for the resident to re-learn basic neuroscience and neuroanatomy, and to gain experience as a medical educator. (5 blocks)
- Inpatient/Urgent rotation (2 blocks)
- Outpatient rotation (1 block)
- Child and Adolescent Psychiatry (2 blocks)
- Vacation (2 blocks)
Sample PGY-5 Schedule
Resident Call Schedule
PGY-3 (1st year Neurology)
During the first year of Neurology, residents will take in-house call that is shared with the PGY-2 and PGY-3 Adult Neurology Residents. During call, the resident’s main responsibility will be consults from both the adult and pediatric emergency departments and floors. There will be minimal cross-coverage duties. The different types of call shifts are as follows:
- Evening Float – 4 p.m. – 8 p.m. (out by 9 p.m.) on Mon – Fri: ~24 shifts.
- Weekend Day – 8 a.m. – 8 p.m. (out by 9 p.m.) on Sat, Sun: ~10 shifts.
- Weekend Night – 8 p.m. – 8 a.m. (out by 9 a.m.) on Sat night to Sun morning: ~3 shifts.
In addition to the above call shifts, each Child Neurology Resident will do 2 blocks (2-weeks long, 6 days per week) of Night Float, which is 8 p.m. – 8 a.m. (out by 9 a.m.).
PGY-4 (2nd Year Neurology)
During the second year, there will be no in-house call. Each Resident will be on-call for approximately 5 months out of the year, and most typically this is structured in 2-week blocks. These calls will consistent of being available by pager at home on Mon through Thurs for clinic calls from 4:30 p.m. until 8 p.m., and calls from in-house Residents to staff pediatric consults from 4 p.m. until 8 a.m.
In addition, there is a weekend call schedule where the on-call Resident is available by pager at home on Friday at 4 p.m. until Monday at 8 a.m. for in-house Residents to staff pediatric consults (there is also clinic coverage responsibilities). They will round on the child neurology service on Saturday and Sunday mornings (usually in-house until about 11:30 a.m.). PGY-4 residents will take approximately 16 weekend calls during the year.
PGY-5 (3rd Year Neurology)
Each resident will be on-call for 1 month out of the year as described above. There will be some weekend call coverage, which will consist of taking approximately 10 weekend calls during the year.