Fourth Year of the Neurology Residency Program (PGY-4)
Chief Resident Rotation
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All PGY-4 residents function as chief residents, sharing clinical, administrative and teaching responsibilities. Responsibilities include:
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Supervision of first-year neurology residents on the Strong Memorial Hospital inpatient service
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Supervision of sign-in rounds and sign-out rounds daily, during which the clinical care of the patients on the neurology service is reviewed
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Monitoring hospital admissions and discharges
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Conducting teaching rounds and conferences
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Arranging Neurology Grand Rounds
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Maintaining an overall high quality of neurological care provided by residents on all of the neurology services
Advanced Neurophysiology (EEG)
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The Advanced Neurophysiology (EEG) rotation is devoted to the study of epilepsy and EEG.
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The resident develops skills in interpreting EEGs and long-term EEG monitoring videos of patients with intractable epilepsy
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Didactic lectures in neurophysiology round out the learning experience for the resident.
EMG/Neuromuscular Rotation
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The EMG / Neuromuscular rotation is devoted to the study of electromyography and disorders of nerve and muscle.
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The resident learns how to use nerve conduction studies and electromyography to precisely localize lesions of the motor unit and determine the pathophysiology of these lesions
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Residents also attend weekly neuromuscular clinics during this rotation
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Didactic rounds and lectures in neurophysiology and nerve and muscle pathology round out the learning experience for the resident.
Mind, Brain and Behavior Medical Student Course
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The Mind, Brain and Behavior course is a ten-week introduction to neural sciences, neuropathology, neuropharmacology, psychopathology, and neuromuscular diseases.
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Fourth-year residents participate as faculty for this course, attending all lectures and all neuroanatomy and neuropathology laboratories, and leading a problem-based learning group
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This experience provides the resident with an opportunity to re-learn the basic sciences underpinning neurology, and also to learn the theory and practice of teaching.
Psychiatry Rotation
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Neurology residents on this service learn the fundamentals of psychiatry most beneficial for the practice of neurology. This rotation is directed by a board-certified psychiatrist. Each neurology residents spends 4 weeks on the SMH Inpatient Psychiatry Consult Liaison Service.
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The goals of this rotation are to:
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Develop skills in the assessment of psychiatric problems in a medical setting
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Master the understanding of the interaction of medical and neurological conditions with psychiatric disorders
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Begin to develop the skills of a specialty consultant.
Electives
The fourth-year neurology resident has twelve weeks of additional elective time in the PGY-4 year. Please see the description above for a listing of available electives