Curriculum

 

Neurology Residency

The residency in neurology offers a gradual increase in responsibility coupled with close supervision by our dedicated faculty. During the first year, interns will gain a strong foundation in internal medicine and a general introduction to neurology.

By the end of the second year, residents will learn to evaluate and manage a wide range of neurological conditions in both the inpatient and outpatient setting, gain exposure to EEG and EMG, and proficiency in lumbar puncture. Additionally, residents will become part of the interdisciplinary team that is critical to neurological care.

During the third and fourth years the senior resident will further mature his/her leadership skills and refine their diagnostic and management skills. Senior residents learn to manage complex cases with increasing independence, supervise junior residents, serve as teacher and role model for neurology clerkship students, and evaluate clinical care from a systems perspective.

Internal Medicine 36 weeks
Neurology Wards 8 weeks
Elective 3 weeks
Transition to PGY2 Bootcamp 1 week
Neurology Wards 16 weeks
Neuromuscular 4 weeks
Movement Disorders 4 weeks
Vascular Neurology 4 weeks
Epilepsy 4 weeks
Psychiatry 4 weeks
Neuroimaging 2 weeks
Elective 10 weeks
Neurology Wards 8 weeks
Pediatric Neurology 8 weeks
Neurocritical Care 8 weeks
EMG 4 weeks
Epilepsy 4 weeks
Vascular Neurology 2 weeks
Neuromuscular 2 weeks
Neuroscience Course 6 weeks
Elective 6 weeks
Neurology Wards 8 weeks
Neurocritical Care 8 weeks
Pediatric Neurology 4 weeks
Neuromuscular 2 weeks
Neuroimmunology 6 weeks
Night Float 4 weeks
Vascular Neurology 2 weeks
EEG 8 weeks
Elective 4 weeks

 

Didactics Curriculum

The MetroHealth Neurology Residency Program dedicates two hours each week to didactics. The curriculum is designed to present on a topic from a case seen the previous week and align to resident-led case presentations in the following weeks in order to provide residents with hyper-relevant information to incorporate into their practice.

 The curriculum includes:

  • A week of bootcamp just prior to neurology training years (End of intern year)
  • Weekly Resident-Led Case Conferences
  • Rotation Specific Conferences
  • Site Specific Conferences
  • Opportunity to attend optional available educational conferences (ie. Neurology Conferences)

There are 4 longitudinal threads (that align with ACGME Core-Competencies)

  1. Professional Development
  2. Residents as Teachers & Leaders
  3. Research and Evidence-Cased-Medicine
  4. Quality Improvement

These topics are introduced during bootcamp and then covered throughout the didactic curriculum.

 

Didactic Conferences

In addition to comprehensive clinical exposure to the diagnosis and management of both common and rare neurological conditions, residents will have dedicated weekly didactic time. During this time, residents and faculty will meet weekly, away from their clinical responsibilities to discuss the conditions below. This will be done as both a general overview of the conditions below, and real-life case discussions of current and past hospitalized patients (case discussion conferences).

 

Vascular Neurology

  • Acute stroke assessment and treatment
  • ICH/SDH care
  • SAH: Dx and Tx
  • CVST Vasculitis and RCVS
  • Aneurysm
  • Stroke Risk factors, primary and secondary stroke prevention

 

Epilepsy

  • Status Epilepticus
  • Semiology and PNEA
  • Epilepsy Medications

 

Headache

  • Evaluation of thunderclap HA and other HA emergencies
  • IIH and low-pressure HA
  • Migraine IP and OP management and status migrainosis
  • Atypical migraine (hemiplegic, etc), Migraine mimickers, and trigeminal autonomic cephalgias

 

Neuromuscular

  • GBS and variants
  • MG and LEMS
  • Peripheral neuropathy: assessment, Ddx and Tx
  • Motor neuron diseases

 

Neuroimmunology/ Neuroinflammatory Dz

  • Multiple Sclerosis and Exacerbation Tx
  • Transverse myelitis, Optic Neuritis, NMO
  • Paraneoplastic/NMDA etc
  • Neurosarcoid/Behcet’s, neuropsychiatric SLE, etc

 

Movement Disorders

  • Movement D/o Emergencies (Serotonin syndrome, NMS, malignant hyperthermia)
  • Tremor/Dystonia/dyskinesia/chorea
  • Idiopathic Parkinson Dz
  • Causes of myoclonus

 

Cognitive Neurology

  • Alzheimer Dz
  • Other dementia types and Parkinson plus conditions
  • Rapidly progressive dementias

 

Neuroinfectious Disease

  • HSV encephalitis
  • Bacterial meningitis/encephalitis
  • Opportunistic infections (HIV, fungal, etc)

 

Neuro-Oncology

  • Glial Tumors/GBM
  • Meningiomas and non-glial tumors
  • Lymphoma
  • Metastatic Disease and meningeal carcinomatous

 

Pediatric Neurology

  • Pediatric seizure
  • Pediatric stroke

 

Psychiatry

  • Treatment of acute psychosis and delirium