Description of Rotations
The junior (PGY-2 and PGY-3) neurology residents on the inpatient ward service are responsible for all aspects of patient care under the guidance of the senior ward resident (PGY-4) and attending physician. This includes evaluation of patients in the ED, admission to the floor or Neuro ICU, management of floor and ICU patients, discharge from the hospital, and arrangement of follow-up care.
The inpatient neurology ward team at the West Haven VAMC consists of one senior (PGY-4) neurology resident, one or two junior (PGY-2 or PGY-3) neurology residents, one rotating psychiatry (PGY-1) resident, and medical students. Junior residents care for neurology patients on the neurology ward, and in the ICUs, and are responsible for all aspects of patient care under the guidance of the senior ward resident (PGY-4).
The Yale Consult resident receives vital exposure to a wide range of neurological complications of systemic disease, as well as the more common primary neurological disorders. This rotation provides the senior neurology resident a valuable opportunity to practice the often complex but important skill of effective neurological consultation.
Residents receive comprehensive full-time exposure to performance and interpretation of EMGs, NCVs, and EEGs. They perform EMGs 4 days per week, and read all EEGs daily.
The epilepsy monitoring unit at Yale consists of six adult beds, and two pediatric beds, equipped with state-of-the-art closed-circuit video monitoring with EEG (CCTV-EEG). The residents are an integral part of the epilepsy team, and participate in all aspects of patient care. Responsibilities include admission notes and daily progress notes, analysis of video-EEG, epilepsy clinics, and neurophysiology conferences.
The Pediatric Neurology rotation produces vital exposure to the diagnosis and management of neurological disorders in children. Neurology residents serve as consultants to the Yale-New Haven Hospital Pediatric Ward Service, including the newborn special care units and the pediatric ICU.
The Department of Neurology maintains a consultative service at Gaylord Rehabilitation Hospital, providing residents exposure to the basic principles of neuro-rehabilitation.
At the Cornell Scott-Hill Health Center, neurology residents attend a continuity clinic and provide comprehensive neurologic care. In this unique setting, residents learn how to provide care to patients with limited access to healthcare and how to manage resources. Residents are also exposed to a wide range of neurologic illnesses with complex presentations.
Longitudinal care is an important component of a physician's treatment of patients. This skill is acquired during the Residency Program through a continuity clinic. Each resident in the Residency Program will have a continuity clinic that meets on average ½ day per week.
The goal of the Neuro-Oncology Service at Yale is to teach residents how to diagnose, manage and treat patients with tumors of the nervous system.
Some neurological subspecialties care for patients predominantly, or even exclusively, in the outpatient setting. Residents are exposed to these subspecialties during the Subspecialty Clinic Rotation, as well as by participating in subspecialty clinics during other rotations.
This rotation is designed to give the PGY2 neurology residents intensive exposure to acute care neurology. The residents act as consultants to the ED, evaluating all patients coming in with primary neurological complaints. In addition, admissions, discharges, and arranging follow-up from the ED are important responsibilities of the ED resident.
The Night Float Rotation was designed to increase continuity of care for inpatients during nightime while meeting the work hour requirements for residency training mandated by the ACGME.
Each resident typically spends 3 months on electives during each of their last two years. Residents are provided guidance by the Program Director, Chairman, and other faculty members in selecting these electives. These electives can be taken in any area that will help further the residents goals for his/her career development.