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Rotation Schedule by Year

PGY2

Overview and Schedule

The first year of neurology training is designed to provide an intensive clinical experience in a structured teaching setting. The primary goal of the PGY-2 year is for the resident to achieve a high degree of competence in the clinical assessment, evaluation, and treatment of patients with neurological disease. Residents will also gain experience in the appropriate use and interpretation of neurodiagnostic tests.

Model PGY-2 Schedule

Yale General Junior: 4-6 weeks. Residents work with a team that includes an attending, residents and medical students. They take primary responsibility for the care of non-vascular/general neurology patients on the inpatient Ward. Supervision is by a PGY-4 resident and attending.

Yale Stroke Junior: 4-6 weeks. Residents work with a team that includes an attending, fellows, residents, APRNs/PAs, and medical students. They take primary responsibility for the care of vascular/stroke neurology patients on the inpatient Ward. Supervision is by a PGY-3 or PGY-4 resident, fellow and attending.

VA Junior: 4-6 weeks. Residents work with a team of attendings, residents and students, and care for neurology patients on the neurology service. Residents also participate in subspecialty clinics, such as epilepsy, stroke, movement disorders, multiple sclerosis, and sleep medicine. In addition, residents help provide consults on inpatients for other services and in the ER. Supervision is by a PGY-4 senior resident and attending.

Neuroscience ICU: 4 wee ks. The NICU resident works on a team composed of neurology/neurosurgery interns, APPs, a NICU fellow and an attending neuro-intensivist. They assume primary responsibility for both neurologic and neurosurgical patients who have critical care needs.Emergency Neurology/Swing: 4-6 weeks. Residents are stationed in the Yale Department of Emergency Medicine. They function as neurological consultants on all neurologic cases presenting to the Yale Emergency Department. Supervision is by a PGY-4 resident and attending physician.

Emergency Neurology/Swing: 4-6 weeks. Residents are stationed in the Yale Department of Emergency Medicine. They function as neurological consultants on all neurologic cases presenting to the Yale Emergency Department. Supervision is by a PGY-4 resident and attending physician.

Yale Consult Junior: 2-4 weeks. Residents provide consultative services to all other departments within the hospital. Under supervision of the Yale Senior Consult Resident and an attending, they are responsible for seeing new consults acting as a liaison between the Neurology Department and other services for inpatient care. This resident also sees inpatient stroke codes during weekdays, and covers CNF on Saturday night.

SRC Resident: 2-4 weeks . The SRC resident provides consultations to other departments including the ED, working one-on-one with a neurology attending in a more community hospital-style setting. There is no primary inpatient neurology service at SRC. This resident also covers INF on Saturday night.

Inpatient Night Float: 3-4 weeks. The night float resident covers the Yale inpatient neurology services.

Consult Night Float: 3-4 weeks. The consult night float resident provides consultation services to the Yale Emergency Department and the Yale-New Haven Hospital inpatient services, including pediatrics.

Pediatrics: 1 week . There are typically two adult neurology residents on the pediatrics service, as well as a pediatric neurology resident in most cases. They are responsible for consults in the children’s hospital and pediatric emergency department and also round with the pediatrics team on patients admitted under the pediatric neurology attending. There is some time spent in the outpatient pediatric neurology clinic during this rotation as well.

Neurophysiology: 4 weeks . During the neurophysiology rotation, residents have exposure to EEG (morning rounds with the epilepsy team) and EMG in the neuromuscular clinics.

Clinic Block: 8 weeks (one week every 6 weeks). The clinic blocks are new for the 2022-23 academic year. Every 6 weeks, the same cohort of residents (called a "firm") will spend one week in outpatient clinics. Approximately half of this time will be spent in continuity clinics at the VA and Yale, and the other half is spent in subspecialty clinics chosen by the residents. Residents do not have backup or weekend responsibilities during the clinic block.