Resident Education

Time	Monday	Tuesday	Wednesday	Thursday	Friday
8 a.m.	No Session	No Session	Morning Report (8 - 8:30) rotating group of faculty	Morning Report (8 - 8:30) Rotation group of faculty	Wellness Session for PGY-2 (one/month)
12-1 p.m.	Neurophys and other topics	Selected topics	Resident meeting monthly	Clinical Grand Rounds, PSQI, and Selected Educational Topics	Selected Topics
4-5 p.m. p.m.	NA	NA	Neurology Grand Rounds	NA

The resident didactic sessions are an area of continuous revision and improvement with direct contributions from our residents as well as with dedicated work from our two Education Chief Residents. All major topics in neurology are covered in these conferences, including subspeciality “blocks” throughout the year, and longitudinal sessions throughout the year in neuro-radiology, neuro-pathology, anatomy and in other areas.

Neurophysiology: Residents have interactive conferences in neurophysiology throughout the year. Topics include basic and advanced EEG, continuous and quantitative EEG, nerve conduction studies, EMG, repetitive nerve stimulation, and evoked potentials. Residents are led by subspecialty faculty members and fellows and conferences are based on clinical cases.

Selected Topics: Other topics during noon conference include:

• Neuropathology
• Neuroradiology
• Neuroanatomy
• Journal Club (resident led)
• Principles of Research
• Child Neurology
• Psychiatry
• Medical Ethics
• Fundamentals of teaching
• Neurology Subspecialty topics
• RITE Review Sessions

Morning Report: Each session focuses on a single clinical case, presented by a member of the consultation team. The focus is on clinical reasoning, and these sessions are led by senior clinicians in the department on a rotating schedule. Weekly neuroradiology morning reports are a collaborative effort with the neuroradiology department and focus on the dissection of neurological imaging studies on neurology services. Weekly “Why we do what we do” morning report sessions on Fridays are led by the NICU senior and explore the literature behind medical decision making.

Spiritual sessions: We have bi-monthly Spiritual gatherings, where residents will have a safe space to discuss challenging hospital encounters and how it impacts them in an emotional, psychological, and spiritual way. Our department chaplain facilitates these sessions to help residents process how their wellness is impacted by sometimes challenging situations.

Gaps in Health Access and Outcomes Clinical Grand Rounds and Patient Safety Quality Improvement: There are two sessions per year in which cases are reviewed with a focus on disparities in neurological care. These discussions are led by residents, fellows, and faculty, and current literature on disparities in neurological care is reviewed.

Departmental Grand Rounds: Every Wednesday at 4 p.m., the entire department meets for Grand Rounds, where physicians and scientists present the latest advances in our field.

Clinical Grand Rounds: These sessions are presented by residents, fellows, or faculty members to the entire department. The focus is on rare cases, and cases in which there are diagnostic and treatment controversies. Case presentation and neuroimaging and other neurodiagnostics are reviewed with in-depth discussions of clinical reasoning in an interactive format.

Patient Safety and Quality Improvement: The entire department participates in this. Senior residents present representative cases with the mentorship of dedicated PSQI faculty and clinical chief residents, and this is seen as a key mechanism to identify opportunities for quality improvement in neurologic care.

Neurophysiology Sessions: Residents complete a one-on-one standardized session with both epilepsy and neuromuscular faculty yearly. These sessions are focused on the interpretation of neurophysiologic findings of both EEG and EMG/NCS with directed feedback provided at the end of each session.

Movement Disorders Sessions and Asynchronous Learning: In order to enhance our self-reported confidence in movement disorders, PGY-2 trainees are required to complete self-directed movement disorder modules. In the PGY-3 and PGY-4 years, one-on-one "check-ins" with a movement faculty member occur yearly, in which they will discuss a standardized set of cases (with video examples) and receive individualized feedback.

Lumbar Puncture Simulations: All PGY-2 trainees participate in a lumbar puncture simulation during orientation and later in the course of their first year of neurology residency. These sessions are one-on-one with a faculty member providing direct feedback.

Clinical Simulations and Skills Workshops: Residents complete several simulations and skills workshops over the course of their neurologic training:

Early during the PGY-2 year, simulation sessions of neurologic emergencies are completed.

During the PGY-3 and PGY-4 years, simulations focus on the assessment and diagnosis of brain death.

A program of interactive workshops focusing on professional, interpersonal and communication skills (e.g., giving feedback, disclosing medical errors, discussing a poor prognosis, etc.) take place annually in small mixed-peer groups, with a variety of scenarios tailored to each stage of training.

Botulinum toxin skills training with mannequins, focusing on treatment of migraine, dystonia and spasticity, are integrated into the curriculum.