Neurology Residency at Mount Sinai Downtown

Our three-year residency program begins in your second post-graduate year (PGY-2). We encourage you to apply to the Mount Sinai Beth Israel Preliminary/Neurology program for your PGY-1 year.

We are a small program, with a dozen residents, which means you enjoy close relationships with faculty members, both in clinical training and research. Every resident is assigned a mentor for academic and emotional support throughout the three years; you also choose a clinical research mentor who helps you develop independent clinical research projects with the goal of presentation at scientific meetings and publication. All residents have dedicated research time in the PGY-3 year.

Our program director, Dr. Vicki Shanker, is the 2017 recipient of the American Academy of Neurology Program Director Recognition Award as well as the 2017 ACGME Parker Palmer Courage to Teach Award. We are thrilled that Dr. Shanker has received national recognition for her tireless dedication and commitment to the growth and well-being of our program.

Our residents have diverse interests that have included careers in Global Neurology, clinical research, and education.  Residents have served on the editorial board of the Resident and Fellow section of Neurology, as chairs in hospital committees, and have written grants while in training. All of our recent graduates have presented at national or international conferences. Recently awarded scholarships include the AAN Enhanced Resident Leadership Program, AAN Leadership for Women Program, AAN Neurology on the Hill, AAN Palatucci Advocacy Leadership Scholarship, the American Association of Neuromuscular and Electrodiagnostic Medicine Junior Member Leadership Liaison Program, and the Harvard Macy Program for Post-Graduate Trainees: Future Academic Clinician-Educators.

Ultimately, 100% of our residents complete a fellowship. The class of 2018 are currently training at

Stanford (Headache), the NIH (Neuro-immunology/Multiple Sclerosis), UVA (Movement Disorders), and UC Irvine (Neuromuscular). Previous residents have gone on to train at Harvard, Yale, Mayo Clinic, and many other outstanding institutions.

Academic Track

Training takes place throughout the Sinai system and is based in Manhattan. This includes Mount Sinai Hospital (MSH), Mount Sinai West (MSW), Mount Sinai Downtown Union Square, Mount Sinai Beth Israel (MSBI), and Mount Sinai New York Eye and Ear (MSNYEE). We treat a diverse socioeconomic population and receive referrals from across the country, guaranteeing you a wide variety of clinical experiences.

Aside from electives, residents have required rotations in Neuromuscular (MS Downtown), Movement Disorders (MS Downtown), Neuro-ophthalmology (MSNYEE), and Neuro-oncology (MSH) to provide depth to their knowledge base and enhance outpatient exposure. PGY-3 and PGY-4 residents rotate through the Mount Sinai West Multiple Sclerosis Clinic in addition to their continuity clinic.

You can also participate in elective rotations throughout the system in areas such as interventional radiology, endovascular neurology, neuro-intensive care, neuro-rehabilitation, multiple sclerosis, and pain.

Our program features include:

  • Eight week introductory lecture series focused on Emergency Neurology for PGY-2s
  • Protected blocks of educational time every Friday
  • Certified NIH stroke center: We have received the American Heart Association/American Stroke Association “Get With The Guidelines®” Stroke Gold plus Quality Achievement Awards for its success in implementing excellent care for stroke patients
  • Nationally recognized multi-disciplinary clinic for Amyotrophic Lateral Sclerosis 
  • Nationally recognized multi-disciplinary clinic for Movement Disorders;  Movement Center is designated as a Center of Excellence by both the National Parkinson's Foundation and Bachmann Strauss Dystonia and Parkinson’s Foundation
  • Paid American Academy of Neurology membership and Residency In-Service Training Examination testing
  • Paid attendance to local and national meetings
  • On call an average of two to five times a month
  • Wellness days off offered every quarter and wellness program for trainees

Inpatient Experience: You gain exposure to a large, demographically diverse patient population, and participate in the care of a broad range of neurological conditions such as epilepsy, stroke, multiple sclerosis, movement, and neuromuscular disorders. Currently, inpatient rotations occur at both Mount Sinai Beth Israel and Mount Sinai West. In 2019-2020, both our vascular and non-vascular inpatient services will be solely based at Mount Sinai West alongside our neuro-critical care unit and our epilepsy monitoring unit. Neurosurgery is also based at Mount Sinai West. Our current faculty will continue working with the residents at Mount Sinai West.

During your inpatient time you will be able to direct stroke codes under attending supervision. PGY-2 residents have one month of neuro-critical care.  PGY-2s also have two hours per day in the Neuro-radiology suite during their first consult month. Additional inpatient rotations time are offered as an elective. Residents have ample opportunity to teach medical students and psychiatry residents who rotate through both consult services. You take on increasing independence throughout the residency.

Outpatient Experience: You learn to run a successful neurological practice and gain exposure to the subspecialties in preparation for fellowship training. You spend a half-day a week at the continuity clinic, at Mount Sinai Downtown Union Square. At the clinic, we teach procedures such as botulinum toxin injections for headache and spasticity. Residents have exposure to subspecialties early in Neurology training. Outpatient experience in Epilepsy/EEG and Neuromuscular are provided in the PGY-2 year. A movement disorders rotation is provided in the PGY-3 year, independent of electives.

Teaching and Research Opportunities: You work with the rotating Mount Sinai medical students in the hospital and the clinic as well as the psychiatry resident. Your educational time extends from work rounds into resident conferences. We believe that conference time takes precedence over work responsibilities.

Typical Schedule

A typical academic schedule follows. Please note that each year you get 4 weeks of vacation, usually taken as two 2-week blocks or as one 2-week block + two 1-week blocks.


  • Neurology Inpatient Service, 4 months
  • Neurology Consult Service, 3 months
  • Psychiatry Consult Service, 1 month
  • Neuro-Critical Care, 1 month
  • Neuromuscular, 1 month
  • Electroencephalogram, Clinical Epilepsy, 1 month


  • Neurology Consult Service, 4 months
  • Pediatric Neurology, 2 months
  • Movement Disorders, 1 month
  • Elective, 2 months
  • Electroencephalogram, Clinical Epilepsy, 1 month
  • Research/Advanced Clinic Studies, 1 month


  • Consult Chief, 3 months
  • Floor Chief, 1 month
  • Pediatric Neurology, 1 month
  • Elective, 4 months
  • Neuro-Ophthalmology, 1 month
  • Neuro-Oncology, 1 month

Residents can choose electives anywhere in the Sinai system. Over the past two years, our residents have completed the following electives:

  • Deep brain stimulation programming
  • Endovascular neurology 
  • Electromyography sub-fellowship
  • Epilepsy/EEG
  • Global Neurology, Zambia
  • Headache
  • Infectious disease
  • Interventional radiology
  • Intraoperative monitoring
  • Movement disorders
  • Multiple sclerosis
  • Neuromuscular disease/EMG
  • Neuro-intensive care
  • Neuro-rehabilitation
  • Pain/palliative
  • Sleep neurology
  • Sports neurology
  • Stroke
  • Surgical epilepsy

In addition to rotations, you attend weekly and monthly conferences. You have dedicated protected educational time on Fridays, from 1 pm to 4 pm. The conferences include:

Weekly Conferences

  • Board Review
  • Case conference
  • Didactic Lecture Series
  • Grand Rounds

Bimonthly Conferences

  • Chief rounds (with PGY-2s)
  • Epilepsy/Electroencephalogram  Conference
  • Neuro-anatomy/Neurophysiology Review
  • Chairman's Rounds
  • Neuro-radiology Conference

Monthly Conferences

  • Journal club
  • Movement disorder didactic conference
  • Neuromuscular conference
  • Team case conference

Periodic Conferences

  • Emergency neurology lecture series
  • Ethics sessions
  • Morbidity and mortality/root cause analysis presentations
  • Wellness lecture series

How to Apply

The Department of Neurology accepts applicants through the Electronic Residency Application Service (ERAS). Applications are accepted between September 15th - January 31st. Only applications that contain the following will be reviewed: curriculum vitae, personal statement, three letters of recommendation, medical school transcript, and USMLE scores. Dean’s letters are received on October 1st. The Department will consider applicants seeking H1B or J1 visas. ECFMG certificate must be obtained prior to the rank list deadline.

Offers to interview will continue throughout the interview season. Interviews take place October- January. Applicants and programs submit their rankings to the National Residency Matching Program (NRMP) in mid-February. Applicants and programs are notified of the match results on Match Day in mid-March.