PGY2: The first year of residency is spent on the general neurology, stroke and consult services, as well as in the neurosurgical ICU and ambulatory clinic at Mount Sinai Hospital. Residents attend daily morning report, weekly grand rounds, chief of service rounds, and daily didactic conferences at noon, as well as a year-long neuroscience conference series covering all neurologic specialties. The majority of the year is spent at Mount Sinai Hospital, with the exception of 6 weeks at the James J. Peters Veterans Administration Hospital in the Bronx.
PGY3: Residents spend the majority of the year at Elmhurst Hospital in Queens, acting as senior resident on the general neurology and consult services, as well as in the outpatient clinic program. Elmhurst comprises one of the most culturally diverse populations in the US, and the rotations at Elmhurst Hospital offer exposure to an extraordinary array of different cultures, languages and neurological disorders. The faculty members are deeply rooted in the local community, and are committed to helping the neurology residents develop their own cultural competence through modeling and case-based teaching. Residents work in a team with medicine interns and students, where the role includes supervision of patient care and teaching. The remainder of the year is spent at the Bronx VA, supervising PGY2 residents on the consult service, as well as in pediatric neurology and neurophysiology.
PGY4: Residents serve as senior residents on the general neurology, stroke and consult services at Mount Sinai Hospital, with additional months spent in electives, pediatrics, psychiatry. Two weeks in the early part of the year are also spent on night float as part of our ‘buddy call’ system, in order to teach and mentor the new PGY2s.
We take duty hours seriously and prioritize resident wellness, and our schedules comply with the ACGME work-hours limitations and New York State Bell Commission rules limiting work hours. Residents have one short call every three days until 8pm. The Bronx VA has home pager call after 5pm on weekdays and weekends.
All residents have four weeks of vacation time each year.
We offer clinical electives in all of our neurological subspecialties, as well as multiple opportunities to arrange electives at outside institutions or devote elective time to research.
The warm rapport among residents, close communication with faculty, diversity of our patient population and emphasis on outstanding patient care lie at the heart of our program.
The first two months of training is a time for PGY-2 residents to gain confidence in their abilities as new neurologists. As part of the summer schedule and to ease the transition from medicine intern to neurology resident, the program ensures that there will be a ‘buddy call’ senior resident in the hospital at all times during July and August. There is also a summer lecture series with daily noon conference topics prepared especially for the PGY-2 class, including simulations and hands-on training in running codes and performing LPs.
Each resident is paired with a faculty member who will be available as a mentor throughout all three years of residency. The mentor’s responsibility is to act as a guide for career development, as a resource for research and elective opportunities, and as an advocate for issues that arise both inside and outside of the hospital. The goal is for each resident to develop a strong personal and professional connection with a dedicated faculty member who will support them and guide them through the program. There are also designated faculty members representing a broad range of neurological and neuroscience subspecialties to help individual residents with career interests, fellowship applications and research projects. In addition, all residents meet with the program director semi-annually to discuss short- and long-term goals and to review personal accomplishments.
Neurology Residency Curriculum and Lecture Series
The goals of the curriculum run in parallel with that of the program: to train well-rounded clinicians, nurture their humanistic values, and prepare them for leadership roles in their selected fields. Our dynamic learner-focused curriculum capitalizes on residents’ experiences, clinical relevance of education material, and practicality, in addition to the expertise of the lecturer. The curriculum has been comprehensively refined through resident leadership to maximize resident engagement and learning, and our curriculum itself has been a focus of resident scholarship resulting in presentations at local and national meetings.
The core conferences take place weekdays at noon, and lunch is provided. The course is divided into four consecutive (seasonal) courses with advancing levels of academic complexity. In the fall, we begin with the basics of neurology practice and management of neurological emergencies. Orientation to research and development of research interests are also discussed. In the winter, the focus shifts to more complicated neurological conditions and management, integrated with advanced pathophysiology, neuroradiology and neuroanatomy. Finally, the spring course places a deeper emphasis on research, with an eye towards emerging and future trends in the field.
Each noon conference session includes both a lecture and a resident-led boards-style question and answer session, meant to further engage residents and students in the material and offer teaching opportunities for the senior residents on the Teaching Resident block.
Throughout the year, many sessions are also dedicated to quality improvement initiatives, ‘resident as teacher’ modules, and a special emphasis on resident wellness. The wellbeing of our residents is paramount, and the goal of these sessions – as well as extracurricular events – is to help establish work-life balance, nourish healthy approaches, prevent burnout and reduce stress.
All conferences are video broadcasted to our affiliated sites (Elmhurst and the VA) and then stored in a digital AV library accessible via shared media storage.