Program Overview

Admitting Night Float Rotation (ANF) is done in PGY-3 year. The ANF resident works closely with the Senior Consult Night Float resident, admitting patients to both the General Neurology Inpatient Service, as well as the Neurovascular Service, from various places including the Emergency Room, outside hospitals, the NICU, and other Medical Center services. 

Adult Epilepsy Monitoring Unit is an educational experience for PGY-1 residents. During this rotation, residents become a member of the Epilepsy Division and care for patients in the adult EMU, which includes learning how to read EEGs and care for patients with epilepsy. 

Child Neurology Rotation is based at NewYork-Presbyterian Morgan Stanley Children's Hospital. The clinical activities of our Division of Child Neurology are headquartered at CHONY. The residents are members of the Child Neurology Consult Team, which is responsible for new consultations and follow-ups from the pediatric ER, ICU's, and floors, and which works in parallel with our child neurology residents and attendings.

The continuity clinic has recently been restructured.  The resident has four sessions of continuity clinic every four weeks.   Two of those sessions are in general neurology and the other two are in subspecialities.  The resident switch subspecialties each year which allows each residents to have in-depth exposure to six core subspecialties over the course of their training. 

Sample schedule below:

• Monday
  • AM: Small group tutorials and simulations
  • PM: Elective
• Tuesday
  • AM: Epilepsy Continuity Clinic
  • PM: EMG
• Wednesday
  • AM: General Neurology Continuity Clinic
  • PM: General Neurology Continuity Clinic
• Thursday
  • AM: Neuroimmunology Continuity Clinic
  • PM: Elective
• Friday
  • AM: Elective
  • PM: Elective

The range and abundance of elective time during neurology residency allows residents to explore many areas of neurology in greater depth. The total elective time is 32.5 weeks spread over the 3 years of training.  Examples of electives include:  Continuous EEG, Clinical Trials, Epilepsy, Headache, Movement Disorders, Cognitive Disorders, Neuroimmunology, Neuro-infectious disease, Neuro-interventional, Neuro-muscular, Neuro-oncology, Neuroradiology, Rehabilitation Medicine, Neurovascular ultrasound, Palliative Care, Stroke (Outpatient), International Elective.

General Neurology Inpatient Service Rotation offers the residents an  opportunity to care for patients with general neurological diseases. These patients have been admitted to the Medical Center's Milstein Hospital from the Emergency Room, the Neurological Intensive Care Unit, the faculty practice doctors at the Neurological Institute, and outside hospitals. Typical diagnoses on this general neurology service include neuro-oncology, autoimmune neurology, epilepsy, encephalopathy, neurodegenerative disease, and neuromuscular disease, among others.

Junior Night Float (JNF) Rotation offers residents the opportunity to practice their skills cross-covering neurology patients and also admitting patients to the neurology inpatient services. 

Neurological Care Unit (NICU) Rotation exposes residents to the dynamic environment of our 18-bed, state-of-the-art NICU. Here, residents learn to effectively evaluate and manage patients with severe and acute neurological emergencies, many of whom require advanced monitoring, mechanical ventilation, cardiovascular support, invasive procedures, and neurosurgical interventions. 

Neurology Consult Service Rotation allows residents to provide neurological expertise throughout NewYork-Presbyterian/Columbia University Irving Medical Center, including the ICU's, the Emergency Room, and the general medical and surgical floors.  This educational experience most closely resembles the work of a practicing consultant neurologist in the acute hospital setting. The service makes daily rounds, seven days a week, providing over 2000 neurological consultations annually to every service in the Medical Center.

Neurology Inpatient Stroke Service Rotation teaches residents to care for patients with neurovascular conditions of all types, including ischemic stroke, hemorrhagic stroke, vasculitis, arteriovenous malformations, and others. Like the General Neurology Inpatient Rotation, patients are admitted to the Neurovascular Unit at Milstein Hospital from a variety of sources.

EMG Rotation is embedded in the clinic-elective block and allows the residents  to interact with and learn from our clinical neurophysiology fellows and faculty.

Neuro-Oncology Rotation enables residents to experience the complexities of both outpatient and inpatient management of patients with brain cancer through our outstanding Division of Neuro-Oncology. While on this rotation, residents are able to see patients in the outpatient setting, as well as in consultation in Milstein Hospital. Residents also attend Tumor Board every week with our neuro-oncology faculty. 

Neuropathology Rotation introduces PGY-4 residents to the Department of Pathology and Cell Biology's remarkable Division of Neuropathology. Here, residents are exposed to a broad range of pathology, both grossly and under the microscope, and attend brain cutting sessions each Friday morning. Working alongside the neuropathology faculty and fellows, residents are able to gain a deeper understanding of both neuroanatomy and neuropathology, often going to the OR to look at frozen sections.

Night Float Consult residents have the highest level of responsibility and independence in medical decision making in the Neurology Residency Program. The consult night float is responsible for evaluating and recommending a plan of diagnosis and management for patients with acute and emergent neurological problems who present to the ER, or who are already hospitalized on other services at the Medical Center. The ability to fill this role represents an important milestone in the development of an independent neurological consultant.  

Psychiatry Rotation for PGY-4 residents is an inpatient experience on the Psychiatry Consult Liaison Service. As required by the Accreditation Council for Graduate Medical Education (ACGME), and the American Board of Psychiatry and Neurology (ABPN), all neurology residents must participate in this four-week clinical experience. This rotation exposes neurology residents to the principles of psychiatric evaluation, interviewing techniques, the multi-axial psychiatric diagnostic framework, psychotherapy, pharmacotherapy, and a systems-based approach to patient care and disposition.