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Curriculum

CURRICULUM

PGY-1

Ours is an Advanced neurology program, meaning applicants must apply separately for their PGY-1 year. Applicants may apply for both transitional year and internal medicine-preliminary year slots at Emory. Applicants must apply through the Electronic Residency Application Service (ERAS) of the National Resident Matching Program (NRMP) for these positions, using the unique program numbers associated with the Emory Neurology training program. Separate interviews with these programs are not necessary. Applicants who prefer to train elsewhere for their PGY-1 year may do so.

Per ACGME guidelines, the internship year must include:

  1. eight months in internal medicine OR
  2. six months in internal medicine with a period of at least 2 months' time comprising one or more months of pediatrics, emergency medicine, internal medicine, or family medicine
  3. residents may spend up to four months in neurology during the intern year

CURRICULUM: TRADITIONAL TRAINING TRACK

PGY-2

The goal of the PGY-2 year is to simply immerse the resident in neurology; there is no better way to learn the principles of neurology than to see and examine patients under careful supervision. The PGY-2 year is a mix of inpatient and outpatient neurology; residents rotate on 2-week blocks at Emory University Hospital, Grady Memorial Hospital, and in the outpatient clinics at the Brain Health Center. Half-day continuity clinics are held weekly at both Grady and BHC throughout all rotations. PGY-2 residents take call at both Grady and Emory University Hospital.

PGY-2 curriculum is as follows (Roll over the items for descriptions):

Grady consult service (6 weeks)

Grady ward service (6 weeks)

Emory consult service (6 weeks)

Emory night float (6 weeks)

Grady neuro ICU (6 weeks)

Emory EEG/epilepsy service (4 weeks)

Movement disorders clinic (2 weeks)

Cognitive clinic (2 weeks)

Sleep clinic (2 weeks)

General neurology clinic (2 weeks)

Elective (6 weeks)

Vacation (5 weeks)

PGY-3

During the PGY-3 year, residents spend time training in specific areas of neurology, including child neurology and neuromuscular diseases. Additionally, PGY-3 residents begin to transition to a supervisory role. For the first time, the PGY-3 is a leader, running the Grady consult service. Time management and organizational skills are quickly learned while running this busy team. The PGY-3 must not only run the team, but spend time teaching the PGY-2, rotating residents, and medical students on the service, which is a major responsibility and learning experience. Throughout the PGY-3 year, the resident continues his or her continuity clinic one half-day a week. Call responsibilities are solely at Grady during the PGY-3 year, including both night float and weekend coverage.

The PGY-3 curriculum is as follows (Roll over the items for descriptions):

Child neurology (12 weeks)

Grady night float (6 weeks)

Grady consults (6 weeks)

Emory EEG/epilepsy service (4 weeks)

Neuromuscular/EMG (8 weeks)

Neuro-ophthalmology (4 weeks)

Elective (8 weeks)

Vacation (5 weeks)

PGY-4

The PGY-4 year is the most flexible of the 3 years of training, with five months of elective time to pursue academic or clinical interests. It's also a year of increased responsibility, with several rotations in which the PGY-4 functions as the senior resident in charge of a ward or consult service, preparing the resident to function as a junior attending. By the end of the year, PGY-4 residents are fully competent and capable of practicing independently.

The PGY-4 curriculum is as follows (Roll over the items for descriptions):

Grady wards (6 weeks)

VA chief (6 weeks)

Emory consults (6 weeks)

Psychiatry (4 weeks

Neuropathology (4 weeks)

Elective (20 weeks)

Vacation (5 weeks)

FLEXIBLE TRAINING PATH

We offer a Flexible Neurology Training Path which allows residents more time to focus on clinical or basic science research during all three years of residency. On the flexible path, residents will be given extra time for research during each PGY year. Residents will still fulfill all ACGME requirements for graduation.

Residents must apply for the flexible path by November 1st of their PGY-2 year; interested residents are encouraged to seek out research mentors during their PGY-1 year, though it is still possible to apply if a mentor is not identified until the PGY-2 year. A committee of physician scientists and core residency faculty will review all applications; decisions will be granted by January 1st. There is no limit on the number of residents who can be on the flexible path at any given time. Prior research experience is recommended, but not an absolute requirement.

During the PGY-3 year, residents on the flexible path are encouraged to apply for an NIH R25 grant, which secures funding for six months of protected mentored research time during the PGY-4 year and during one year of fellowship training. R25 grant applications are due in the fall of the PGY-3 year. Participants in the program will have the added benefit of a mentoring team comprised of 1-2 senior scientists in addition to the primary mentor who will help the resident through the grant-writing process.

Flexible Path Curriculum

Residents on the flexible path will satisfy all ACGME requirements for graduation. They will do the same number of inpatient rotations as their traditional curriculum classmates, and the same number of on-call nights/weekends. Residents can still choose to do clinical electives during the PGY-2 and PGY-3 year if they wish.

PGY-2 During the PGY-2 year, residents on the flexible path have an additional 6 weeks of research time, for a total of 12 weeks. Rotations in sleep (2 weeks) and general neurology (2 weeks) are forfeited, and only 2 weeks are spent on EMU/epilepsy instead of four. While on research rotations, PGY-2 residents do an average of one 24-hour call and one 12-hour call per 4-week block.

PGY-2 FlexPath Curriculum
Block#
Traditional PGY-2
FlexPath PGY-2
1
Grady ICU
Grady ICU
2
Grady ICU
Grady ICU
3
Grady ICU
Grady ICU
4
Grady Consult
Grady Consult
5
Grady Consult
Grady Consult
6
Grady Consult
Grady Consult
7
Grady Wards
Grady Wards
8
Grady Wards
Grady Wards
9
Grady Wards
Grady Wards
10
EUH Night Float
EUH Night Float
11
EUH Night Float
EUH Night Float
12
EUH Night Float
EUH Night Float
13
EUH Consult
EUH Consult
14
EUH Consult
EUH Consult
15
EUH Consult
EUH Consult
16
Epilespy/EMU
Epilespy/EMU
17
Epilespy/EMU
Movement Disorders
18
Movement Disorders
Cognitive
19
Cognitive
Research
20
Sleep
Research
21
Gen Neuro Clinic
Research
22
Elective
Research
23
Elective
Research
24
Elective
Research
25,26
Vacation
Vacation

PGY-3 During the PGY-3 year, residents on the flexible path have an additional 6 weeks of research time, for a total of 14 weeks. To accomplish this, the neuromuscular rotation is reduced by 4 weeks, the EMU/epilepsy rotation is reduced by 2 weeks, and the neuro-ophthalmology rotation is reduced by 2 weeks. The neuropathology rotation is shifted from the PGY-4 year to the PGY-3 year and reduced from 4 weeks to 2 weeks. While on research rotations, PGY-3 residents do an average of one 24-hour call per 4-week block.

PGY-3 FlexPath Curriculum
Block#
Traditional PGY-3
FlexPath PGY-3
1
Child Neurology
Child Neurology
2
Child Neurology
Child Neurology
3
Child Neurology
Child Neurology
4
Child Neurology
Child Neurology
5
Child Neurology
Child Neurology
6
Child Neurology
Child Neurology
7
Neuromuscular
Neuromuscular
8
Neuromuscular
Neuromuscular
9
Neuromuscular
Neuro-Ophthalmology
10
Neuromuscular
Epilespy/EMU
11
Epilepsy/EMU
Grady night float
12
Epilepsy/EMU
Grady night float
13
Grady night float
Grady night float
14
Grady night float
Grady consult
15
Grady night float
Grady consult
16
Grady consult
Grady consult
17
Grady consult
Neuropathology
18
Grady consult
Research
19
Neuro-Ophthalmology
Research
20
Neuro-Ophthalmology
Research
21
Elective
Research
22
Elective
Research
23
Elective
Research
24
Elective
Research

25,26

Vacation
Vacation

PGY-4 During the PGY-4 year, residents on the flexible path have an additional 4 weeks of research time, for a total of 24 weeks. To accomplish this, the neuropathology rotation (4 weeks) is reduced by 2 weeks and shifted to the PGY-3 year. While on research rotations, PGY-4 residents do an average of one 12-hour call per 4-week block.

PGY-4 FlexPath Curriculum
Block#
Traditional PGY-4
FlexPath PGY-4
1
EUH Consults
EUH Consults
2
EUH Consults
EUH Consults
3
EUH Consults
EUH Consults
4
VA Consults
VA Consults
5
VA Consults
VA Consults
6
VA Consults
VA Consults
7
Psychiatry
Psychiatry
8
Psychiatry
Psychiatry
9
Grady Wards
Grady Wards
10
Grady Wards
Grady Wards
11
Grady Wards
Grady Wards
12
Grady Wards
Grady Wards
13
Neuropathology
Research
14
Neuropathology
Research
15
Elective
Research
16
Elective
Research
17
Elective
Research
18
Elective
Research
19
Elective
Research
20
Elective
Research
21
Elective
Research
22
Elective
Research
23
Elective
Research
24
Elective
Research
25,26
Vacation
Vacation