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Program Structure


First Year of Residency (PGY 2)

The first year of training emphasizes the inpatient care of neurological disorders. Residents have rotations as part of the inpatient service at UC San Diego Hillcrest, or combined UC San Diego Jacobs Medical Center and VA Medical Center La Jolla service.

One month of the first year is spent on the EMG/neuromuscular service, where the resident perform EMGs and NCVs and attend neuromuscular clinics. One month is also spent on the EEG/Epilepsy Service. This rotation is based primarily at the Thornton Pavilion Epilepsy Monitory Unit. About half the time is devoted to reading electroencephalograms, evoked potentials, and video-EEG telemetry studies.

Residents also do one month of ambulatory clinics to gain exposure to a wide breadth of outpatient neurology subspecialty clinics including movement disorders and neuroimmunology

Crash Course

The incoming PGY 2 residents spend their first 5 working days in a "crash course." This includes orientation to the information systems at each facility, but also provides a concise review of neuroanatomy, work on clinical problem solving, and a review of neurological emergencies. The UCSD stroke service also specifically addresses stroke code management during this time.

 

Second Year of Residency (PGY 3)

The second year of training includes 3 months on the pediatric neurology service based at Rady Children's Hospital. Pediatric inpatients and outpatients are seen under the supervision of the pediatric neurology attending physicians.

Another 2 months is spent on the EEG/Epilepsy and EMG/neuromuscular service.

Residents also see patients in the VA and UCSD Medical Center epilepsy outpatient clinics. Four months are typically spent on the inpatient services. On those rotations the resident enhances clinical management skills and begins to develop supervisory skills.

 

Third Year of Residency (PGY 4)

During the third year of training each resident generally has at least 5–6 months as senior resident on the inpatient services. These rotations allow the resident to perfect clinical management, supervisory and teaching skills.

Each resident spends another month on the outpatient clinic rotation, with generally 4 months of elective time available to pursue research or subspecialty interests.

A month of psychiatry is generally completed during this year of residency as well.