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Department of Neurology

Department of Neurology

Ward and clinic rotations

PROGRAM INFORMATION

CONTACT INFORMATION

Lori Simperman

House staff coordinator

(916)734-3514

lori.simperman@ucdmc.ucdavis.edu

 

The goal of the Neurology Residency Training Program is to provide future neurologists with a broad exposure to patients and clinical situations. The program is designed to shape future clinical neurologists into discriminating physicians and scientists with a wide range of expertise.

Typical rotation schedule

1 block = 24 days
15 Blocks per year

 

Year Ward Rotation Clinic Rotation Night Float Consult Service Child Neurology Electives
PGY-2 6 blocks 3.5 blocks 2 blocks

3 blocks

(UCD)

0.5 blocks  
PGY-3   3 block
1 block 3 blocks 3 blocks 5 blocks
PGY-4 3 blocks    

3 blocks

(VA)

1 block

8 blocks (1month psych)

Ward rotation

During the PG-2 year, neurology residents are assigned to inpatient care at the UC Davis Medical Center. The resident is helped by visiting residents from other departments and is supervised by a senior (PGY-4) resident and attending faculty physician. During ward rotations, residents assist in supervision and training of students and visiting residents. During the first year, residents are expected to gain expertise and sophistication in patient care and the techniques of all neurological procedures. The inpatient rotation in the first year includes experience in general neurology, the stroke services and the epilepsy monitoring unit.

The night float provides service from 9 p.m. to 9 a.m. Each PGY-2 rotates for two blocks as a night float and each PGY-3 rotates for one block.

Daily routine for ward rotation residents

 

 

 

Monday

Tuesday

Wednesday

Thursday

Friday

7 a.m.- 8 a.m.

 

Pre-round

Pre-round

Pre-round

Pre-round

8 a.m. - 9 a.m.

Pre-round

Stroke rounds

Stroke rounds

Stroke rounds

Stroke rounds

9 a.m. - 10 a.m.

Stroke rounds

Attending rounds

Attending rounds

Attending rounds

Attending rounds

10 a.m.-11 a.m.

Attending rounds

Ward work

Ward work

Ward work

Ward work

11 a.m.-noon

Ward work

Ward work

Ward work

Ward work

Ward work

noon - 1 p.m.

Lunch

Noon conference

Lunch

Lunch

Lunch

1 p.m. - 2 p.m.

Ward work

Ward work

Residents Continuity Clinic

Grand rounds

Ward work

2 p.m. - 4:30 p.m.

Teaching conferences

5 p.m.

Sign out

Sign out

Sign out

Sign out

Sign out


The outpatient experience: Clinic rotation

The PG-2 year also includes a focused block of time for residents to participate in outpatient clinics. The resident rotates through both general neurology and specialty clinics in neuroimmunology, muscle disease, peripheral neuropathy, epilepsy, behavioral neurology and dementia, cerebrovascular disease and movement disorders. All patients are evaluated by the resident and reviewed in detail with a faculty member with specialty expertise. Residents also learn the intricacies of managing complex neurological problems from faculty experts.

In addition to the focused rotation during the PG-2 year, the outpatient experience for PGY-3 and PGY-4 residents also involves continued outpatient clinics at the UC Davis Medical Center and the Mather VA hospital. At UC Davis Medical Center, residents attend a continuity clinic each Wednesday afternoon during the entire three years of training. This clinic is supervised by a full-time faculty member and several community neurologists. During outpatient rotations and some rotations during the second and third years, residents also attend an outpatient clinic at the VA hospital that is supervised by faculty members. This clinical exposure provides ongoing supervised outpatient experiences throughout the training program.

Schedule for oupatient-clinic rotation residents

 

 

Monday

Tuesday

Wednesday

Thursday

Friday

8 a.m. - noon

Neurology team clinics

Neurology team clinics

Neurology team clinics

Neurology team clinics

Neurology team clinics

noon - 1 p.m.

Lunch

Lunch

Lunch

Lunch

Lunch

1 p.m. - 5:00 p.m.

VA clinic

Neurology team clinics

Resident Continuity Clinic

Grand rounds

Neurology team clinics

Teaching programs


 

Other rotations

During the PG-2 and PG-3 year, residents spend three blocks on the UC Davis Medical Center inpatient consultation service, including consults to the medical center emergency room. The busy emergency room has about 47,000 visits each year. The additional rotations include child neurology, EEG, EMG, neuroradiology, psychiatry and various electives.

Adult neurology residents (PGY-3) staff three-month rotations in the pediatric unit, both inpatient and outpatient. Residents from other departments, including pediatrics, child psychiatry, and physical medicine and rehabilitation, also have rotations on the service. The on-call neurology residents cover the pediatric emergency room.

The PGY-4 rotations include supervision of the UC Davis Medical Center inpatient service and stroke service, as well as a three-block period as the neurological consultant at the VA hospital. The remaining rotations are elective, including focused research under the guidance of a faculty member.

The senior resident on the UC Davis Medical Center ward is responsible for the day-to-day operation of this service. This involves supervision, support, advice and instruction to the neurology residents, other house staff and students rotating in neurology. All patient-care activities are conducted under the guidance of the attending staff.