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.

1 block = 24 days
15 Blocks per year

Year	Ward Rotation	Clinic Rotation	Night Float	Consult Service	Child Neurology	Electives
PGY-2	6 blocks	4 blocks	2 blocks	3 blocks
PGY-3		1 block Behavioral Neurology	1 block	3 blocks	3 blocks	5 blocks
PGY-4	3 blocks			3 blocks VA Consult		9 blocks

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 and neuroradiology conference 7:30 a.m. - 8 a.m.	Pre-round	Pre-round	Pre-round
8 a.m. - 9 a.m.	Senior residents' rounds	Senior residents' rounds	Senior residents' rounds	Senior residents' rounds	Senior residents' rounds
9 a.m. - 11 a.m.	Attending rounds	Attending rounds	Attending rounds	Attending rounds	Attending rounds
noon - 1 p.m.	Lunch	Lunch	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 - weekly Morbidity / mortality -monthly
4:30 p.m. - 5 p.m.	Sign out	Sign out	Sign out	Sign out	Sign out

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	VA clinic	Neurology team clinics	Neurology team clinics	Neurology team clinics	Neurology team clinics
noon - 1 p.m.	Lunch	Lunch	Lunch	Lunch	Lunch
1 p.m. - 4:30 p.m.	VA clinic	Neurology team clinics	Resident clinics	Grand rounds	VA clinic
				Teaching programs

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.