Curriculum

Rotation schedule

This four-year program is significantly weighted towards clinical/bedside training. Attending neurologists and residents conduct daily rounds at Beaumont, Farmington Hills or Beaumont, Royal Oak. Office neurology supplements in-patient hospital exposure, with at least 1/2 day per week in an office setting.

Didactics

• supplemented through a consortium with MSUCOM involving the neurosciences
• onsite or virtual campus lectures are scheduled on selective Fridays at MSU
• neuroanatomy lectures offered throughout the academic year
• onsite or virtual conferences/grand rounds alternating between the Farmington Hills and Royal Oak campuses on Thursdays
  • residents present cases when assigned
• monthly journal club

Out services are obtained at various institutions or settings, depending upon availability. Presently, Henry Ford and the Michigan Institute for Neurologic Disorders (MIND) are the primary settings for out services.

Rotations

• six months of internal medicine
• one month of psychiatry
• one month of ICU
• one month of EM
• two months of EEG/EMG
• three months of pediatric neurology
• one month of neuropathology
• one month of neuroradiology
• continuity clinic weekly beginning the PGY-2 year

Electives

Depending upon scheduling, three to five months of electives may be granted to the resident, including:

• headache
• neuro-ophthalmology
• neuropathology
• neuroradiology
• movement disorders
• neurology research
• further neurophysiology training
• neurology ICU at Henry Ford Hospital
• movement disorders at Henry Ford Hospital
• office at Michigan Institute of Neurological Disorders

Responsibilities

Hours of work

• residents' routine daily work hours are 7 a.m. to 6 p.m., or until the necessary day's work is completed
• night call resident is on duty from 6 p.m. until 7 a.m.
• communication between daytime and evening on-call residents is mandatory in order to enhance patient care
• no resident leaves the hospital if work remains to be done without permission of the Program Director or attending neurologist present at that time
• total work hours are monitored to be in compliance with current ACGME regulations and policy, including moonlighting
  

Daily rounds

• the resident on a managed service is up-to-date daily with the status of his or her patients, test results, treatment, etc
• the resident is able to accurately convey this information to the attending neurologist
• consultations require a history, which is essential to making an accurate diagnosis
  • phone calls may be necessary in order to obtain an accurate history

EEG interpretation

• following completion of the EEG out rotation, it is the resident's responsibility to continue to read EEGs on a daily basis, both at the hospital and in the office setting
• the resident keeps a daily log of all EEGs read
• residents in-house set up a schedule for EEG reading and follow this on a daily basis

Teaching responsibilities

• residents actively participate in teaching and training all rotating students, interns and residents
• didactic sessions are held at a minimum of three times per week with the rotators on our service
• resident participates in morning and noon house staff lectures as designated by the Program Director and Site Directors

Logs

• residents keep detailed logs of patients, diagnoses and procedures, which are submitted and reviewed by the program Director and Clinical Competency Committee (CCC) every year

Exams

• resident is required to take the yearly on-site national neurology residents exam, usually given in March each year
• performance is reviewed with the Program Director

Performance evaluation

• resident's progress and performance is reviewed semi-annually with the Program Director and CCC

Charts

• daily admitting notes, progress notes and consultations are completed in a comprehensive manner, legible, with proper spelling and grammar
• all patients admitted to the neurology service require a complete admitting note by the resident responsible for that case
• all patients on a managed service require a discharge summary, including short stay patients
  • all discharge summaries are completed within seven days of the patient's discharge
• failure to comply leads to sanctions at the discretion of the Program Director or Site Directors

On call

• on call schedule is formulated by the designated chief resident(s) and approved by the Program Director or Site Directors
• on call duties:
  • resident is available by phone/beeper for all calls from the emergency department or hospital floors regarding patients
  • the resident makes a decision how he or she is to respond to the call and, at an appropriate time, notifies the attending neurologist on call
• taking call and seeing patients on an emergent or urgent basis is necessary to develop one's skills as a clinical neurologist