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.
Throughout the year, Friday mornings are reserved for didactic education. Neurology Grand Rounds are held Friday mornings. The format varies from presentation of interesting or unusual cases to topics of current basic or clinical neuroscience interest.
Grand rounds is usually followed by recurring didactic courses that rotate so all residents are exposed to the entire curriculum. One hour each Friday morning is used flexibly, sometimes for resident-led reviews of programmed reading from a neurology textbook, for journal club, morbidity/mortality case discussions, or for oral presentations.
Grand Rounds speakers often examine a patient for the benefit of the residents during this time as well. In addition, monthly stroke team meetings review recent stroke codes.
Periodic neuroscience research seminars are also offered on Fridays.
Residents rotating on the clinical services as well as others who are interested attend a series of weekly patient-based clinical conferences. These include neuroradiology and neuropathology conferences, as well as monthly epilepsy and neurovascular conferences.
Residents may attend the monthly San Diego Neurology Society meetings free of charge. These meetings are held at the UCSD Faculty Club and feature dinner and a guest speaker.
While on inpatient services, a “night float” system releases each resident from daytime clinical obligations, the majority of the year. Each site has a dedicated “night float” that provides the overnight neurological consultations and admissions.
A call system is in place for Sunday nights and a few months of the year when one of the sites may not have a dedicated “night float.” Residents on outpatient or elective months take turns covering call as necessary.
- Each resident on call has a senior resident with whom cases are discussed, and in turn that resident presents cases to the attending neurologist.
We closely monitor and adhere to the resident work rules.