Department of Neurology

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Department of Neurology

Clinical Rotations

The following are typical schedules of inpatient, consult, ambulatory, and elective responsibilities for junior and senior residents. The exact breakdown for each year will be dependent on multiple variables, including the availability of Medicine, Pediatric Neurology, Neurosurgery, and Psychiatry residents.

Junior Residents
Nine first-year adult neurology residents spend their first year exclusively at HUP and Pennsylvania Hospital, while each Pediatric Neurology trainee spends six months at HUP and six months at CHOP.

In general, four months are spent on the HUP Neurology Inpatient Service, three or four months are spent at Pennsylvania Hospital either on the inpatient or consult service, one or two months are spent on the HUP General Neurology Consultation Service, and one or two months on the HUP Ambulatory Service. One month vacation is also allotted to each resident.

In-house call for junior residents at HUP and Pennsylvania Hospital is usually every fourth night or less.

Senior Residents
Second and third year trainees have 22 months divided between elective and patient care responsibilities.

The 12 months of patient care are generally divided as follows:

  • three months on the CHOP Neurology Consultation Service
  • one month on the HUP Neurology Consultation Service
  • one month on the HUP NeuroIntensive Care Service
  • four months on the HUP Neurology Inpatient Service
  • two months on the HUP Neurology Ambulatory Emergency Service
  • one additional month on any of the above services.

Ten months are allocated to electives which may include:

  • Cognitive neurology
  • EEG
  • EMG
  • Movement disorders
  • Neuro-muscular disorders
  • Neuro-oncology
  • Neuro-ophthalmology
  • Neuropathology
  • Neuro-otology
  • Neuroradiology
  • Neurosurgery
  • Neurovascular studies
  • Psychiatry
  • Research
  • Other electives as individually arranged

One month of vacation is offered each year.

Call is ordinarily not required while on elective or on the Consultation Service. Backup call from home for senior residents on service is every other night while on HUP Inpatient Service, and every third night while at CHOP.

Elective Program Between Penn and Johns Hopkins University
The Departments of Neurology at the University of Pennsylvania and Johns Hopkins University have established a formal elective program for residents to spend one-month elective rotations in subspecialty areas building on the particular strengths of these programs.

Elective rotations offered at the University of Pennsylvania include:

  • Multiple sclerosis
  • Neuro-ophthalmology
  • Pediatrics at CHOP
  • Stroke
  • Movement disorders
  • Functional MRI.

Elective rotations at Johns Hopkins University include:

  • Neurological intensive care
  • HIV neurology
  • Peripheral nerve
  • Myology
  • Neuro-otology
  • General neurology outpatient rotation
  • Movement disorders
  • Sleep disorders
  • Potentially, courses in the School of Public Health

We believe these rotations enhance the clinical experience available to the residents of both institutions.

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