SUNY Downstate Medical Center
Department of Neurology
Internal Medicine preliminary year
We have designed a program in conjunction with the Department of Internal Medicine that provides a strong, comprehensive framework in Internal Medicine that will support further neurologic development. Residents rotate through intensive care, cardiac care, combined stroke/internal medicine, palliative care, as well as general medical wards. An elective month provides the opportunity to choose focused training in related medical specialties. Residents rotate through Kings County Hospital (KCH), University Hospital of Brooklyn (UHB), and the Brooklyn Veteran's Administration Hospital (BKVA).
Neurology first year
The basic approach to the evaluation of the neurologic patient is taught and the fundamentals of clinical neurology are emphasized in this year. Clinical rotations on the KCH wards provide a city hospital setting where a huge variety of pathology is combined with excellent teaching. At UHB, the residents are exposed to subspecialty areas, such as the Stroke and Epilepsy units, in addition to the general neurology ward and consultation services. Residents also do two weeks of Epilepsy and one month of Neuro-oncology at Memorial Sloan Kettering Cancer Center (MSKCC).
Neurology second year
Consultation skills are honed on the KCH and UHB consultation services. The pediatric neurology rotation provides exposure to neurologic disorders of children. The outpatient department rotation provides a month to concentrate on outpatient care and neurologic subspecialties. Electives provide the time to study the subspecialties and to pursue research.
Neurology third year
Clinical neurology and management skills are consolidated in the senior resident rotations on the KCH and UHB services. Residents also do one month of psychiatry and complete the pediatric neurology training. Subspecialty electives again provide further opportunities for exposure to less familiar areas of neurology and for research.
These include memory disorders, EEG, EMG, epilepsy, movement disorders, neuropathology, neuroradiology, and sleep. Residents often do electives at local institutions. Electives pursued by our residents in the past several years include movement disorders at the Neurological Institute of New York, neuro-oncology at MSKCC and Interventional Pain at Beth Israel.