The first year of training is spent primarily on the adult neurology service and involves caring for patients with both acute and more long-term neurological problems under the direct supervision of staff adult neurologists.
The Primary Objectives of Year One
To think about problems as a neurologist, with a focus on determining localization of the causative pathology. The emphasis is on learning clinical neuroanatomy and making functional/structural correlations, utilizing history, examination, neuroimaging, clinical neurophysiology, clinical neurometabolism, genetic testing and neuropathology.
To learn how to obtain a comprehensive neurological history.
To learn how to carry out a complete neurological examination, including a detailed mental status examination.
To learn to synthesize clinical data using the history and neurological examination, and develop a differential diagnosis, an investigative plan and an outline of different treatment approaches for each case.
To gain exposure to the full spectrum of neurological disorders seen in adults.
To learn to manage acute neurological emergencies.
Additionally, Pediatric Neurology residents in their first year will maintain a one-half day Pediatric Neurology continuity clinic each week (see objectives for years two and three).