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Our residency is a four-year categorical program that includes a preliminary year of internal medicine training. Those who match in Neurology are automatically guaranteed an internship at the University Hospital. This year of training is supervised by the internal medicine program director, providing a curriculum similar to that of categorical internal medicine residents. Interns rotate through various specialties such as inpatient general medicine wards, medical intensive care, cardiology, inpatient hematology/oncology, emergency medicine, ambulatory general medicine, and geriatrics. Core experiences take place largely at the university’s hospital, the George E. Wahlen Department of Veterans Affairs Medical Center, and the Intermountain Medical Center hospital. Residents will have their continuity clinic in neurology and work closely with a PGY-4 neurology resident.


The first year of formal neurological training emphasizes the care of emergent and urgent neurological issues, largely through inpatient training. Four months of neurology wards are thus spent at the university’s hospital, and three months are spent at the George E. Wahlen Department of Veterans Affairs Medical Center (VAMC). While at the university, resident inpatient responsibilities include covering the neurocritical care unit (NCCU), the observation unit (ED/OU), and neurology wards. We have two inpatient teams—the general neurology team and the vascular neurology team. Each team consists of an attending; one senior resident; two neurology junior residents; medical students; residents from other related services, such as neurosurgery and psychiatry; a neuro-pharmacist; and a social worker. At the VAMC, resident responsibilities include inpatient wards and outpatient clinics. When not on inpatient wards, the junior level neurology resident participates in two weeks of night float, two and a half months of ambulatory clinic, two weeks of NCCU, one month of elective and half a month of EEG reading.


The neurology residents’ transition from a “second internship” to that of a senior level resident is evident by the shift from predominantly inpatient neurological training to one more focused on the outpatient evaluation and treatment of various neurological disorders. During this year of training, a resident receives two and a half months outpatient training in subspecialty clinics. Time spent on wards is reduced to two months as senior, four to six weeks of night float, and four to six weeks of consults, although now this time is spent as a supervising senior resident over non-neurology and junior neurology residents and medical students. During the PGY-3 year, residents rotate for the first time through pediatric neurology, spending two months at Primary Children’s Hospital. Additionally, residents spend two to four weeks in the neurocritical care unit. Elective time is two and a half months and can be spent in subspecialty clinics in basic science or clinical research.


The final year of training provides neurology residents with continued experience and training in inpatient neurology and outpatient care. Residents’ responsibility and autonomy will have gradually increased throughout the residency. During this year, residents spend a total of three and a half months at the university’s hospital and at the George E. Wahlen Department of Veterans Affairs Medical Center’s supervising wards; one month on pediatric neurology; a half month on the highly relevant neuropathology rotation.  Additionally, residents will have three months of subspecialty clinics, one month of psychiatry and three months for elective time.