Introduction to Neurology PGY-2 Year Guide to Rotations and Resources Bootcamp June 28, 2018

Weekly Conferences *required Monday: Noon *Neurology Noon conference 8HS 213 Tuesday: 8-9 AM Neuroradiology Rounds 8HS 213 Wednesday: 8:30-10 AM **Neurology Chief of Service 8HS 213 Thursday: 8-9 AM *Morning Report NI-14 Library *Fridays during interview season* Friday: Noon *Neurology Noon conference 8HS 213 or Noon *Stroke conference NI-6 conf room 1:15-2:30 PM Grand Rounds NI-1 auditorium

Other regular conferences (required) Adult PGY-2/Peds PGY-3 Mayeux meeting: 4th of the month, 5:30 PM, Chairman’s Suite Journal Club: 1st Thursday of every month Evidence Based Neurology: 3rd Wednesday of every month M&M: Last Tuesday of every month Clinic Didactics: Every Monday morning while you are on Clinic Block

NICU 10 weeks Five different shifts: Usual hours: Night float Board Admit (6 AM – 6 PM) Assist/Assist 2 Sunday 24-hr call Usual hours: Weekday Signout 6-6:30 AM and 6:30 PM Nights Signout 6:30 PM, until end of presentations ~8:30 AM Sunday: Signout 6-6:30 AM, until end of presentations ~8:30 AM

PGY-2 Rotations Neuro ICU Ward Junior Stroke Junior Junior Night Float Admitting Night Float Pediatric Epilepsy Monitoring Unit (EMU) Adult EMU Clinic Outpatient

Ward (Merritt) Junior 10-11 weeks Two teams led by PGY-3 or PGY-4, each with one Neuro PGY-2, and one rotator (psych PGY-1, medicine PGY-2, or neuro PGY-1) Usually two attendings, sometimes only one Hours M-F – teams alternate short and long call days Short call: Signout 6-6:30 AM until 4-6 PM (depends on your colleagues’ work loads and if they can crosscover your patients). Assumes care of overnight admissions. Long call: Signout 6-6:30 AM until 6 PM. Daytime admissions. Weekend Saturday 24-hr: Every other weekend, alternating with “golden” Ward Sunday Jr Pull**: Will pull based on Saturday census >15 patients

Stroke (Putnam) Junior 5-6 weeks Team consists of: 1 attending, 1 stroke fellow, 1 Neurology PGY-3 or PGY-4, 1 Neurology PGY-2, 2 Anesthesia PGY-1s, and 1 Medicine PGY2 Hours M-F: Signout 6-6:30 AM, 6 PM to JNF Admissions are distributed by senior, no set call days Sunday Junior/Senior: You will act as junior/senior. You will be with the attending, fellow, and an anesthesia PGY-1. You should try to attend Stroke conference while you are on service

Junior Night Float 5-6 weeks You will cross-cover all patients from Ward, Stroke, Grad, and EMU*. You will also admit patients for Grad and EMU (latter is rare). Backup: 1) ANF 2) NICU fellow 3) CNF Hours Sunday-Friday night Signout 6 PM to 7:15 AM 2 nights a week you will act as ANF with a PA working JNF. On those mornings, you will present to stroke 7:30 AM to ~8 AM, and then Ward 8-9 AM. If there is a Grad admission, you will give signout to the NP at 7 AM Off Saturday night

Admitting Night Float 2 weeks of dedicated block, plus 2 nights per week while on “JNF” Dedicated block starts in the second half of the year You will be responsible for all ED and direct admissions, and transfers from the NICU, outside hospitals, and rarely, other services, that are admitted to Ward and Stroke (and Grad if a PA is covering JNF). CNF resident has already seen patients and will help with plan. Direct admissions should be accompanied by email detailing rationale for admission +/- plan. Can also look in Crown, and talk with NICU fellow. Backup: 1) CNF 2) NICU fellow Hours: Signout 7 PM. Must leave by 9 AM.

Pediatric EMU/Epilepsy service 4 weeks Will have supervising attending, Child Neuro fellow (PGY-3 though PGY-5), and sometimes epilepsy fellow Work shared with an NP. Will be responsible for admissions, discharges, and follow-ups for (stable) PEMU patients, as well as “Epilepsy” patients that have an established CHONY pediatric neurologist, but are more active. Hours M-F: 8:30-6:30 PM (Get signout from Adult PGY-3 or Peds Fellow, Give signout to Peds Nocturnist/Night Coverage) Hours Sat: 7 AM-6:30 PM (Get and give signout to Peds Nocturnist/Night Coverage)

Adult EMU 2 weeks Will be responsible for admissions, discharges, and follow-ups for (stable) PEMU patients, as well as “Epilepsy” patients that have an established CHONY pediatric neurologist, but are more active. Work shared with NP, and supervised by Epilepsy fellow and attending. Hours M-F: 8 AM-5:30 PM. Admissions/discharges in morning, EEG Reading Room in afternoon (NI-7).

Clinic 1 in every 6 weeks (total 8-9 weeks) Usually in VC10 for general neurology or sub-specialty residents clinics, or Farrell for general neurology resident clinic For PGY2s, every Monday and Tuesday afternoon you are not post- call, you will be in NI2 for general neurology practice (attending clinic) Monday mornings there will be Clinic Report 9:30 AM, and didactics 10 AM– 12 PM Friday afternoons will be Grand Rounds and time for professional development

Outpatient rotation 0-1 weeks Set rotation each week through subspecialty practices (attending clinics), available on niresidents.org Check attending schedule in Crown for when patients are scheduled Hours M-F: 8:30 AM* to 5/5:30 PM No weekend shifts

Resources ita.nyp.org infonet.nyp.org Neuro Resident Website: niresidents.org, password: milstein Medicine Website with phone numbers and consent forms: nypmed.com, password: milstein Medhub (Duty hours and evaluations): nyp.medhub.com; ID: Use NYP hospital ID and password Niresidents710@gmail.com Google Calendar (conferences) www.aan.com/tools-and-resources/residents-fellows/ library.cumc.columbia.edu www.medlink.com