The second year of neurology (PGY-3) at Stony Brook is divided into a variety of different rotations . A typical day for each is listed below. All of your time is spent at Stony Brook University Medical Center or the Northport VA Medical Center.
Consults (~10 weeks):
The consult team consists of a first year neurology resident (PGY-2), second year neurology resident (PGY-3), two attendings (a general attending and a stroke attending), and several medical students. Your day begins at 7:30AM. The senior consult resident (PGY-3) manages the consult team. All emergency room consults, Code BATs (acute stroke codes), potential admissions, as well as new consults from other inpatient teams and ICUs are seen by the consult team. All neurology follow-ups on other inpatient wards are also seen by the consult team. The PGY-3 resident will assign consults to the PGY-2 resident as well as medical students and occasional rotators from other departments. During the course of the day, you will see the consults from the night before with one of the attendings, follow up on established patients, and see new consults and present them to the attending. On average each day, you will receive 6-10 new consults (including Code BATs), plus 4-6 follow up patients on the inpatient floors and ICUs. In contrast to the PGY-2 experience on the consult team, the PGY-3 consult rotation is a more advanced rotation that includes more independence, and increased supervision and teaching of junior residents and medical students. Your shift ends at 6PM with sign-out to night float. Sign-out on Fridays are at 5PM. The residents usually rate this rotation as one of the busiest rotations but also one of the best learning experiences.
Veterans Affairs (VA) Hospital (~9 weeks):
The VA hospital is in Northport, about 30 minutes west of Stony Brook University Hospital. The second year neurology resident (PGY-3) is responsible for any consults requested by the emergency room or by other inpatient services. The day begins at 8AM with patients seen throughout the morning, and the afternoon visits usually end around 5:00. The second year resident may attend clinic with the rest of the neurology team. On average you will see 1-2 new patients per day and will be responsible for the follow ups.
Pediatric Neurology (8 weeks):
The pediatric neurology team consists of an attending, a pediatric neurology fellow, an adult neurology resident, medical students, and sometimes a general pediatric resident. You are required to do total of twelve weeks of pediatric neurology during your residency, with eight weeks occurring during the PGY-3 year and four weeks during the PGY-4 year. You pre-round on the patients being followed by the pediatric neurology team, and are responsible for the inpatient and pediatric emergency room pediatric neurology consults. Over the course of this rotation there is also significant exposure to pediatric and neonatal EEGs. You will round on all patients seen. Your day ends at 6PM with sign out to night float.
Psychiatry (4 weeks):
During this rotation, you are a member of one of the in-house psychiatry consult teams. There are two teams, each with their own attending, and the teams alternate seeing consults called into the psychiatry department. Your day start at 7:30 AM and typically ends at 5PM.
Neurocritical Care (~8 weeks)
All Neurology residents spend time in the Neurocritical Care Unit (NCCU). The Unit is run by a Neurocritical Care Attending. The day starts in the NCCU at 7:00PM. You pre-round on your patients prior to attending rounds. Morning attending rounds start at 9:00PM. The team rounds include nurses, residents, medical students, nurse practitioners/physician assistants, and allied professionals. Afternoon rounds take place around 4:00PM with sign out at 6:30PM. Residents do not cover the NCCU on nights or weekends. The NCCU applies multi-disciplinary approach in collaboration with the Neurosurgery, Stroke, and Epilepsy teams. Residents gain experience with different procedures and concepts, including ventilator management, management of elevated ICP, management of EVDs, how to perform and interpret TCDs, and continuous vEEG monitoring and management of Status Epilepticus.
Elective (~8 weeks):
There are many elective opportunities available at Stony Brook during the second and third years of neurology training within and outside of the Neurology Department.
Continuity Clinic:
PGY3 & PGY4 Schedule on 5+1 system
| MON | TUES | WED | THURS | FRI | |
| AM | Continuity Clinic |
PGY 3 Research PGY 4 Research
|
Continuity Clinic |
PGY 3 Subspecialty in Sleep clinic with Dr. Spiegel PGY 4 EMG at Lk Grove with Dr. Guido
|
Continuity Clinic |
| PM |
PGY 3 Wellness PGY 4 Wellness |
PGY 3 EMG at Lk Grove PGY4 Reading
|
Continuity Clinic | Continuity Clinic | Didactics |
Night Float and at-home VA Call:
We have a "Senior" Night Float Rotation in place for Stony Brook hospital. The PGY-3 resident on call is overseeing PGY-2s and are responsible for answering outpatient calls. In addition to the night float, there is one 24 hour weekend shift at Stony Brook hospital.
During this training year you will participate in VA call from home. We have no in-house neurology coverage at the VA overnight or on the weekends. Only occasionally you may need to come to the VA hospital per request of the VA attending.