Didactic Sessions - Neurology Residency
Morning Report — Weekdays at 7:45 a.m.
Recent patients are used as a starting point for discussion of localization, differential diagnoses, pathophysiology, and management.
Grand Rounds — Wednesdays at 2 p.m.
Formal lectures on a variety of current topics in Neurology and allied specialties. Local, national and international speakers are invited to give lectures on their specific areas of expertise.
Clinical Case Conference — Wednesdays at 3 p.m.
A resident or fellow presents an interesting patient for discussion. Whenever possible, the presenting resident will discuss a case that is linked to the grand rounds topic.
Midday Conference — Weekdays 11:30-12:30. Lunch provided.
The Midday didactics are daily sessions that are designed to augment the residents’ knowledge base by incorporating various lecture styles and approaches to optimize integration of long-term knowledge to prepare residents for their clinical careers as well as the in-service and board certification examinations.
The didactic sessions for the year begin with a 2 day PGY-2 “Boot Camp” in which the entire day is dedicated to review of the neurologic examination, emergency situations (acute stroke, status epilepticus), high volume consultation topics (acute headache management, the approach to patients with altered mental status) and simulation sessions.
The midday conference sessions for the year begin with a series on neurologic emergencies to cover high frequency situations likely to be encountered on call. There is then a series of sessions on neurologic frameworks in which a few sessions are devoted to each of the major neurology topics to provide an overview of the breadth of neurologic diseases and diagnostic testing that residents should be familiar with. The rest of the year is then organized into blocks of sessions by disease category. The general design of each block is similar, although the length of the blocks vary.
The beginning lectures focus on anatomy, physiology and embryology to serve as a platform for the latter topics. The latter topics focus on the pathophysiology, diagnostic approach and therapeutic interventions for specific groups of disease states (e.g. acquired neuropathies or genetic stroke syndromes). Many of the sessions are designed to be interactive, which helps solidify the learners’ knowledge.
The one unique aspect of our didactic series is that this is protected time for our PGY-2s. The senior residents on service take over the pagers and answer all pages and will go take care of clinical emergencies independently at that time. It is essential that we allow our PGY-2 residents an opportunity to learn neurology in the classroom setting to supplement the vast amount of knowledge that they are gaining with their clinical experiences. Overall, the residency training program is dedicated to providing the best educational opportunity for residents through clinical experience, reading and classroom learning sessions.
Specific sessions integrated into the midday conference schedule:
Morbidity and Mortality Conference – monthly:
The senior residents recently on service will present information on patient outcomes from the preceding month and select individual cases with adverse outcomes or areas for improvement for discussion. The sessions focus on a no-fault root cause analysis with emphasis on action plans or investigations for quality improvement.
Resident Meeting – monthly:
The Program Director meets with the residents to discuss any resident concerns, disseminate information, and brainstorm about ideas for improvements. Residents are encouraged to suggest agenda items for discussion and provide ideas on how to improve the residency program or clinical practice.
Chair Rounds – monthly:
Special topic sessions organized by the Chair. Examples include: How to get involved and organize research projects, economics of healthcare, career counselling discussion panels, interesting clinical case discussions, neuroanatomy review with sheep brain dissection.
Visiting Grand Rounds speaker sessions - Wednesdays:
The visiting grand rounds speaker for the week will give an additional session just for the residents to discuss further learning points on their area of expertise.