Link to Housestaff Affairs page for residents 
 

Three-Year Residency Description.

The Department of Neurology of Indiana University School of Medicine offers a dynamic and comprehensive residency training program accredited and approved by the Accreditation Council for Graduate Medical Education for adult and child neurology, as well as combined Neurology-Internal Medicine and Neurology-Psychiatry residency training programs.

1st year of residency emphasizes clinical evaluation and management at the adult hospitals and the children's hospital, located on the IU Medical Center campus and Methodist campus. The goal of the first year is to establish clinical competence in general neurology.

2 month rotation at University Hospital (inpatient)
2 month rotation at VA Adult Service (inpatient and outpatient)
2 month rotation at Wishard (county hospital) (inpatient and outpatient)
2 month rotation is dedicated to subspecialty outpatient neurology
2 month rotation in pediatric neurology
2 month rotation at Methodist Hospital (inpatient)

2nd year of residency emphasizes the foundations of clinical neuroscience.

2 month comprehensive course in neuroanatomy
2 month rotation on clinical electrophysiology, during which the time is split between the EMG laboratory and the EEG laboratory
1 month on neuroradiology, working with one of our senior neuroradiologists. The neuroimaging technology includes CT, MRI, MRA, angiography SPECT, PET and interventional techniques.
1 month rotation on psychiatry
1 month rotation on neurorehabilitation
1 month dedicated to neuropathology
4 months of elective time is generally offered in the second year

3rd year the senior resident neurologist assumes a role with greater decision-making responsibility in the clinical setting. These residents enhance their teaching skills with greater roles in the ward, clinic, and lecture setting.

6 months are dedicated to running the consult service at each of the three adult hospitals (2 months at each hospital)
2 months are devoted to child neurology
2 months in the subspecialty outpatient clinics
2 months for additional elective time

Elective Time

Overall, there are six months of elective time, spread out through the last two years. During elective time, residents often choose to spend additional time in electrophysiology, neuroradiology, neuro-ophthalmology, neuro-research and subspecialty clinics.

The educational conference series for residents includes daily Morning Report with the chairman. Our residents meet daily during the noon hour for an educational conference, including lectures in neurophysiology, neuropathology, child neurology, stroke, general clinical neurology, journal club, and weekly grand rounds.

Outpatient neurology

Our department has a strong emphasis on outpatient neurology. There are three different types of outpatient experiences over the course of the residency. While rotating at a specific hospital, the resident participates in general diagnostic and management clinics on a weekly basis.

Recognizing the importance of managing complex cases, and the need for long-term continuity of patient follow-up, we have established a Continuity Clinic or Team Clinic system in which residents spend one-half day every other week with the same faculty over three years. The Continuity Clinic is rotated between Wishard Memorial Hospital, University Hospital, and The Richard Roudebush Veterans Affairs Medical Center, offering our residents a chance to follow the most interesting patients from each of these hospitals over the course of three years.

Research Experiences

The faculty includes 37 full-time and 5 part-time clinical neurologists, and one research scientist, all of whom are dedicated to medical education. There is a long tradition of work in cerebrovascular disease at Indiana University , and the current stroke program is a dynamic, multidisciplinary group with an emphasis on clinical trials for stroke prevention and acute treatment of stroke.  There is a comprehensive center for the study of Alzheimer disease and other neurodegenerative disorders, and ongoing investigational work in the treatment of involuntary movement disorders. The Neuromuscular Program has ongoing interests in electrophysiology and therapeutic trials for treatment of ALS and myasthenia gravis. The Epilepsy Program includes research in electrophysiology, as well as a comprehensive epilepsy surgery component.

In addition, the faculty has particular expertise in neuro-oncology, neurogenetics, neuroimmunology, multiple sclerosis, central nervous system infections, neurofibromatosis, neurochemistry and neuropharmacology, or opportunities for residents to participate in ongoing research.

Facilities

The programs are conducted primarily in the three adult hospitals and the Riley Children's Hospital, located on the IU Medical Center campus. A single, full-time faculty staffs the hospitals with a common house staff. Because the patient population of each is unique, the resident is assured a comprehensive experience in the full spectrum of neurological disorders.

Indiana University Hospital of Clarian Health is a tertiary referral center with patients referred by other physicians from around the state of Indiana. The patients tend to be complex, diagnostically challenging and in need of specialized therapies. IU Hospital includes a dedicated stroke unit, a comprehensive epilepsy monitoring unit and a dedicated neuroscience intensive care unit.

Wishard Memorial Hospital serves residents of Marion County . The neurologic service consists of common inner-city acute care problems with an abundance of vascular disease, epilepsy and complications of general medical illness. In addition, there are afternoon outpatient clinics emphasizing ambulatory neurology.  Wishard Memorial Hospital also has a dedicated stroke unit.

Richard Roudebush Veterans Affairs Medical Center is a designated VA referral center with a broad spectrum of acute and chronic neurologic patients. Two half-day outpatient clinics are offered per week.

Riley Hospital for Children of Clarian Health is a tertiary referral center for pediatric subspecialties, including an active Pediatric Stroke Program, an epilepsy monitoring unit and ambulatory clinic.

Methodist Hospital of Clarian Health is a large community hospital with patients referred by physicians from around the state of Indiana. Methodist Hospital includes several intensive care units, a large Neurology service, and a private practice Neurology office.  

Rotation Schedule

PGY II
--Six months at the adult hospitals on the IU Medical Center campus (IU Hospital,
  Wishard Memorial Hospital, Richard L. Roudebush Veterans Affairs Medical Center)
  which includes acute care inpatient neurology, as well as outpatient clinics.
--Two months Child Neurology (Riley Hospital for Children)
--Two months ambulatory outpatient clinics (including subspecialty clinics)
--One month Neurosurgery
--One month Day Float

PGY III
--Two months Neuroanatomy
--Two months Electrophysiology (EEG and EMG)
--One month Psychiatry
--One month Neurorehabilitation
--One month Neuropathology
--One month Neuroradiology
--Four months elective time

PGY IV
--Six month consultation service at the three adult hospitals (two months each)
--Two months Child Neurology
--Two months Outpatient Neurology (including subspecialty clinics)
--Two months elective time