PGY-4

Guided by our faculty experts, you will build competence in best-practice, evidence-based neurologic care for children in both hospital and clinic settings.

Clinical Program

Name of Rotation Length of Rotation
Child Neurology
7 modules
Adult Neurology 1 module
Electives
3 modules
Night Float
1 module

1 module = 4 weeks

During this year of intensive child neurology training, you will gradually take on greater responsibility for managing common neurological conditions in children.

You will concentrate on caring for neurologic and referred inpatients at the nationally recognized Women and Children’s Hospital of Buffalo and will gain exposure to acute and severe conditions, including:

  • trauma
  • infections
  • prolonged seizures
  • hypoxic brain injury
  • demyelinating conditions

You also will double your time at your assigned continuity clinic to two half-days each week, taking on an increased role in managing your own outpatients.

In the process, you will acquire an increasing awareness of child development and how maturation affects neurologic illnesses.

You also will become familiar with the indications and limitations of common neurological diagnostic modalities.

Through our diverse selection of electives, you will spend several months exploring your interests and high-demand subspecialties, learning from our nationally and internationally recognized child neurology subspecialists. You will have opportunities to train in our state-of-the-art centers focused on autism, pediatric multiple sclerosis and epilepsy, for example.

In addition, you will build on your knowledge of adult neurology through one final rotation.

Multidisciplinary Training

As part of an interdisciplinary team, you will work closely with a variety of specialists and health care professionals. During your hospital rotations, you are encouraged to join our expert child psychiatrist on weekly rounds. You also will interact with and learn from developmental pediatricians and social workers.

Beyond clinical skills, you will develop an increased awareness of social and family issues that affect disorders of children. You also will build sophisticated communication skills, enhancing your ability to relate to children, parents and families and lead meaningful patient and family conferences.

Comprehensive, Career-Focused Learning

This year, our expert faculty neurologists will prepare you to pass the child neurology section of the mock oral board examination. You will once again chart your progress by taking the annual Resident In-Service Training Examination.

During each module, you will continue to participate in our diverse, relevant lecture training, enhancing your knowledge of basic science to complement your growing clinical expertise

Topics include:

  • neuromuscular – development and neurochemistry
  • myopathies – molecular biology, genetics, epidemiology
  • neuromuscular – clinical development, evaluation of floppy infant, psychological aspects
  • neuromuscular dystrophies – molecular biology, development, neurochemistry, genetics
  • muscular dystrophies – epidemiology, clinical aspects, neuropsychology
  • myopathy – acquired dermatomyositis, immunological conditions

Specialized lecture series again cover electroencephalography (EEG) and electromyography.

You also will have opportunities to learn from nationally known speakers during department-sponsored conferences. Recent events have focused on stroke, epilepsy and sleep disorders.

  • Conferences and Rounds
    2/7/19
    Learn, teach, share and challenge yourself through our engaging forums, personalized and group discussions and specialized research presentations.

Research

With support from your chosen mentor, you will move forward with planning your research project this year. You will complete separate projects in your PGY-4 and PGY-5 years, or one longer continuous project over both years.

You will report on your progress or findings during the neurology department’s annual Dr. Michael E. Cohen Resident Research Day.

Teaching and Supervising

You will increasingly share your growing neurological expertise with less experienced medical trainees as well as other health care professionals.

Assisting the child neurology attending physician, you will take on some responsibility for supervising medical students and pediatric and adult neurology residents, although most patient cases will be managed by our expert faculty members.

You also will take on a larger role in planning and organizing teaching forums, including conference presentations and journal article review sessions.