Description of Rotations
Child neurology residents at Children's Hospital participate in the following training rotations:
Adult Inpatient/Consult Neurology Rotations
To satisfy board certification requirements, each child neurology resident spends a total of 12 months on adult neurology rotations at our affiliated institutions. During the first year, child neurology residents spend approximately 9 months at Partners (Massachusetts General Hospital and Brigham and Women’s Hospital) Program and Harvard (Beth Israel-Deaconess Medical Center) Program, on inpatient ward, neurosurgery and adult ICU rotations. In the second year of training, the resident completes his/her adult neurology experience on the neurology consult service in the Harvard Neurology Program.
Child Neurology Rotations
Child neurology clinical training is carried out entirely at Children’s Hospital Boston. Inpatient training consists of a breadth of experiences which includes epilepsy, general neurology, neurology consults, and neurology ICU. Outpatient electives in neurology clinics, electrophysiology, psychiatry, neuropathology are also included in the core curriculum. Electives in a wide variety subspecialties such as neuromuscular, brain deformities, neonatal neurology, neuro-oncology are also offered at Children’s Hospital.
The EEG/Epilepsy Rotation occurs during the first year of training, when the resident spends one month on the inpatient Epilepsy Service. Exposure to long-term EEG monitoring, EEG reading, epilepsy surgical planning and surgeries and sophisticated neuroimaging techniques such as SPECT and MEG scans can be expected.
The Inpatient Child Neurology Rotation occurs during the first and third year of training. In the third year, the child neurology resident is considered the chief resident of the large and active inpatient Neurology Service. The chief resident works with adult neurology residents and pediatric residents assigned to neurology inpatient, epilepsy and consult rotations.
During the Consult Rotation, the second-year child neurology resident is responsible for all non-ICU neurology consults. Because the consult service is the point of contthe second-year child neurology resident is responsible for all non-ICU neurology consults. Because the consult service is the point of contact with almost all other services in the hospital, the resident has one of the most visible and influential jobs in the Department of Neurology at Children’s. The resident rounds on active consults with and presents new consults to an attending child neurologist.
The Outpatient Neurology Rotation was added because much of child neurology is now practiced in an outpatient setting. The purpose of this rotation is to provide each chilwas added because much of child neurology is now practiced in an outpatient setting. The purpose of this rotation is to provide each child neurology resident with a two to three-months block of time during the second year of residency to focus on the practice of child neurology in the outpatient setting and to follow cases as evaluations unfold in a variety of ambulatory settings.
During the ICU Resident Rotation, the second year child neurology resident works in close association with the critical care neurology attending to provide rapid and comprehensive response to the Children’s cardiac, medical and neonatal intensive care units, and the Brigham and Women’s and Beth Israel’s NICU’s.
Electives, chosen during the second and third year of training, include a full spectrum of experiences in child neurology, including general pediatric neurology, neuroradiology, epileptology, neonatal neurology, neuroepidemiology, neuro-oncology, neuromuscular disease, neurogenetics, learning disabilities, neurocardiology, psychiatry and neurointensive care.
Research opportunities in both clinical and basic neuroscience are abundant. During all rotations, the resident continues to care for patients in the weekly outpatient clinics.
Recent Changes in Rotations
Most residents felt neuropathology, a third year rotation, was being presented too late in their training. Conversely, they felt neuro-rehabilitation would be best offered later in the training process, after they had established solid ground work in their training.
Based on this input, these 2 rotations were switched, with neuropathology now being a first year rotation and neuro-rehabilitation a third year rotation.