Program Overview


Prelim Year: PGY-1

The majority of this year is spent with the Columbia Medicine Residency Program, which provides an unparalleled Internal Medicine training experience. The PGY1 residents do spend 8 weeks on the neurology service. Four weeks are spent with the general neurology inpatient service, 2 weeks in the Epilepsy Monitoring Unit, 2 weeks are combination of a self-paced virtual neuroanatomy course and outpatient sessions with neurology faculty. 

First Year: PGY-2

The goals of the PGY-2 experience are focused on the acquisition of medical knowledge and clinical skills, including electroencephalography interpretation. The emphasis in PGY-2 is on clinical localization in neurology, hospital and ambulatory-based practice, and the evaluation and management of neurological emergencies. During this time, residents also have the opportunity to begin exploring subspecialties, future research and scholarly interests. 

Rotation and weeks (approximate):

  • Child Neurology: 4 weeks
  • Clinic-Elective weeks:* 13 weeks occurring every 4 weeks.  These weeks consist of 4 sessions of continuity clinic, 1 session of EMG, 4 sessions of elective, 1 session of small group tutorials. 

  • Electives (week-long):* 2 weeks

  • General Neurology Consult: 10 weeks

  • Neurological Intensive Care Unit: 9 weeks

  • Neuro-oncology: 1 week

  • Night Float (Admitting and Cross-coverage): 5 weeks

  • Stroke Inpatient Floor Service: 4 weeks

  • Vacation: 4 weeks
    *In total, PGY2s have 8.5 weeks of elective

Second Year: PGY-3

The PGY-3 training builds upon the foundation of knowledge and clinical skills acquired during the PGY-2 rotations. The goals of the PGY-3 experience include an expansion of clinical responsibility for the care of patients, and increased independence in the assessment of neurological emergencies. The PGY-3 resident increasingly explores the subspecialties of neurology, becomes a mentor and role model for PGY-2 residents and medical students, and begins to develop research, educational, and leadership initiatives. 

Rotation and weeks (approximate):

  • Admitting Night Float: 5 weeks
  • Child Neurology: 4 weeks

  • Clinic-Elective weeks:* 13 weeks occurring every 4 weeks.  These weeks consist of 4 sessions of continuity clinic, 1 session of EMG,   4 sessions of elective, and 1 session of small group tutorials. 

  • Electives (week-long):* 3 weeks

  • General Neurology Consult: 6 weeks

  • General Neurology Inpatient Service: 5 weeks

  • Neurological Intensive Care Unit: 2 weeks

  • Neuro-Oncology: 2 weeks

  • Stroke Consult Rotation: 5 weeks

  • Stroke Inpatient Floor Senior: 3 weeks

  • Vacation: 4 weeks
    *In total, PGY2s have 9.5 weeks of elective

Third Year: PGY-4

The PGY-4 experience allows residents to consolidate their large body of neurological knowledge and subspecialty depth, in preparation for the board certification examination and the independent practice of neurology. The PGY-4 resident is expected to participate in research, education, and leadership initiatives, while developing a professional identity and career plan for fellowship training or clinical practice. 

Rotation and weeks (approximate):

  • Child Neurology: 4 weeks
  • Clinic-Elective weeks:* 13 weeks occurring every 4 weeks. These weeks consist of 4 sessions of continuity clinic, 1 session of EMG,  4 sessions of elective and 1 session of small group tutorials.  

  • Electives (week-long):* 8 weeks

  • General Neurology Inpatient Floor Senior: 6 weeks

  • Neurology Consult Senior: 5 weeks

  • Neurology Inpatient Stroke Senior: 2 weeks

  • Night Float Consult: 5 weeks

  • Pathology: 1 weeks

  • Psychiatry: 4 weeks

  • Vacation: 4 weeks
    ​​*In total, PGY2s have 14.5 weeks of elective


Admitting Night Float Rotation (ANF)

Admitting Night Float Rotation (ANF) is done in PGY-3 year. The ANF resident works closely with the Senior Consult Night Float resident, admitting patients to both the General Neurology Inpatient Service, as well as the Neurovascular Service, from various places including the Emergency Room, outside hospitals, the NICU, and other Medical Center services. 

Adult Epilepsy Monitoring Unit

Adult Epilepsy Monitoring Unit is an educational experience for PGY-1 residents. During this rotation, residents become a member of the Epilepsy Division and care for patients in the adult EMU, which includes learning how to read EEGs and care for patients with epilepsy. 

Child Neurology Rotation

Child Neurology Rotation is based at NewYork-Presbyterian Morgan Stanley Children's Hospital. The clinical activities of our Division of Child Neurology are headquartered at CHONY. The residents are members of the Child Neurology Consult Team, which is responsible for new consultations and follow-ups from the pediatric ER, ICU's, and floors, and which works in parallel with our child neurology residents and attendings.

Continuity Clinic

The continuity clinic has recently been restructured.  The resident has four sessions of continuity clinic every four weeks.   Two of those sessions are in general neurology and the other two are in subspecialities.  The resident switch subspecialties each year which allows each residents to have in-depth exposure to six core subspecialties over the course of their training. 

Sample schedule below:

  • Monday
    • AM: Small group tutorials and simulations
    • PM: Elective
  • Tuesday
    • AM: Epilepsy Continuity Clinic
    • PM: EMG
  • Wednesday
    • AM: General Neurology Continuity Clinic
    • PM: General Neurology Continuity Clinic
  • Thursday
    • AM: Neuroimmunology Continuity Clinic
    • PM: Elective
  • Friday
    • AM: Elective
    • PM: Elective


The range and abundance of elective time during neurology residency allows residents to explore many areas of neurology in greater depth. The total elective time is 32.5 weeks spread over the 3 years of training.  Examples of electives include:  Continuous EEG, Clinical Trials, Epilepsy, Headache, Movement Disorders, Cognitive Disorders, Neuroimmunology, Neuro-infectious disease, Neuro-interventional, Neuro-muscular, Neuro-oncology, Neuroradiology, Rehabilitation Medicine, Neurovascular ultrasound, Palliative Care, Stroke (Outpatient), International Elective.

General Neurology Inpatient Service Rotation

General Neurology Inpatient Service Rotation offers the residents an  opportunity to care for patients with general neurological diseases. These patients have been admitted to the Medical Center's Milstein Hospital from the Emergency Room, the Neurological Intensive Care Unit, the faculty practice doctors at the Neurological Institute, and outside hospitals. Typical diagnoses on this general neurology service include neuro-oncology, autoimmune neurology, epilepsy, encephalopathy, neurodegenerative disease, and neuromuscular disease, among others.

Junior Night Float (JNF) Rotation

Junior Night Float (JNF) Rotation offers residents the opportunity to practice their skills cross-covering neurology patients and also admitting patients to the neurology inpatient services. 

Neurological Care Unit (NICU) Rotation

Neurological Care Unit (NICU) Rotation exposes residents to the dynamic environment of our 18-bed, state-of-the-art NICU. Here, residents learn to effectively evaluate and manage patients with severe and acute neurological emergencies, many of whom require advanced monitoring, mechanical ventilation, cardiovascular support, invasive procedures, and neurosurgical interventions. 

Neurology Consult Service Rotation

Neurology Consult Service Rotation allows residents to provide neurological expertise throughout NewYork-Presbyterian/Columbia University Irving Medical Center, including the ICU's, the Emergency Room, and the general medical and surgical floors.  This educational experience most closely resembles the work of a practicing consultant neurologist in the acute hospital setting. The service makes daily rounds, seven days a week, providing over 2000 neurological consultations annually to every service in the Medical Center.

Neurology Inpatient Stroke Service Rotation

Neurology Inpatient Stroke Service Rotation teaches residents to care for patients with neurovascular conditions of all types, including ischemic stroke, hemorrhagic stroke, vasculitis, arteriovenous malformations, and others. Like the General Neurology Inpatient Rotation, patients are admitted to the Neurovascular Unit at Milstein Hospital from a variety of sources.

Neuromuscular/EMG Rotation

EMG Rotation is embedded in the clinic-elective block and allows the residents  to interact with and learn from our clinical neurophysiology fellows and faculty.

Neuro-Oncology Rotation

Neuro-Oncology Rotation enables residents to experience the complexities of both outpatient and inpatient management of patients with brain cancer through our outstanding Division of Neuro-Oncology. While on this rotation, residents are able to see patients in the outpatient setting, as well as in consultation in Milstein Hospital. Residents also attend Tumor Board every week with our neuro-oncology faculty. 

Neuropathology Rotation

Neuropathology Rotation introduces PGY-4 residents to the Department of Pathology and Cell Biology's remarkable Division of Neuropathology. Here, residents are exposed to a broad range of pathology, both grossly and under the microscope, and attend brain cutting sessions each Friday morning. Working alongside the neuropathology faculty and fellows, residents are able to gain a deeper understanding of both neuroanatomy and neuropathology, often going to the OR to look at frozen sections.

Night Float Consult

Night Float Consult residents have the highest level of responsibility and independence in medical decision making in the Neurology Residency Program. The consult night float is responsible for evaluating and recommending a plan of diagnosis and management for patients with acute and emergent neurological problems who present to the ER, or who are already hospitalized on other services at the Medical Center. The ability to fill this role represents an important milestone in the development of an independent neurological consultant.  

Psychiatry Rotation

Psychiatry Rotation for PGY-4 residents is an inpatient experience on the Psychiatry Consult Liaison Service. As required by the Accreditation Council for Graduate Medical Education (ACGME), and the American Board of Psychiatry and Neurology (ABPN), all neurology residents must participate in this four-week clinical experience. This rotation exposes neurology residents to the principles of psychiatric evaluation, interviewing techniques, the multi-axial psychiatric diagnostic framework, psychotherapy, pharmacotherapy, and a systems-based approach to patient care and disposition. 


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