51±¬ÁÏÍø

The third year of neurology (PGY-4) at Stony Brook is divided into a variety of different rotations (+ electives), and a typical day for each is listed below.  All of your time is spent at Stony Brook University Medical Center or the Northport VA Medical Center.

General Neurology (~9 weeks):

All general neurology patients (other than strokes or TIA’s) are admitted to the general team, which consists of a PGY-4 neuro resident, a PGY-2 neuro resident, the attending, and medical students.  Your day begins at 7:30AM.  Interdisciplinary discharge planning rounds with the social worker, case manager, therapists, and nursing occurs around 10:00AM.  Attending rounds usually ends before 12PM.  As the senior resident, you are responsible for overseeing the general service, and you supervise and teach the junior resident and medical students on service.  We typically have 4-10 patients on the general service at any given time.  When rounds are finished, you have the rest of the day to complete your work.  All notes, discharges, and dictations will be completed.  Lumbar punctures will be performed if needed.  Neuroradiologists are available to review studies with you.  Sign-out to night float occurs at 6PM.

Veterans Affairs (VA) Hospital (~9 weeks):

The VA hospital is in Northport, about 30 minutes West of Stony Brook University Hospital. The VA rotation consists of outpatient office-based care in the Veterans Affairs Hospital.  The time is spent in the outpatient clinics.  The day begins at 8AM and usually ends around 5:00 PM.

Pediatric Neurology (4 weeks):

The pediatric neurology team consists of an attending, a pediatric neurology fellow, an adult neurology resident, medical students, and sometimes a general pediatric resident.  You are required to do twelve total weeks of pediatric neurology during your residency, with eight weeks during the PGY-3 year, and four weeks during the PGY-4 year.  You follow pediatric neurology patients on the list and are responsible for the inpatient and pediatric emergency room pediatric neurology consults.  Your day ends at 6PM with sign out to night float. 

Neurocritical Care (~8 weeks)

All Neurology residents spend time in the Neurocritical Care Unit (NCCU). The Unit is run by a Neurocritical Care Attending.  The day starts in the NCCU at 7:00PM. You pre-round on your patients prior to attending rounds.  Morning attending rounds start at 9:00PM. The team rounds include nurses, residents, medical students, nurse practitioners/physician assistants, and allied professionals.  Afternoon rounds take place around 4:00PM with sign out at 6:30PM. Residents do not cover the NCCU on nights or weekends.  The NCCU applies multi-disciplinary approach in collaboration with the Neurosurgery, Stroke, and Epilepsy teams. Residents gain experience with different procedures and concepts, including ventilator management, management of elevated ICP, management of EVDs, how to perform and interpret TCDs, and continuous vEEG monitoring and management of Status Epilepticus.  

Elective (~8 weeks):

There are many elective opportunities available at Stony Brook during the second and third years of neurology training within and outside of the Neurology Department. 

Continuity Clinic:

PGY3 & PGY4 Schedule on 5+1 system

Night Float and at-home VA Call:

We have a "Senior" Night Float Rotation in place for Stony Brook hospital.  The PGY-3 resident on call is overseeing PGY-2s and are responsible for answering outpatient calls.  In addition to the night float, there is one 24 hour weekend shift at Stony Brook hospital.  

During this training year you will participate in VA call  from home.  We have no in-house neurology coverage at the VA overnight or on the weekends. Only occasionally you may need to come to the VA hospital per request of the VA attending. 

Vacation 3 mandatory weeks and 1 additional optional week.