Brooklyn Track Residency Program Overview

The Brooklyn track of the neurology residency in NYU Langone’s Department of Neurology is a three-year, Accreditation Council for Graduate Medical Education (ACGME)–accredited program that focuses on the clinical practice of neurology with a focus on acute neurology and community health in the ambulatory care setting.

Residents receive a firm foundation in clinical and diagnostic neurology with an emphasis on neurophysiology, neuropathology, neuroradiology, and clinical neurology through didactic and bedside teaching from experienced mentors. Most rotations take place at NYU Langone Hospital—Brooklyn. Brooklyn-track neurology residents also spend time at NYU Langone’s Kimmel Pavilion and NYC Health + Hospitals/Bellevue for a select number of rotations. A free ferry service connects Brooklyn with NYU Langone main campus on the East Side of Manhattan, making it easy for residents to travel between both campuses.

Resident Events

Our residents work hard learning the skills needed to become outstanding neurologists, but find there are many opportunities to enjoy their time in New York City while bonding with their fellow residents. Throughout the year, our residents participate in numerous social activities and extracurricular events.

The collaborative and supportive community here in the Department of Neurology fosters camaraderie and friendship among residents that lasts well beyond the training years.

Training Timetable

Brooklyn-track residents can expect a training timetable as follows:

Interns

One year of preliminary medicine training accredited by the ACGME or the Royal College of Physicians and Surgeons of Canada is mandatory and ensures a solid background in internal medicine. A preliminary medicine internship in the NYU Langone system is available for all applicants who match to the NYU Langone Neurology Residency—Brooklyn Track. This program is known as the Joint A/P Program in Neurology and can be selected at the time that prospective applicants submit their rank list to the National Residency Matching Program^® (NRMP^®; The Match^®).

Junior Residents

Neurology residents spend the majority of their first year (postgraduate year 2, or PGY-2) of neurology gaining experience in the direct care and management of hospitalized patients under the supervision of senior residents and attending faculty while rotating through the various clinical services at NYU Langone Hospital—Brooklyn, including the neuro-intensive care unit (neuro-ICU), vascular neurology, general neurology, and epilepsy services. Outpatient neurology experience is provided through a weekly continuity clinic and one month of outpatient subspecialty clinic rotations.

Senior Residents

The focus of PGY-3 is on subspecialty training. Residents spend blocks of time gaining experience in various subspecialties, including multiple sclerosis, neuromuscular disorders, epilepsy, interventional neuroradiology, stroke, pediatric neurology, and practical experience in neurophysiology and learn the fundamentals of interpreting the results of electroencephalography, electromyography, and nerve conduction studies.

In the final year of training, PGY-4 residents take on a major supervisory role in the inpatient ward service and consult service. PGY-4 residents use the subspecialty skills learned during the second year and hone their management and teaching skills as they work with junior residents and medical students. Electives in many subspecialty areas are available, as are research opportunities.

Training Rotations

PGY 2

• Child Neurology
• Elective and Research
• Epilepsy
• Inpatient Consults
• Inpatient Ward
• Neurointensive Care Unit
• Night Float
• Stroke
• Subspecialty Clinics
• Vacation

PGY 3

• Child Neurology
• Elective and Research
• Epilepsy
• Inpatient Consults
• Inpatient Ward (Senior)
• Neurointensive Care Unit
• Neurophysiology
• Night Float
• Stroke
• Subspecialty Clinics
• Vacation

PGY 4

• Child Neurology
• Elective and Research
• Epilepsy
• Inpatient Consults
• Inpatient Ward (Senior)
• Neurointensive Care Unit
• Neurophysiology
• Night Float
• Psychiatry
• Stroke
• Subspecialty Clinics
• Vacation

Inpatient Rotations for Brooklyn-Track Residents

Brooklyn-track residents receive their inpatient experience primarily at NYU Langone Hospital—Brooklyn, a 450-bed teaching hospital with a Joint Commission–designated Comprehensive Stroke Center, an epilepsy monitoring unit, a neurology ward, and state-of-the- art neuro-ICU and step-down units. Neurology residents, nurse practitioners (NPs), and physician assistants (PAs) staff the neurology inpatient services.

NYU Langone Hospital—Brooklyn is a tertiary referral center for neurointensive care, vascular neurology, and epilepsy. This allows our residents exposure to a wide spectrum of neurological diseases such as subarachnoid hemorrhage, stroke, epilepsy, and the less common autoimmune and degenerative syndromes. Stroke care at NYU Langone Hospital—Brooklyn includes acute stroke treatment, neurointerventional treatment, post-stroke rehabilitation, and secondary stroke prevention in the ambulatory care setting.

Outpatient Rotations for Brooklyn-Track Residents

Our residents have one half-day continuity clinic per week for the three years they are in the program. The clinics are held at the Family Health Centers at NYU Langone, one of the largest Federally Qualified Health Center networks in the country, that offers outpatient exposure to adult general neurology as well as subspecialty clinics in spasticity, multiple sclerosis, dementia, epilepsy, stroke, and neuromuscular diseases.

Each resident sees patients in his or her own examining room. One neurology attending supervises each clinic, with a ratio of one attending to three residents. Each clinic has a mixture of junior and senior residents, plus nursing and clerical staff.

Residents also have the opportunity to rotate through NYU Langone’s faculty practice subspecialty clinics in Brooklyn and Manhattan.

Night Float Rotations for Brooklyn-Track Residents

Brooklyn-track neurology residents work on a night float system. One PGY-2 or PGY-3 resident and one NP or PA cover the neurology ward, stroke unit, neuro-ICU, and consultation service. The night float resident is on overnight in-house call from Saturday night through Thursday night, with Friday being a traditional 24-hour call. Night float rotations begin at 7:00PM and end at 7:00AM the next morning.

In total, PGY-2 residents have approximately eight weeks of night float per year, and PGY-3 residents have approximately six weeks of night float per year.

Call rooms at NYU Langone Hospital—Brooklyn are equipped with computers with access to patients’ medical records and a picture archiving and communication system (PACS). There is access to high-speed internet, TV, a bed, a desk, and a mini refrigerator.