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R-1 (PGY-2)

The R1 year brings immersion in clinical neurology. You will think about neurology when you are awake and likely dream about it during the night. It is a busy and exciting year during which you will gradually become a neurologist.

You will rotate through each of the major clinical services at University Hospital in 2-4 week blocks: Stroke, General and Neuro-ICU. You will have regular rests from inpatient clinical service in the form of assigned rotations in Neuroradiology, Psychiatry, Ambulatory Neurology and EEG.


Initially, you will take short call approximately once/week (5 p.m.-9 p.m.) covering patients on the UH and VA ward services and taking direct admissions. You will then transition to the role of Junior Neurology Admitting Resident (NAR)working from 12 noon to 9pm to help cross-cover the services and help the senior resident in the Emergency Department during the busy evening hours. You will have 3 2-week rotations on ICU-night float during which you cover all inpatients at UH (ICU and floor).

R1 residents take a 12-hour Saturday call shift (day or night) or a 12-hour Sunday daytime call roughly every 3 weeks.

You will have a one month rotation in Pediatric Neurology during your R1 year. This will prepare you to triage pediatric emergencies while on call.

After completing this year you will know how to recognize and manage neurological emergencies and know the basics of stroke, seizure, multiple sclerosis and headache management.

Sample R1 schedule

Weeks Rotation
1, 2, 1 Clinic, Stroke Jr, VAC
1, 1, 1, 1 VAC, Jr NAR, Clinic, ICU Day
1, 2, 1 ICU Day, General Inpatient, Psychiatry Consult
1, 1, 2 Clinic, Jr NAR, ICU Night Float
2, 1, 1 Peds, Clinic, Psychiatry Consult
1, 1, 2 Psychiatry Consult, VAC, ICU Night Float
1, 2, 1 Clinic, Stroke Jr, Jr NAR
1, 1, 1, 1 Jr NAR, Psychiatry Consult Clinic, General Inpatient
1, 2, 1 General Inpatient, ICU Day, Jr NAR
1, 1, 2 Clinic, EEG-Epilepsy, ICU Night Float
1, 1, 1, 1 Jr NAR, VAC, Cinic, Peds
1, 2, 1 Peds, General Inpatient, Neuroradiology
1, 2, 1 Clinic, Elective, Jr NAR

*NAR: Neurology Admitting resident. Staffs the University Hospital Emergency Department. R1 always do NAR under the direct supervision of an R2 or R3 Neurology resident.