Description of Rotations | Overview
Rotations expose child neurology residents to all aspects of adult and child neurology. Residents work closely, sometimes one-on-one, with attending physicians while pursuing abundant research opportunities in both clinical and basic neuroscience.
Electives allow residents to delve deeply into subspecialties of interest, caring for diverse populations of patients. During all rotations (except away rotations), residents continue to see patients in our weekly outpatient clinics.
Adult Neurology Rotations YEARS 1 & 2
To satisfy board certification requirements, each child neurology resident at Boston Children’s spends 12 months on adult neurology rotations at our affiliated hospitals. In addition to the following six months of inpatient rotations, other adult rotations include outpatient adult neurology, electrophysiology, and neuropathology.
- YEAR 1: Residents rotate at the MassGeneral Brigham and the Harvard Neurology Program (Beth Israel Deaconess Medical Center) training in the inpatient ward and neuroosurgery.
- YEAR 2: Adult neurology training concludes on the neurology consult service in the Harvard Neurology Program.
Child Neurology Rotations YEARS 1, 2 & 3
Child neurology clinical training is carried out entirely at Boston Children’s, with a breadth of inpatient and outpatient training experiences and electives in a wide variety of subspecialties.
- INPATIENT CHILD NEUROLOGY ROTATION (YEARS 1 AND 3): In the first year, the child neurology resident is the primary physician responsible for our large, active inpatient neurology service. Residents return in the third year to lead this service, preparing for independent practice, with the attending as backup. These residents work with rotating adult neurology residents, pediatric residents, and medical students.
- EPILEPSY ROTATION (YEAR 1): Residents spend one month on the inpatient Epilepsy Service, gaining exposure to complex and refractory epilepsy patients, long-term EEG monitoring, EEG reading, epilepsy surgical planning, and surgeries and sophisticated neuroimaging techniques such as SPECT and MEG scans.
- ED AND CONSULT ROTATIONS (YEARS 1 AND 2): The ED and floor consult services interfaces with almost all other services in the hospital. The resident is responsible for all non-ICU neurology consults in the ED or the rest of the hospital, one of the most visible and influential jobs in the Department of Neurology. The resident presents new consults and rounds on active consults with the attending child neurologist.
- OUTPATIENT NEUROLOGY ROTATION (YEAR 2): Residents spend two- to three-month blocks of time evaluating and following a wide range of cases in a variety of ambulatory settings. Subspecialty clinics include learning disabilities, Rett syndrome, neurofibromatosis, tuberous sclerosis, pediatric multiple sclerosis, mitochondrial disease, neuromuscular, neuroimmunology, autism, and cerebral palsy clinic.
- ICU/CRITICAL CARE ROTATION (YEAR 2): Working closely with the attending physician in critical care neurology, residents provide rapid and comprehensive patient care in Boston Children’s cardiac, medical/surgical, and neonatal intensive care units, as well as the NICUs at Brigham and Women’s and Beth Israel Deaconess.