The PGY2 year is designed to teach the fundamentals of caring for patients with diseases of the nervous system. Although the emphasis is deliberately on the care of hospitalized patients, residents are also afforded a number of opportunities to develop their skills in the evaluation and management of neurology outpatients both in their own continuity clinic as well as on a number of outpatient clinic rotations. Residents rotate in the NICU as on the general neurology/stroke service at St. Luke's Episcopal Hospital. At the University of Texas M.D. Anderson Cancer Center, residents rotate on the neuro-oncology consult service. At both the Ben Taub General Hospital and Michael E. DeBakey Veterans Affairs Medical Center, residents assume primary care of patients admitted to the neurology inpatient services.
The wide diversity of patients seen in our hospitals exposes second year residents to a myriad of neurologic disorders and provides a broad exposure to all aspects of neurology: acute neurological emergencies, common chronic diseases, neurological complications of medical diseases, as well as tertiary referral neurology. There are thousands of neurology admissions per year to our hospitals and thousands more consults, ensuring residents a diverse and unique clinical experience.
In addition to the inpatient, consult, and critical care training during the PGY2 year, three months are reserved for outpatient experiences. Outpatient experiences take place at the Maxine Messenger Multiple Sclerosis Clinic (part of the Baylor Clinic) as well as the general neurology and sub-specialty neurology clinics at Ben Taub and MEDVAMC. In addition to general neurology clinics, subspecialty clinics at Ben Taub and MEDVAMC include epilepsy, stroke, cognitive disorders, movement disorders, multiple sclerosis, and neuromuscular diseases.
Our program is designed so that call is front-loaded. Thus, PGY2 residents take overnight call at all hospitals except M.D. Anderson, which is home call. St. Luke's has a night float system, and PGY2s will have three weeks of night float in 2013-14. Call at Ben Taub and MEDVAMC is not more frequent than every fifth night. PGY2 residents take primary responsibility for the care of the patients they admit.