The final year of training is a time to consolidate the knowledge and skills gained over the previous three years of training and assume a more active leadership and management role. With the help of PGY3 residents, PGY4 residents supervise and assist junior residents While on the wards, upper-level residents round with the junior residents, provide clinical support, and teach the junior residents and students.
PGY4 residents serve as the inpatient service chiefs at both the Ben Taub General Hospital and Michael E. DeBakey Veterans Affairs Medical Center. They rotate in the Baylor Neuromuscular Diseases Clinic. They also complete their child neurology requirements with one month of child neurology consults and another month of pediatric neuro-critical care consults. The remainder of the year is reserved for additional subspecialty experiences at the Baylor Clinic or any of our affiliated hospitals. Residents may also use elective time for research.
Call for PGY3 and PGY4 Residents
There is rarely overnight in-house call for senior residents. PGY4 residents have two weeks of night float at St. Luke's Episcopal Hospital. PGY3 and PGY 4 residents serve as supervisors for the care of the patients on their service, and therefore do take backup call from home on a regular basis when they are service chiefs. On some services, and especially early in the academic year, upper-level residents may come into the hospital to evaluate admissions as necessary for optimum patient care. On other services or times of year, upper-level residents or faculty may only need to provide over-the-phone backup. Elective months are usually free of back-up call duties.