A Message from the Director

Thank you for your interest in the MUSC Neurology Residency Program. I joined the Department of Neurology at MUSC in 2014 and have had the honor of being the program director of our residency since 2016. I attended medical school at Ohio State University and completed my neurology residency at Cleveland Clinic, followed by a fellowship in behavioral neurology at the University of Florida. As part of my residency I was fortunate enough to complete a preliminary year in Internal Medicine here at MUSC. During that time I was struck by the collaborative culture of MUSC and I loved living in Charleston. When I finished my training I jumped at the opportunity to join the faculty at MUSC.

Our educational philosophy centers around two principles. The first is giving residents the opportunity and mentorship to discover their passion within neurology. Examples of this could be research of epilepsy surgery outcomes, teleneurology systems, becoming a clinician educator, advocacy for neurologists and their patients, or becoming an expert clinician. In order to do this residents need time to learn and need to be exposed to different aspects of the broad field of neurology. We accomplish this through abundant elective time including during the crucial PGY2 year. We also pair all of our residents with both a peer and faculty mentor to help guide them through their training.

Our second principle is to strive for continuous improvement and innovation. To accomplish this we have weekly chief resident meetings and monthly residency town halls. This allows us to not only solve issues quickly, but also brainstorm new innovative processes. Over the last few years, we’ve created new rotations such as our Emergency Neurology and Wellness & Education blocks, and we are especially excited about our new Clinician Educator Track for this year.

While many residents choose to subspecialize through a fellowship after residency, the goal of residency training should be to become an expert in general neurology. During residency it is important to be exposed to a variety of different neurologic diseases, as well as to learn from neurologists across all the subspecialties. Our Department of Neurology is proud to be the primary tertiary referral center for the state of South Carolina, ensuring that our residents are exposed to the most complicated and rare neurologic cases. Equally important, our residents learn from over 40 clinical neurologists representing all of the neurology subspecialties.

From a clinical perspective, MUSC has one of the highest volume stroke centers in the country, providing life-saving care to both local patients and to patients throughout the state of South Carolina via our robust and industry leading tele-stroke program. The Epilepsy program operates a newly-remodeled epilepsy monitoring unit, and our clinical neurophysiology lab has achieved accreditation in all possible areas of neurophysiology, including EEG, EMG, intraoperative monitoring, and cerebrovascular ultrasound. The department also maintains active subspecialty clinics in movement disorders, neuromuscular diseases, epilepsy, multiple sclerosis, sleep medicine, headache, behavioral neurology, and cerebrovascular neurology. Finally, we have a variety of fellowship opportunities, including vascular neurology, neurocritical care, movement disorders, epilepsy, and clinical neurophysiology.

We invite you to review the pages of our website which offer a general overview of neurology training at MUSC, including the clinical and didactic components of our training program, and answers to some frequently asked questions.

Thank you for taking the time to discover MUSC and we hope to have the opportunity to meet you this interview season.

Thank you,

Nicholas Milano, M.D.

Nicholas Milano, M.D.
Director, Neurology Residency Program