Overview

The MUSC training program in neurology is fully approved by the Accreditation Council for Graduate Medical Education for training and Board Certification in Neurology. We maintain inpatient services in adult neurology at the Medical University Hospital and at the nearby Department of Veterans Affairs Medical Center (VAMC).

The residency program prepares the resident to become an outstanding specialist in the practice of clinical neurology and/or a clinical neuroscientist and teacher in the academic setting. MUSC Neurology residency is a four-year program, which includes an integrated PGY1 year of medicine. The PGY1 year includes three months of neurology and allows for a smooth transition from internship to the PGY2 year. Eight PGY-1 positions are made available each year.

Successful applicants to the Residency Program are automatically assigned a PGY1 medicine position, and no additional application/interview is required for this first year.

General Neurology & Stroke Services

There are two primary services at MUSC: General Neurology and Stroke Neurology.

Both services consist of a senior PGY3/4 neurology resident and a junior PGY2 neurology resident. There is also an internal medicine or psychiatry rotator on each team and in most blocks, an additional PGY1 neurology resident.

Team responsibilities include evaluation of patients in the Emergency Care Department, referrals from Neurology specialty clinics as well as referrals from outside physicians. MUSC patients are admitted to a dedicated Neurology/Neurosurgery wing, which also includes an active Epilepsy video monitoring unit. The services work directly with Physical/Occupational/Speech therapy as well as Case Management and Social Work, who are assigned specifically to the Neurology/Neurosurgery subspecialties.

Charleston VA Neurology Inpatient Service

The Charleston VA neurology team consists of a senior PGY3/4 resident and a junior PGY2 neurology resident. It is an inpatient service with opportunities to participate in outpatient subspecialty clinics. The presence of two residents allows time for one to go to a subspecialty clinic if interested.

Neurology Consultation Service

MUSC inpatient consults are covered by the MUSC Neurology Consult Team. This team consists of a PGY3 or PGY4 resident along with off service rotators from both the Department of Psychiatry and the Department of Internal Medicine.

Emergency Neurology

During the hours from 6:30 a.m.-3:00 p.m., acute strokes and ED neurology consults are covered by a neurology resident and an ED intern. This rotation gives our residents an opportunity to act independently while evaluating acute Neurologic issues and helps them grow towards independent practice. This rotation also allows the inpatient teams to round and complete patient care duties/procedures with limited interruption.

Pediatric Neurology Service

MUSC Children’s Hospital also maintains an active Pediatric in-patient consultation service and outpatient clinic, which our neurology residents rotate through. Residents have a varied exposure--from the Neonatal and Pediatric Intensive Care Units to the Epilepsy monitoring unit. 

Continuity Clinics

In addition to the in-patient, pediatrics and consultation services, each resident assesses and manages a group of patients in their own longitudinal neurology clinic. The Resident General Neurology Clinic begins in the PGY2 year and continues to the end of the PGY4 year. The resident’s clinics are located at MUSC Ambulatory Care and at the VA. Patients who are seen by a resident during an in-patient stay, an Emergency Dept. evaluation, or are referred to the General Neuro clinic from other MUSC Ambulatory clinics have the opportunity for follow-up with that resident. This provides residents with hands-on training in the evolution of neurological disease and the development of patient-physician rapport.

Outpatient Rotations

Residents get multiple electives each year and are encouraged to spend these in our outpatient subspecialty clinics. We have faculty across the spectrum of neurology including Behavioral Neurology, Epilepsy, Headache, Movement Disorders, Neuromuscular Disease, Neuro-oncology, Multiple Sclerosis, Sleep Medicine, Neuro-endovascular, and Teleneurology.

Night Float Call System

One upper level and one lower level neurology resident are present to cover admissions and consults at MUSC and the VA from 5:30 p.m. -7:00 a.m.

Wellness & Education

This rotation was created to provide residents with more experience in education as well as to support their wellness. During the rotation, residents are tasked with medical student education, including providing lectures and proctoring a simulation lab and exam workshop. Residents are also given a list of tasks to complete to enhance their wellness. These tasks may include attending doctor’s appointments, exercising, or choosing from a reading list. The remainder of the rotation can be used for research and studying.