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Year by year


PGY-1 Internal Medicine Residency

Neurology Residents spend their PGY-1 year in either a preliminary internal medicine program or a transitional year. We highly encourage them to join the Duke Internal Medicine Residency Program, which offers a guaranteed internship slot to all trainees accepted for Duke Neurology. This program, one of the top residency programs in the country, provides a solid foundation in the essentials of general medicine. During this period, residents will participate in inpatient and outpatient general medicine, including critical care. PGY-1 residents in the neurology program also spend two months rounding in neurology. They are assigned a faculty advisor from within the Neurology Department to plan for their second year.

As a prelim to neurology, I was looking for a program where I would be completely integrated into internal medicine program. I also wanted a place with world-renowned researchers and opportunities. I found all of that here at Duke! - Justin Hyun Ko, MD, MPH, Resident, class of 2023

PGY-2 Junior Assistant Residency

Following completion of an internship, second-year Duke Neurology residents (also known as "JARs", or Junior Assistant Residents) start their formal training in neurology. Residents spend time on the four inpatient services (General, Stroke, Consults, and neuro-ICU) at Duke University Hospital. They also work in outpatient clinics at Duke Clinic and the Durham VA Medical Center. Inpatient time constitutes about 55% of the first year. The seven Neurology residents from the Neurology Department are joined by two Child Neurology residents for the PGY-2 year.

I have found there to be tremendous respect among house staff and faculty. We are all working together to provide our best patient care and having some fun along the way.

Amanda Currie, MD, Resident, class of 2023


PGY-2 Rotation Schedule

  • General Inpatient - 6 weeks
  • Stroke Inpatient - 6 weeks
  • Consult Inpatient - 6 weeks
  • Neuro-ICU - 6 weeks
  • Night float - 4-6 weeks
  • Outpatient clinics - 14 weeks
  • EEG - 4 weeks
  • Elective - 4 weeks
  • Vacation - 3 weeks

PGY-3 Senior Assistant Residency

During their PGY-3 year, Senior Assistant Residents (or "SARs") focus on subspecialty areas of neurology and gain additional experience leading the consult team. Residents spend about three months each learning to perform and interpret EEGs and EMGs. They also spend about six weeks on the inpatient pediatric neurology ward. During this year, the residents are also encouraged to start their research/academic projects. About 40% of the year is spent inpatient.

PGY-3 Rotation Schedule


  • EEG - 8 weeks
  • EMG - 12 weeks
  • Pediatric Neurology Inpatient  - 6 weeks
  • Consult Inpatient - 8 weeks
  • Night float - 6 weeks
  • Neuro-oncology - 2 weeks
  • Elective - 8 weeks
  • Vacation - 3 weeks

SAR year is characterized by a mix of primary call and, for the first time, serving as backup for Junior Residents. I've enjoyed it, because it forced me into a more independent role and pushed me to start to define a bit more of my own style. SAR year is also an opportunity to spend some time in outpatient clinics, learning more about neuromuscular, epilepsy and peds neurology. I really enjoyed that aspect of the year. - Abigail Berezoski, MD, Resident, class of 2020

PGY-4 Chief Residency Year

In the final, or Chief Residency year, our residents graduate to further independence, taking on administrative responsibilities for making schedules, leading conferences, and supervising junior assistant residents, interns and medical students. They also triage new neurology patients and accept outside transfers. This graduated responsibility increases in the second half of the year, when chief residents function like junior attendings with an attending supervising them. Approximately 60% of the year is spent inpatient. Given the recent expansion of our program to include a seventh resident, the elective time in the Chief year is expected to increase.

PGY-4 Rotation Schedule

  • General Inpatient - 8-10 weeks
  • Consult Inpatient - 8-10 weeks
  • Pediatric Neurology Outpatient - 6 weeks
  • VA Medical Center Inpatient - 8-10 weeks
  • VA Medical Center Outpatient - 10 weeks
  • Night float - 4 weeks
  • Elective - 2 weeks
  • Vacation - 3 weeks

Chief resident year was a great end to my medical training. I was able to take all the skills and knowledge I gained and show that I have the confidence to be a team leader and independent neurologist. - Ovais Inamullah, MD, resident, class of 2020