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.
PGY-2 Junior Assistant Residency
During the second year of their residency, Duke Neurology residents (also known as JARs, or Junior Assistant Residents) start their formal training in neurology, with a focus on inpatient care and basic outpatient Neurology. Residents spend time on the stroke service, general and community neurology, and the intensive care unit in Duke Hospital. They also work in outpatient clinics in the Durham VA Medical Center, outpatient clinics at the VA, and have their own continuity clinic.
PGY-2 Rotation Schedule (6 adults, 2 peds)
- Duke general neurology: 7 weeks
- Duke stroke: 7 weeks
- Duke consult: 7 weeks
- VA clinic: 6 weeks
- Neuro ICU: 8 weeks
- Outpatient clinic: 4 weeks
- Elective: 7 weeks
- Night float: 4-6 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.
PGY-3 Rotation Schedule
- Duke consults: 9 weeks
- Peds neuro inpatient: 6 weeks
- EMG: 12 weeks
- EEG: 12 weeks
- Night float or Night float backup: 2 weeks
- Elective: 11 weeks
PGY-4 Chief Residency Year
In their fourth and final, or Chief Residency year, Duke Neurology residents graduate to further independence, taking on administrative responsibilities for making schedules, 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.
PGY-4 Rotation Schedule
- Duke general neurology: 9 weeks
- Duke stroke: 9 weeks
- Peds Neuro outpatient: 6 weeks
- VA consults: 9 weeks
- VA clinics: 9 weeks
- Night float backup: 2 weeks
- Elective: 10 weeks (including 4 weeks of Psychiatry)