Postgraduate Year 1
Intern year is dedicated primarily to the inpatient experience at the Children’s Hospital at Montefiore Einstein, where, under the supervision of senior residents and attendings, interns serve as their patients’ primary clinicians. The three inpatient floors are divided into teams either by age group or subspecialty, offering a unique learning environment for interns to manage a variety of both common and complex pediatric disease processes as they occur at different developmental stages.
In addition to the inpatient experience, intern year consists of a variety of outpatient experiences, including a month of Behavior & Development, an elective month dedicated to a subspecialty of each intern’s choice, as well as rotations through subspecialty clinics. One afternoon each week every intern and resident takes care of their own patients in continuity clinic.
Interns spend a month in both the newborn nursery (NBN) and Neonatal Intensive Care Unit (NICU) at the Jack D. Weiler Hospital at the Einstein Campus. While at Weiler, interns learn and practice neonatal resuscitation skills, attend deliveries, and become familiar with the management of common problems in the NICU as well as healthy newborn care.
In addition to learning clinical management skills, interns begin to develop as teachers of third and fourth year medical students.
| Clinical Experiences | Blocks (4 weeks/ Total 13) |
| Newborn Nursery | 1 (+ up to 1 month of cross covering) |
| NICU | 1 |
| Inpatient Medicine: 5 mixed sub-specialty and general medicine teams + Heme Onc | 4-5 |
| Behavior and Development | 1 |
| Emergency Department | 1 (+ cross covering) |
| Elective | 1 |
| Outpatient Clinics (OPD) | 0-1 |
| Jeopardy/Sick Call | 0.5-1 |
| Vacation | 1 (as two 2-week cycles) |
Postgraduate Year 2
Using the knowledge base established during intern year, the PGY-2 year is devoted to cultivating skills for independent clinical decision making, team leading, and teaching. On inpatient units, PGY-2s are the supervising residents, conducting rounds and guiding interns and medical students through patient management. Inpatient units include General Pediatrics, Hematology/Oncology, Adolescent Medicine, as well as teams that cohort Cardiology, Gastroenterology, Surgical Subspecialties, Renal, and Bone Marrow/Renal/Liver Transplant patients. PGY-2s also spend time in the Pediatric Critical Care Unit (PCCU), gaining exposure to critically ill patients. A crucial component of the PGY-2 year is increased elective time, which provides residents with the opportunity to explore their personal interests in the pediatric sub-specialties, general pediatrics, private practice, and research.
| Clinical Experiences | Blocks (4 weeks/cycle, Total 13 cycles) |
| PCCU | 2 |
| NICU | 1 |
| Inpatient Medicine: 5 mixed sub-specialty and general medicine teams + Heme Onc | 2- 2.5 (days) 1.5 (nights) |
| Emergency Department | 1-2 (nights) (+ cross covering) |
| LINCS | 1 |
| Community Health | 1 |
| Elective (career-focused + optional) | 2 |
| Back-up Jeopardy | 0.5 |
| Vacation | 1 (as two 2-week cycles) |
Postgraduate Year 3
The third year of the residency (first year of neurology training) is dedicated primarily to learning the fundamentals of neurology, neuroscience and neuroanatomy. The majority of the clinical experiences of the first year of training are spent on adult neurology rotations – a combination of inpatient (4 blocks), outpatient (3 blocks) and adult electives (3 blocks). Residents rotate onto the child neurology service during the final 2 blocks of the first year.
Inpatient experiences include adult neurology ward and consult services. Electives include adult epilepsy, adult stroke and neuro-ICU. Outpatient options include neuro-oncology, neuro-ophthalmology, neuro- immunology, EMG/neuromuscular, headache and movement disorders.
| Clinical Experiences | Blocks (4 weeks/ Total 13) |
| Moses Ward | 0.5 |
| Moses Consult | 0.5 |
| Jacobi Consult | 1 |
| Weiler Consult | 1 |
| Night Float | 1 |
| Stroke Elective | 1 |
| Adult Epilepsy Elective | 1 |
| Neurosciences ICU | 0.5 |
| Backup/Elective | 0.5 |
| EMG/Neuromuscular (outpatient) | 1 |
| Free Elective | 2 |
| Pediatric Neurology Service | 2 |
| Vacation | 1 (as two 2-week cycles) |
Postgraduate Year 4
The majority of the fourth year of the residency (second year of neurology training) is dedicated to work on the inpatient child neurology service. About 1⁄2 of service time is spent as the senior supervising resident on the CHAM child neurology service, and the other 1⁄2 as the senior supervising resident of the Jacobi and Weiler sites.
In addition to the inpatient experience, there are a variety of outpatient experiences, including continuity clinic 1-2 times per week, epilepsy clinic, MDA/neuromuscular clinic, pediatric neuro-oncology clinic and “private practice” with Dr. Moshe once a month.
| Clinical Experiences | Blocks (4 weeks/ Total 13) |
| Pediatric Neurology CHAM | 3.5 |
| Pediatric Neurology Jacobi | 4 |
| Elective | 4.5 |
| Vacation | 1 (as two 2-week cycles) |
Postgraduate Year 5
During the fifth year of the residency (third year of neurology training), the child neurology resident consolidates his/her knowledge in both adult and pediatric neurology and functions as a soon-to-be expert. During this year, the resident has the opportunity to explore research or other electives to tailor their learning experiences to their professional goals. Research electives must be discussed with and approved by the Program Director or Division Chief and are accompanied by additional expectations with regard to research productivity.
| Clinical Experiences | Blocks (4 weeks/ Total 13) |
| Pediatric Neurology CHAM | 1.5 |
| Pediatric Neurology Jacobi | 1 |
| Elective | 7.5 |
| Child Psychiatry | 1 |
| Adult Neurology Consult Chief Moses | 0.5 |
| Adult Neurology Stroke Consult Moses | 0.5 |
| Vacation | 1 (as two 2-week cycles) |
Pediatric Electives
| Core Electives | Optional Electives |
| Allergy/Immunology | Advanced Subspecialty Electives (after core) |
| Cardiology | Anesthesiology |
| Endocrine | Child Psychiatry |
| Gastroenterology | Dermatology |
| Genetics | Full-Time Clinic |
| Hematology/Oncology | Global Health |
| Infectious Disease | Hospital Medicine |
| Neurology | Newborn Care |
| Nephrology | Ophthalmology |
| Pulmonology | Orthopedics |
| Rheumatology | Outpatient Pediatric Surgery |
| Behavioral & Development* | Patient Safety and Quality Improvement |
| | Private Practice |
| | Radiology |
| | Rehabilitation Medicine |
| | Research |
| | Same-Day Visits |
| | Teaching Elective |
| | Urgent Care |
*Mandatory for all residents
Neurology/Child Neurology Electives
| Core Electives | Optional Electives |
| Adult Epilepsy | Neuropsychology |
| Adult Stroke | Movement Disorders |
| Neuroradiology | Neurorehabilitation |
| Neuro-oncology | EMG/Neuromuscular |
| Genetic/Metabolic | Headache |
| Neuropathology | Multiple Sclerosis/Neuroimmunology |
| EEG | Research |
| Neuro-ophthalmology | |
| Child Psychiatry * | |
*Mandatory for all residents