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Neurology Residency

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Overview

The Jackson Health System / Jackson Memorial Hospital Neurology Residency Program, in affiliation with the University of Miami/Jackson Memorial Hospital, aims to provide outstanding training in clinical care, neuroscience research, and medical education to the next generation of practitioners and academic neurologists. We are the third-largest training program in the US, with 42 residency positions, and 20 fellowship positions.

The Jackson/UM neurology service works continuously to excel in neurological care of patients and their families, striving to create new methods for evaluation and management of diseases of the nervous system, fostering strategic alliances with allied clinical disciplines, competing for cutting-edge clinical and basic neuroscience research funding, and preparing its trainees for life-long medical teaching and learning.  The training program combines the best in neurology training with one of the world’s most attractive places to live. No website or brochure can answer every candidate’s questions. We encourage you to call us if we can clarify or expand on any components of our program. Visit us, and we will show you in person why this can be an outstanding career opportunity.

South Florida is a vibrant growing area that offers an exceptional lifestyle and many opportunities. Activities include year-round swimming, boating, water skiing, fishing, snorkeling, tennis, golf and really most outdoor sports for enjoyment and relaxation. The greater metropolitan area including Miami and surrounding Miami-Dade County has a population of over 2.5 million. The area has all the cultural and sporting facilities one expects to find in large population centers, and much more. These include symphony, ballet, opera, theaters, and museums, zoological and botanical centers. There are major league teams in baseball, basketball, football, and ice hockey. The University of Miami also has outstanding college teams in football, baseball, and basketball. Abundantly diverse restaurants, stores, and services of all types, styles, and prices are to be found throughout the metro Dade area. There are many fashionable and interesting places to visit and shop, such as South Beach, Bayside in the downtown waterfront area, Coconut Grove, Coral Gables and a car ride away to top vacation areas such as the Florida Keys and the Florida Gulf Coast.

ACGME Accredited:  Yes
Residents or Fellows per year:  12
Duration: Four years
Postgraduate Training Required: No
U.S. Citizenship Required: No

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

  • University of Miami
  • Bascom Palmer
  • University of South Florida
  • Mayo Clinic
  • Columbia University
  • Yale
  • New York University
  • University of California, San Diego

ERAS Application deadline is November 15th.  However, we do encourage you to apply prior to November 1st.

Interviews for invited applicants take place in November and December.  The interview begins with a Welcome Dinner on Thursday evening at 5:30 pm. We meet on the medical campus and then travel together as a group to South Beach. Dress is casual, and please remember to wear comfortable shoes.

Interview day begins at 8:30 AM and concludes no later than 5:00 pm. Our Program Director, Dr. Leticia Tornes begins the day with an introductory presentation.  The Chief Residents will take applicants on a tour of the inpatient units at Jackson Memorial Hospital (including the state-of-the-art Neuroscience Intensive Care Unit, resident call rooms and other key areas of the medical campus).  Lunch with our residents will be provided, followed by attendance at Grand Rounds from 12:15 pm to 1:15 pm. This is then followed by 4-5 interviews and concluding remarks by our Chairman, Dr. Ralph Sacco.

When invited for the interview, applicants are encouraged to indicate any special clinical or research interests so that additional interviews can be scheduled as time permits.

Internship (PGY-1)

The core curriculum for preliminary medicine/neurology residents is similar to that of first year categorical medicine residents and there is no overnight call. It includes experience in inpatient general medicine (16 weeks), night float (2 weeks), emergency medicine (4 weeks), neurology critical care medicine (4 weeks), ambulatory medicine (10- 12 weeks), geriatrics or palliative care (0- 2 weeks), elective (2- 4 week), vacation (4 weeks), and neurology (4-6 weeks). All core experience during internship takes place at Jackson, the VA Medical Center and University of Miami Hospital.

First-Year Neurology Residency (PGY-2)

During the first year of the neurology residency training program, the resident is exposed to wide spectrum of neurological disorders, including those that are common, rare, acute and chronic. A two-month introductory lecture series is organized for new residents and covers management of acute and emergent neurological conditions as well as common outpatient topics.
The PGY-2 Neurology resident schedule is the most intense of the training program.

Sample schedule:

  • Four weeks Neuro-critical Care Jackson Memorial
  • Four weeks on Epilepsy/EEG (JMH and UMH) – no call
  • Four to six weeks VA medical center inpatient service – no call
  • Four to six weeks Jackson Memorial inpatient Neurology – call Q 4
  • Eight to ten weeks University of Miami Hospital consults – no call
  • 12 weeks Stroke at Jackson Memorial – call Q4
  • Four weeks night float (alternating on and off weeks- on the off week, the only mandatory activity is continuity clinic and LP clinic)
    Four weeks vacation , to be taken in two-week blocks

Second-Year Neurology Residency (PGY-3)

The second year neurology resident spends much of the year in consultation services at the Jackson, UMH and the VA Center. Pediatrics, Neuromuscular and critical care are also offered. There is ample time for electives and research. The choice and duration of particular electives, are arranged to meet the career plans of the individual resident and to satisfy requirements of the American Board of Psychiatry and Neurology. A wide range of elective rotations are available including neuroradiology, neuropsychology, neuropathology, neuro-rehabilitation, neuro-ophthalmology, neuro-oncology, neurosurgery, psychiatry, neurophysiology, sleep medicine, multiple sclerosis, movement disorders, headache, neuro-interventional and basic neuroscience research.

Sample Schedule:

  • Four weeks Neuromuscular – no call/no weekends
  • Four weeks Neuro-critical Care Jackson Memorial – Q 5
  • 10 weeks Elective vs Research – no call /no weekends
  • Two weeks Dr. Adams Clinic – no call/no weekends
  • Four to six weeks VA consults – no call
  • Four weeks Jackson Memorial Hospital Pediatrics – no call
  • 18-20 weeks Jackson Memorial consults – call Q 4 (call starts at 4 PM)
  • Four weeks University of Miami Hospital consults – no call
  • Four weeks vacation, to be taken in two-week blocks

Third-Year Neurology Residency (PGY-4)

The third year neurology resident has gained the knowledge to have a more supervisory role. He/she is the leader of the team and plays a critical role in education of junior residents and medical students. They are chief resident at each hospital and also rotate through pediatrics, psychiatry, Epilepsy/EEG and electives. Responsibilities of the chief resident include supervision of junior residents at Jackson, UMH and the VA Center, overseeing the care of acutely ill patients with neurological disorders in the intensive care units, and teaching residents and medical students. The chief resident conducts daily early morning service rounds and evening sign-out rounds, during which clinical care of the patients on the neurology service is reviewed. The chief resident also monitors hospital admissions and discharges, conducts teaching conferences, and is responsible for maintaining an overall high quality of neurological care provided by residents on all the neurology services.

Sample Schedule:

  • No call PGY4 year
  • Four to six weeks VA Chief – no call
  • Four to six weeks Jackson Memorial Ward chief – no call
  • Four to six weeks University of Miami Hospital ward chief – no call
  • Eight weeks Jackson Memorial Hospital Pediatrics – no call
  • Four weeks Epilepsy/EEG – no call
  • Four weeks Psychiatry – no call/ no weekends
  • 12 weeks Elective vs Research – no call/no weekends
  • Two weeks Dr. Adams Clinic – no call/no weekends
  • Four weeks vacation, to be taken in two-week blocks

Educational & Other Experience

  • The breadth and depth of attending physicians, including many nationally and internationally recognized clinician-teachers and clinician- researchers make UM/Jackson an ideal place to train.
  • Wide spectrum of neurological disorders are treated, including tropical neurological disorders and at large tertiary care.
  • Significant outpatient and ambulatory neurology experience in the context of changing market forces and community needs.
  • Mentorship for each resident to pursue scholarly research project.
  • A unique Resident Clinician Researcher Program (RCRP) for career in research-oriented academic neurology.
  • A close-knit atmosphere among faculty and residents.
  • A large amount of elective time in senior years allowing residents to develop individualized educational programs.
  • A reasonable hospital ‘night call’ schedule for residents, on call for only 5 months a year in the PGY 2 and 3 years, no night call for PGY4 year.
  • Affordable and high quality lifestyle in the truly exceptional South Florida area.
  • International electives are available.
  • Medical Spanish/Creole Intensive Language Course available in June for new housestaff.

Research

Chief of Service, Ralph Sacco, MD, MS, FAHA, FAAN, is strongly supportive of resident physician participation in research. Many of our residents have accomplished significant research and publications during their training. Residency training is regulated by several national organizations that require substantial blocks of time devoted to training in clinical neurology. Therefore, when an individual trainee wishes to devote more time to research, we make every effort to modify the scheduled rotations to accommodate these interests. If you have interest in our research and training programs, it is strongly suggested that you visit our campus if you have the opportunity. For those that have interest in a research career we encourage them to apply to our RCRP.

The Resident Clinician Researcher Program (RCRP) provides residents with the faculty mentorship, administrative guidance, infrastructure, and research facilities to pursue clinical and basic neuroscience research during residency. Similar to other neurology residents, a research track resident will fulfill all required clinical obligations toward certification in neurology by the American Board of Psychiatry and Neurology (ABPN) in the same four-year period of residency. Parallel to his/her clinical training, the RCRP resident will also develop scholarly neuroscience research and will utilize some elective months toward the completion of this. The RCRP is an opportunity for a neurology resident to excel in an area of his or her interest and to launch a rewarding academic career. An RCRP resident will likely become a university-based academic neurologist after completing their residency.

Entry into the RCRP is flexible in that one can join at the start or switch to this track after being in residency for few months to a year. Considerable planning and commitment is required to bring the research to fruition during the otherwise busy period of neurology residency. Generally, a research track resident will have some prior research experience and will decide, in collaboration with faculty mentor, early in their residency the line of clinical or bench neuroscience research they wish to pursue. Having additional degrees like a PhD is a not a requirement for entry into the RCRP, and in fact most current RCRP members do not have additional degrees. The research mentor(s) provides guidance and the program director monitors the progress of all research track residents during their residency. Two residents are selected per year.

The core curriculum for residents in the RCRP is identical to that of other neurology residents. The main difference in the RCRP curriculum include additional ongoing meetings with the program director and RCRP program supervisor (Tatjana Rundek, MD, PhD), invitation to the Miami CTSI (Clinical Translational Science Institute) Translational Science Boot Camp (a 5-day intense course), and intense research mentorship.

The RCRP gives residents the tools to gain experience in the neurology research community on a national level and more. The minimum goal for residents in the RCRP is publish a paper in a national journal and/or to present a poster at a national meeting on a yearly basis. The RCRP residents will also be encouraged to participate in the University of Miami, Office of Research Education & Training Opportunities, and for those interested in developing advanced research skills, a MS CTSI degree program in Clinical and Translational Science is available.

It is expected that a research track resident will become conversant in research techniques and apply for a career development grant, such as NIH K08 award, by the end of their residency. In case the resident requires extra time to complete the grant submission, the program will attempt to provide a post-residency fellowship in the resident’s chosen area of research. Success in getting a career development award, productivity during residency, and future research potential will be the main criteria for appointing a research resident to the neurology faculty at the University of Miami after completion of the residency training.

Teaching Hospitals

  • Jackson Memorial Hospital
  • University of Miami Hospital
  • University of Miami Hospital and Clinics
  • Veterans Affairs Medical Center

Program Directors

  • Leticia Tornes, MD, Neurology Residency Program Director
  • Mohan Kottapally, MD, Associate Program Director
  • David Adams, MD, Associate Program Director
  • Yolanda Reyes-Iglesias, MD

Each applicant to the neurology residency training program at Jackson Memorial Hospital must be a graduate of an approved United States or Canadian medical school, or a foreign medical graduate who has been certified through the ECFMG and who is eligible for J-1 visa.

Applicants will be applying for the 4-year Categorical Neurology Program (PGY 1-4; 8 positions available) OR for a 3-year Advanced Neurology position (PGY2 –PGY4 years; 3 positions)

Please complete an ERAS application form and submit the documents requested in the application information. The application requires a personal statement, your medical school transcript, USMLE scores for steps 1 and 2, three letters of reference, and the dean’s letter. It is preferred to have your Step 2 completed, with scores available for review, by February 1st.

Board Exam Requirements

The ABPN requires that throughout the initial certification and maintenance of certification processes, physicians must have a valid, unexpired, and unrestricted license to practice medicine in at least one state, commonwealth, territory, or possession of the United States or province of Canada. If more than one license is held, they must all be unrestricted to meet this requirement.

Additionally, physicians who are board certified by the ABPN (called ABPN Diplomates), have successfully completed an approved training program and an evaluation process assessing their ability to provide quality patient care in a specialty and/or subspecialty. These evaluation processes formulate the core of our business and are encompassed in our initial certification examinations and Maintenance of Certification Program. For more detailed information, please review the ABPN website.

 

Andrea Ruiz
Phone: 305-243-2742
Fax: 305-243-8108
Email: aruiz2@med.miami.edu
 
Terry Crugnale

Phone: 305-243-4323
Fax: 305-243-8108
Email: tcrugnale@med.miami.edu

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Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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