curriculum



NM2

[This section is described by the current residents, for our future residents. It has been edited only for clarity, not content. We encourage you to discuss this section with the current neurology residents if you have any questions.]

The NM2 year is the long awaited chance to practice pediatric neurology on a full time basis. You will be eased back into the world of pediatrics through a month of mentorship by your chief resident on the pediatric neurology consult service, which involves inpatient and ED consults at MGH predominately, though we also rarely are consulted by Shriner's Hospital or Spaulding Rehabilitation Hospital. The goal of this month is a transition from junior to senior resident and your responsibilities will gradually increase over the course of the month until you are ready to lead the team on your own by the end of the month, which you will have the opportunity to do on three occasions during the year. You have four months of outpatient pediatric neurology. We have an incredibly rich variety of outpatient experiences where you will see everything from bread and butter general pediatric neurology to highly specialized subspecialty clinics (e.g. Angelman's, Ketogenic Diet, Neuromuscular, Movement Disorders, Tics, NCL, Mitochondrial \ Neurogenetics, Autism (Lurie Center), Neurofibromatosis, Leukodystrophy, Sleep, Headache, Learning Disorders, Stroke). Finally, you have 4 months of elective time to explore your career interests. We take great pride in the vast resources available at MGH and Harvard University to explore your interest to their fullest, whether this is basic science research, advocacy, getting involved with our international neurology group, or exploring a specific subspecialty. If you like research the NM2 year is the time to apply for R25 funding from NIH which will fund 2 years of research (6 months during residency and 18 months after). We have had a 100% success rate to date in applying for this funding mechanism. During the residency program we have specific required electives such as EEG\Epilepsy, EMG and Neuroradiology, Psychiatry and Neurorehabilitation, Neuropathology.

Sample Schedule for NM2 (PGY-3) Year

July August September October November December
VSC Consult Service
(mentored by
chief pediatric
neurology resident)
Outpatient block Elective
(e.g. research)
VSC Consult Service Outpatient block Elective
(e.g. EMG and Neuroradiology)

January February March April May June
VSC Consult Service
Senior Resident
Outpatient block VSC Consult Service
Senior Resident
Elective
(e.g. EEG \ Epilepsy)
Outpatient block VSC Consult
Service

Senior Resident

Our view of the workload:

This year is a stark contrast to the NM1 year. Suddenly, we have a lot more freedom and autonomy. Your days of in house call are over and there is a lot more time to explore and develop our own interests (both academic and personal). This is the year where we really become expert in pediatric neurology. We rarely work 80 hours in a week, although the 4 months on the consult service can be taxing between seeing new consults, leading multiple conferences each week, and leading family meetings. This is a year of rapid growth of pediatric neurology knowledge facilitated by a strong foundation during our first year of mastering the neurological exam and being comfortable with neuroimaging. It quickly becomes apparent that the two years of training in pediatrics and the year of adult neurology have prepared us for this role as senior resident. The attendings work closely with us to help us develop our neurological skills while allowing us tremendous leeway in directing patient care, so long as it is safe and appropriate.