General Overview

The Neurology residency at USF is a categorical program that consists of a 12 month preliminary year medicine training (which includes 3 months of neurology rotations during PGY1) followed by 36 months of core neurology rotations, divided evenly between inpatient and outpatient training experiences (approximately 18 months in each setting).This experience complies with guidelines as mandated by the American College of Graduate Medical Education (ACGME). Each rotation is 3 weeks long with 17 distinct rotations per year. We provide our residents as much flexibility as possible to shape their individual training experience. Our program strives as much as possible to provide the ability to tailor your training to meet any specific skill you wish to attain during your residency.

Please refer to following link for further information about the internal medicine year, http://health.usf.edu/medicine/internalmedicine/residency/.

Neurology Wards (Tampa General and VA Hospitals)

• Inpatient neurology responsibilities occur in high proportion at Tampa General Hospital. With remaining inpatient training to occur the VA Hospital and both account for approximately 17 months of training.
• Morning report occurs at each hospital every Wednesday
• TGH Vascular Neurology Radiology conference and Epilepsy Surgical Conferences occur weekly
• Teaching rounds usually begin every morning between 8-10 am
• Ancillary duties are handled by hospital staff at all of the training facilities. Residents are not responsible for blood draws, transport, etc.
• The average team census at both hospitals is approximately 12-16 patients per service

Tampa General Hospital

• There are 3 teams, each comprised of 1 senior resident (PGY3 or PGY4), 1 PGY 2 resident, and 2-3 medical students.
• Teams rotate through the following daily schedule: AM team (7 am-6pm) and Night Float (6pm – 7am), one resident covering overnight the 3 services; 1 PGY 3 resident for the first 6 months of the academic year and 1 PGY 2 resident the second 6 months.
• Weekend calls are divided into Saturday and Sunday. PGY 2 residents are primaries to cover these calls. Saturday call is from 7 am until Sunday 7 am. Sunday call is 7 am to 9 pm when the night float resident takes over.
• Night Float is Sunday to Friday 6 pm to 7 am except for Sunday which is 9 pm until 7 am Monday morning, 3 weeks per year for each PGY 2 and PGY3 resident. There is a PGY 4 and a PGY 1 resident present during the days on Saturday and Sunday.
• There is no overnight call for PGY 4 residents.
• Resident cap are absolute at 15 patients per resident per call. It is extremely rare to utilize the cap system. A back-up system is place to relieve a resident on call who has reached the cap.

James A. Haley Veterans Administration Hospital (JAHVA)

• There is 1 team that comprises inpatient, consult, and the epilepsy monitoring unit. It consists of 1 senior neurology resident (PGY3 or PGY 4), 1 neurology PGY 2 resident, rotating residents from psychiatry, physical medicine and rehabilitation, and 2-3 medical students.
• AM team is on from 7 am to 5 pm, the on call resident starts at 5 pm and takes call at home for both the VA and Moffitt Cancer Center. This average number of home calls per month is usually 1-2 per resident
• Weekends are home call as well and are covered by the PGY 3 residents starting at 7 am on Saturday until 7 am on Monday. Average number of weekend calls is 1 per month.

Neuro-oncology at Moffitt Cancer Center

• Neurology residents spend 2 months during the PGY3 academic year at Moffitt Cancer Center. This is an incredible opportunity for our residents to gain exposure to a unique population of patients, and work with world renowned neuro-oncologists at an NCI-designated comprehensive cancer center.

Subspecialty/Elective Rotations

• Approximately 1/2 of PGY2-PGY4 training will take place on subspecialty or elective rotations. For specialties with inpatient emphasis these rotations are offered at all three of our affiliated hospitals. Clinical facilities associated with Tampa General Hospital, the VA hospital and both the USF South Tampa Center and Morsani Center serve as the primary sites for elective/subspecialty rotations that involve outpatient care. Residents work Monday-Friday. Residents attend all morning reports and scheduled conferences.
• The outpatient subspecialty rotations include neuromuscular, epilepsy, stroke, multiple sclerosis, interventional pain, headache and facial pain, movement disorder, and pediatric neurology.

Continuity Clinics

• PGY 1 continuity clinics are at Tampa General outpatient clinic
• PGY 2-4 continuity clinics are at the James A Haley VA Hospital.
• Both comprise one half day per week.