Graduate Medical Education

\\\Riverside GME Program \\\

Neurology Residency Program at a glance:

  • Four-year residency (PGY1 through PGY4)

  • Regional center for stroke, trauma, STEMI and sepsis

  • 373-bed referral center, expanding to 508 beds during the 2017-2018 academic year

  • Located two miles from the University of California, Riverside campus

  • High faculty-to-resident ratio

  • Strong academic track record of neurology faculty including basic and clinical neurosciences

The Riverside Community Hospital/University of California, Riverside Neurology Residency Program is a unique four-year categorical program that combines the best of the academic medical center’s neurosciences teaching and research mission with the supportive and friendly environment of a community hospital, minutes away from the beaches, mountains and playgrounds of sunny Southern California.

The Clinical Experience

First Year

Of the 13 four-week blocks in postgraduate year 1, residents rotate for six blocks in internal medicine wards, four blocks in neurology, and one block each in ICU, family medicine and neurology. The ICU and cardiology blocks include two weeks on rotation and two weeks on vacation. The goal of the PGY1 year is to provide a solid foundation in medicine while beginning to develop neurology skills. Each rotation offers a specialty-specific didactic series to facilitate the case-based teaching and learning that residents receive on the wards. First-year residents have one half-day per month of continuity clinic.

Second Year

During the PGY2 year, residents undertake their first year of full-time neurology training, with the goal of developing a solid base of knowledge and skills that will serve them throughout their future careers. At the RCH/UCR Neurology Residency Program, the second year of residency training is front-loaded with 10 inpatient neurology rotations, divided between the neurology consultation service and a separate neurology admitting service. When they are not on ward rotations, residents round out the year with one month of outpatient neurology subspecialty clinics and two months of elective rotations that each include two weeks of vacation. Throughout the PGY2 through PGY4 years, residents spend one half-day per week in neurology continuity clinic in our integrated faculty and resident outpatient practice located at the Citrus Tower, located in downtown Riverside less than a mile from the hospital. They attend 10 hours of teaching conferences per week. Throughout the first month of the PGY2 year, all second-year neurology residents attend their own daily “neurology boot camp” to jump-start their knowledge and skills.

Third Year

The first half of the third year builds the residents’ knowledge base in the basic and clinical neurosciences. Block rotations include neuropathology, neuroimaging and a required two-week group project targeting skills in practice-based learning and improvement (PBLI). PGY3 residents also spend three months at our academic partner site, Harbor-UCLA Medical Center, for two rotations in child neurology and one rotation in outpatient neurology subspecialty clinics. The Harbor subspecialty clinics rotation includes neuromuscular medicine, clinical neurophysiology (EMG, EEG, spasticity injection clinic and other procedural training), behavioral neurology and the neurology of aging, neuro-ophthalmology and neuro-otology. During all off-site rotations, RCH provides an apartment near Harbor-UCLA for the visiting residents’ comfort and convenience. Third-year residents also explore areas of special academic interest during an elective rotation at RCH. They also participate in one half-day per week of continuity clinic at Citrus Tower during each rotation that is based at RCH. They attend didactic sessions twice per day every weekday.

The second half of the third year marks a milestone of graduated responsibility for our neurology residents as they begin leading the inpatient neurology consultations team during ward rotations. PGY3 residents spend a total of five to six months on inpatient neurology services. We have developed the innovative Leaders in Neurology Curriculum (LINC) which interweaves didactic sessions, classroom leadership simulations and mentored practice designed to prepare our residents for leading ward teams and develop their skill sets as future academic and clinical leaders in neurology.

Fourth Year

PGY4 residents spend a total of four to five months leading the neurology inpatient service and two months leading the neurology consultation service. Fourth-year residents spend three more months at Harbor-UCLA, including two rotations in outpatient neurology subspecialty clinics and one rotation in child neurology. The final year of residency also includes one to two months of electives and vacation, one month of psychiatry, and innovative two-week rotations in tele-neurology and The Resident as Teacher. In their final year of training, residents continue to spend one-half day per week in continuity clinic at Citrus Tower with gradually increasing patient volumes in anticipation of graduation then fellowship or independent practice. Teaching conferences continue twice per day every weekday with an increasing focus on review for the American Board of Psychiatry and Neurology Certification Examination.