Adult Neurology Residency Program at Loma Linda University Medical Center

Welcome!

**Program Update**

In November 2009 we received ACGME approval to change the format of the program to an integrated program (PGY1-4 all done via the match to the adult neurology program). This change in format is an exciting one for the department. It will be integrated in over several years; for the 2010 Match (the current interview season) we will offer 1 integrated position (PGY1-4) and 2 advanced positions (PGY2-4), the 2011 Match will offer 2 integrated positions (PGY1-4) and 1 advanced position (PGY2-4), and in 2012 and thereafter all 3 positions will be integrated positions (PGY1-4).

**Program Update**

Welcome to the Adult Neurology Residency Program at Loma Linda University Medical Center. We believe that we have an outstanding training program in clinical neurology. Upon completion of the residency, you will be a well-trained and competent clinician qualified to practice neurology or to move into fellowship and research interests. The program has full ACGME accreditation.

Our neurologists are capable and experienced clinicians with a variety of styles, each with a strong commitment to teaching. The attendings are available and provide support on call at all times. LLUMC, with its subspecialty faculty practices, along with Jerry L. Pettis Memorial Veterans Medical Center, provide a wide variety in learning and experience. We see all varieties of neurologic illnesses in patients from diverse backgrounds.

Because of our clinical emphasis and close working relationship between faculty and residents, our program has developed a strong commitment from the residents and a sense of camaraderie. The curriculum is organized to give the best possible teaching, not merely to "cover the hospitals."

Our location in sunny Southern California is an inviting one and makes the time spent outside of the program enjoyable. We invite you to come see the program, meet the residents, and decide for yourself on the advantages of our Neurology Residency Program.

Laura Nist, MD
Program Director

[Neurosciences at LLUMC]

About the neurology residency program

Adult neurology is a three-year program. The first year (PGY-1) is to be under the supervision of internal medicine with no more than two months on a neurology service. This year must be applied for separately through the National Resident Matching Program (NRMP) and internal medicine programs.

The first adult neurology training year (PGY-2) consists of ward rotations, neuroradiology, clinical neurophysiology, and clinic. The ward rotations are at Loma Linda University Medical Center and Jerry L. Pettis Memorial Veterans Medical Center neurology services. On both of these services, residents are responsible for inpatient admissions and consults and are exposed to a wide variety of neurologic disorders. During this time residents progressively develop their diagnostic skills and clinical acumen. During the first two months of this year, a senior neurology resident is also on service. Later in the year, PGY-2 neurology residents assume supervisory and teaching roles over interns and medical students.

The second neurology training year (PGY-3) is spent on electives, clinic subspecialty months, EMG, and a few months of inpatient. Electives in rehabilitation and neurosurgery are done. Participation in the neuroscience course this year involves leading teaching groups in neuroscience to first and second year medical students.

During the last year (PGY-4), the resident serves as senior resident supervising the neurology service at either the Veterans Administration Medical Center or Loma Linda University Medical Center for the first two to three months. Additional rotations are done in neuropathology, psychiatry, child neurology, neurophysiology, and chosen electives. During this year substantial independence is allowed, and residents are encouraged to further their independence and to develop their consultation skills.

Throughout the entire neurology residency, there are two weekly outpatient clinics in which the residents see both new and return patients; this three year resident continuity clinic provides exposure to a wide variety of neurologic disorders to provide the resident with experience in the short and long term care of patients. All continuity and subspecialty rotation clinics are chiefed by neurology staff, providing the residents with a strong foundation in outpatient neurology. Four months of elective time are provided throughout the program.

We offer a total of nine adult neurology residency positions for the PGY-2 through PGY-4 years. Available positions starting at the PGY-2 year are filled through the National Resident Matching Program (NRMP).

The ACGME required core curriculum for all residents is provided through a web-based curriculum with less than 1 hour a week needed to complete the lesson.

Neurology Residents

Conferences

There is a strong commitment to resident teaching and a wide variety of teaching conferences are available to neurology residents each month. A weekly Neuroscience Grand Rounds involves neuroradiology presentation of interesting cases, presentations by neurology, child neurology, visiting professors, or the Clinical Pathologic Correlation Conference (CPC).

Lectures to cover all areas of neurology are given by faculty and residents during the residents' academic afternoon weekly. A neurophysiology conference, with emphasis on EEG interpretation, occurs weekly. Twice monthly, a clinical neurologic conference occurs with interesting live patient presentations at the VA Medical Center. A monthly journal club invites participation by residents and attending staff alike with a critical review of the literature. A monthly journal club that reviews practice parameters and evidence based decisions is also held. EMG conference is held weekly with a neuromuscular conference monthly.  The neurology resident is given frequent opportunity to build teaching skills and their own knowledge by leading problem based learning sessions for the freshman medical students and lectures to the senior medical students during their clerkship. Residents have also provided conferences both for neurology and internal medicine services at Loma Linda University Medical Center and the VA Medical Center.

Research

Major advances in understanding neurologic diseases have occurred in the past few years. They have resulted in systematic research to evaluate potential treatments for neurologic diseases within multi-center clinical trials. The Department of Neurology Clinical Research Center organizes clinical trials in multiple subspecialty areas. As the only university-based tertiary care center in the Inland Empire, we have a catchment area which is not in direct competition with the Southern California coastal centers (Los Angeles to San Diego). The Neurology Clinical Research Center combines clinicians with special interests in study design and in the specific neurologic conditions to be studied with dedicated coordinating and support personnel.

Participation in a research project, usually done as a clinical research project, is required during the training program.

 

Stipend & benefits

Stipend and benefits for LLUMC residents

Each neurology resident is provided with an allowance of $500 per year to cover continuing education-related materials and activities, such as book purchases or conference expenses. Reimbursement for these items is contingent on the resident being up to date on patient logs, duty hour log, and other requirements. Financial support is provided to attend neurology meetings when the resident is presenting research. Five days per year are allowed to attend neurology meetings in addition to the four weeks of vacation annually.

Membership to the American Academy of Neurology and subscription to the journal, Neurology as well as Continuum, are provided.

Affiliated hospitals

Neurology residents rotate at Loma Linda University Medical Center and Jerry L. Pettis Memorial Veterans Medical Center, as well as affiliated clinics with each.

About the area

Many activities are available in the area during your leisure time. Loma Linda University Medical Center is located in a vast metropolitan area east of Los Angeles known as the Inland Empire. The beaches of Newport, Laguna, and Malibu are only 60 to 90 minutes to the west, with superb swimming, sun-bathing, surfing, and sailing. Also 60 minutes to the west is downtown Los Angeles, with its top-quality restaurants, world-renowned museums, opera, theater, and other cultural opportunities. Learn more about the area and see some photos.

Application & contact information

Program matching is organized through the National Resident Matching Program (NRMP). See www.nrmp.org. Program application is organized through the Electronic Residency Application Service (ERAS). See www.aamc.org/students/eras/. The prerequisite PGY-1 year in internal medicine is also arranged through the NRMP, and you must apply to internal medicine and neurology programs separately and place rank order lists for both.

Click here for frequently asked questions (FAQ) about the residency.

For further questions please contact:

Phone: (909) 558-4907
Fax: (909) 558-0207
Email:

LLU Neurology Residency Program
11175 Campus Street, CP-11108
Loma Linda, California 92354

Completed applications will be reviewed by the residency acceptance committee. Interviews are by invitation.

[LLUMC residency programs index] [Neurosciences at LLUMC]