The MUSC training program in neurology is fully approved by the Accreditation Council for Graduate Medical Education for training and Board Certification in Neurology. We maintain inpatient services in adult neurology at the Medical University Hospital and at the nearby Department of Veterans Affairs Medical Center (DVAMC).

The residency program prepares the resident to become a qualified specialist in the practice of clinical neurology and/or a clinical neuroscientist and teacher in the academic setting. MUSC Neurology residency is a four-year program, which includes an integrated PGY1 year of medicine. The PGY1 year includes two months of neurology and allows for a smooth transition from internship to upper levels. Four PGY-1 positions are made available each year.

Successful applicants to the Residency Program are automatically assigned a PGY1 medicine position, and no additional application/interview is required for this first year. Please see Internal Medicine Dept Overview for more information on specifics of the Medicine Internship year at http://www.medicine.musc.edu.

In-patient Neurology Service
MUSC Neurology Department has two active in-patient services, Medical University Hospital (MUH) and Charleston DVAMC, located 3 blocks from MUH.

The MUH adult inpatient service consists of two PGY 1 and one PGY 2 residents who direct patient care and are supervised by a PGY3 or 4 and an attending Neurologist. The service also consists of 2-4 3rd year medical students and 4th year externs.

The Charleston VA in-patient team consists of 1-2 residents along with several medical students. Team responsibilities include evaluation of patients in Emergency Care Dept., referrals from Neurology specialty clinics as well as referrals from outside physicians. MUH patients are admitted to a dedicated Neurology/Neurosurgery wing, which also includes an active Epilepsy video monitoring unit. The services work directly with Physical/Occupational/Speech therapy and Social Work, who are assigned specifically to the Neuro/Neurosurgery subspecialties.

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Neurology Consultation Service
Both Medical University Hospital and the Charleston VA have active Consultation Services. MUH service consists of a PGY2 along with PGY1 Psychiatry interns, Internal medicine PGY2 or PGY3 and medical students. Both services offer the residents an opportunity to integrate the foundation of medicine built in their PGY1 year with associated neurological manifestations. The Consult Teams also staff the VA General Neurology clinic two mornings/week, which maintains the continuity of inpatient to outpatient care.

Pediatric Neurology Service
MUSC Children’s Hospital also maintains an active Pediatric in-patient consultation and outpatient clinic, which consists a of PGY2 Neurology resident and medical students, and is available as an elective to Pediatrics residents. Residents have a varied exposure--from the Neonatal and Pediatric Intensive Care Units to the Epilepsy monitoring unit. Residents also have the opportunity to attend the Pediatric Brain Tumor Clinic, which is run by the Neurosurgery Department as well as a monthly Pediatrics clinic at the Saleeby Center in Hartsville, SC.

Continuity Clinics
In addition to the in-patient, pediatrics and consultation services, each resident assesses and manages a group of patients in his own longitudinal neurology clinic. The Resident General Neurology Clinic begins in the PGY2 year and continues to the end of PGY4. The resident’s clinics are located at MUSC Ambulatory Care, McClennan-Banks Clinic and at the VA. Patients who are seen by a resident during an in-patient stay, an Emergency Dept. evaluation, or are referred to the General Neuro clinic from other MUSC Ambulatory clinics have the opportunity for follow-up with that resident. This provides residents with hands-on training in the evolution of neurological disease and the development of patient-physician rapport.