Elective schedules, including the choice and duration of particular electives, are arranged to meet the career plans of the individual resident and to satisfy requirements of the American Board of Psychiatry and Neurology. A wide range of electives is available, as listed below.
Sleep Disorders Elective
The Sleep Medicine rotation is conducted in the Sleep Disorders Center, which consists of a multidisciplinary outpatient sleep clinic. Faculty members from the departments of Pulmonary Medicine, assess adult patients with potential sleep disorders at the Center. The goal of this elective is to understand the clinical features of sleep disorders and the modalities used for their diagnosis and treatment; to understand the physiological substrates involved in normal and pathological sleep; and to develop sufficient familiarity with the Polysomnogram (PSG) and Multiple Sleep Latency Test (MSLT) to allow basic recognition of sleep stages and fundamental sleep disorders.
The goal of the neuro-oncology elective is to introduce residents to the diagnosis and treatment of primary and metastatic brain tumors as well as the neurological complications of cancer, including neuropathy, seizures, cord compression, radiation necrosis, and steroid myopathy. The most common malignant tumor in adults is glioblastoma, and treatment of patients with this disease is stressed. Residents also become familiar with appropriate palliative interventions and treatments. The also gain experience with discussing prognosis, goals of care, and advance directives with patients and families.
The Neuro-ophthalmology elective takes place in the ophthalmology clinic, under the direction of a board-certified neuro-ophthalmologists. The goal of this elective is to learn how to perform a neuro-ophthalmic history and examination, focusing on examination techniques that are useful in a general neurologic practice; to learn to differentiate optic nerve disease from other ophthalmic causes of visual loss based on the history and exam; and to become proficient in identifying normal optic nerve anatomy, optic disc edema, papilledema, and optic atrophy.
The Neuroradiology elective takes place in the radiology department at North Shore University Hospital and/or Long Island Jewish Medical Center, under the direction of the neuroradiology faculty. The goal of this elective is to develop a proficiency in interpreting CT and MR images of the brain and spinal cord; to learn the indications and contraindications for ordering angiography of the head, neck, and spine as well as myelography; and to understand the limitations of each neuroimaging study.
Residents work with faculty in the division of neuropathology to learn the pathologic basis for neurologic disease. Classic neuropathologic categories of disease are stressed, including vascular diseases, neoplasms, demyelinating disorders, infectious diseases, head trauma, toxic and metabolic disorders, and degenerative disorders.
Pain Management Elective
The Pain Management elective is conducted in the Pain and Headache Treatment Center. In this department, faculty members and Psychology assess and treat adult patients with chronic pain problems. The goal of the Pain Management Elective is to understand diagnostic and treatment strategies for managing common chronic pain conditions; to identify indications for interventional and surgical therapies for chronic pain conditions; and to develop familiarity with common fluoroscopy-based procedures including epidural interventions.
The Pain Management elective is conducted in the Pain and Headache Treatment Center. The goal of this elective is to understand the diagnostic and treatment strategies for managing chronic headache conditions.
Private Neurology Practice Elective
The residency program in Neurology at North Shore-LIJ Health System emphasizes academic and research neurology; experience in private practice Neurology is limited. This rotation will provide neurology residents with the opportunity to explore private practice Neurology in a outpatient setting. Residents will spend 2-4 weeks rotating in a private neurology practice. During this rotation residents will learn about insurance and billing issues integral to running a private practice.