Skip to main content

Rotations and Curriculum

Our Neurology Residency Program is a four-year categorical program in neurology that includes a preliminary (PGY-1) year of training in internal medicine. This preliminary year is supervised by both the Department of Neurology and Department of Internal Medicine program directors. The core curriculum of the first year is identical to that of the First Year Categorical Medicine residents. For more information, see the Neurology Residency Handbook. Feel free to look at our current rotation block diagram.


As a four-year integrated program, the first post-graduate year is included in the residency match program. This year is a traditional categorical medicine training that is split between the University of Kansas Hospital under the supervision of the Internal Medicine Residency Program and the internal medicine service at the Kansas City, Mo., Veterans Administration Medical Center.

The major objectives for the first year of training are:

  • To develop proficiency in the evaluation and management of hospitalized patients with acute and sub-acute illnesses.
  • To become proficient in basic medical procedures.
  • To pass USMLE part 3


The first year of neurology is weighted toward teaching the resident patient care responsibilities. The residents learn how to perfect their neurological exam, evaluate patients with neurological problems, develop a plan of evaluation and to initiate treatment. As the year progresses, residents achieve greater levels of autonomy and take more responsibility in teaching of medical students and residents rotating on the neurology service.

The major objectives for this year of training are:

  • To develop proficiency in the neurological interview and examination.
  • To use these findings to generate a broad differential diagnosis starting with the most likely diagnosis.
  • To understand the appropriate use of clinical and laboratory testing, and their indications, cost, specificity and sensitivity. Residents also learn how to prioritize the tests based upon the ordering of their differential diagnosis, the prevalence of disease states and the likelihood ratio of the tests.
  • To triage, stabilize and manage patients presenting to the ER with acute neurological disease.
  • To competently perform lumbar punctures.
  • To learn how to coordinate and supervise a clinical team as well as partner with allied health team members to optimize patient care.
  • To conduct appropriate literature searches and understand electronic patient information systems.
  • To explain information about patients' disease and prognosis to patients and families in a clear and respectful manner.
  • To understand gross and microscopic pathology and correlate it with clinical and neuroimaging information.

The year is spent:

  • University of Kansas Hospital: Ward, Stroke, Consult and Night Float and Clinic services
  • Kansas City VA Medical Center: Clinic and consult
  • Leavenworth VA Medical Center: Combined consult and clinic service
  • Elective


This second year of neurology training continues to refine the resident's abilities in patient care and also educates the resident about the specialized skills required of a neurologist. Elective time is individualized based on the resident's career plans.

The main objectives are:

  • To further refine the neurological interview and examination and to demonstrate a problem-focused approach.
  • To demonstrate a broadening fund of knowledge in neurological disease.
  • To develop skill in reading electroencephalograms and evoked potentials.
  • To acquire proficiency in reading neuroimaging studies.
  • To teach and manage a clinical team with medical students and residents from other programs rotating on service.
  • To demonstrate knowledge of the principles of evidence-based medicine.
  • To learn the basic principles of research under the guidance of a faculty mentor.
  • To make informed decisions about diagnostic and therapeutic interventions based on patient preferences, current scientific evidence and clinical judgment.
  • To understand the performance, utility and limitations of electrodiagnostic studies.
  • To work effectively as a neurological consultant and be responsive to the patient's referring physician(s).
  • To develop and to sustain a therapeutic and ethically sound relationship with patients.

The year is spent:

  • University of Kansas Hospital: Ward Supervisor, Consult service, Night Float/Clinic, NICU
  • Kansas City VA Medical Center: Consults and clinics
  • Children's Mercy Hospital: Pediatric Neurology (three continuous months)
  • Leavenworth VA Medical Center: Combined clinic and consult service with introduction to clinical neurophysiology
  • Electives


The final year of training is weighted toward rounding out the resident's education with continued exposure to the disciplines of pediatric neurology, psychiatry, and elective time, though two to three months are also spent on consult services. Elective time is individualized based on the resident's career plans.

The learning objectives are:

  • To demonstrate an increasing ability to function independently as a neurologist.
  • To demonstrate an extensive fund of knowledge of common neurological disorders, some familiarity with rare disorders, and the ability to research the differential of a rare disorder based upon his or her own clinical evaluation.
  • To provide advanced teaching of neurological disorders and exam techniques and to mentor junior neurology residents.
  • To demonstrate sensitivity to pediatric patients and their families, and understand the different needs of the pediatric patient and their parents.
  • To demonstrate proficiency in reading EEGs, neuroimaging studies, and performing EMG/NCV studies.
  • To complete a research project with faculty guidance and present it in a scholarly fashion.
  • To apply the methods of evidence-based medicine to the analysis of medical literature.
  • To learn and make the best use of different services provided by ancillary members of the pediatric health care team, including developmental specialists, geneticists, and behavioral psychologists.
  • To develop their career path through seeking and evaluating job opportunities in fellowships and in practice.

The year is spent:

  • University of Kansas Hospital: Consults, Psychiatry (one month as required by the ABPN), Neuropathology/Neuroradiology.
  • Kansas City VA Medical Center: Consults and clinics
  • Electives


    Away elective
    Clinic rotation
    Epilepsy sites
    Evidence-Based Medicine Scholar (inpatient rotation to assist Wards, Stroke and Consult teams)
    Intra-operative monitoring
    Movement disorders
    Multiple Sclerosis Clinic
    Research, Clinical or Basic Science

KU Training Summary

  • Internal Medicine - 12 months
  • Clinical adult neurology - 25 months (including two months of NICU)
  • Child neurology - 3 months
  • Neuropathology/neuroradiology - 1 month
  • Psychiatry - 1 month
  • Elective - 6 months


  • KU Hospital Frequency: Two residents share night float for a month and a senior resident is on a 24-hour call on weekends and holidays
  • KC VA Medical Center home call: Every third week
  • NICU call: Shared with mid-level providers and residents in Anesthesia and Neurosurgery
  • Children's Mercy home call: Every third night

Longitudinal Clinics

  • Half Day each week for PGY 2-4
  • Faculty supervision changes for each level
  • Typical work load
  • PGY2: (first six months) 1 new, 2 returns
  • PGY3 and 4: 2 new, 3 follow ups
  • KU Hospital patients assigned to clinics
  • Referrals from KUMC and outside clinicians

Research Day

The lectures are part of our two-year curriculum covering adult neurology using the AAN's Continuum and the curricula developed by the specialty sections of the AAN.

  • Our department was the first at KU to have a yearly research presentation by all residents from level PGY-2 through fellowship.
  • Third Friday of June
  • All residents and fellows present a 15-minute platform presentation
    • PGY 2 usually case reports
    • PGY 3 and 4: hypothesis driven
  • Yearly didactics on clinical research
  • Award for best research for each level
Last modified: Nov 02, 2020