Neurohospitalist Fellowship Clinical Schedule
The Neurohospitalist fellowship schedule is designed to expose fellows to the diagnosis and management of a wide breadth of inpatient neurologic conditions. The core rotations include approximately 3 months on the inpatient general neurology wards rotation and 3 months on the inpatient consult rotation (see below). Additional core clinical rotations include 1 month on the stroke service, 1 month on the neurocritical care service, and 1 month on tele-stroke. The remaining time is spent on electives, research, quality improvement, and vacation. Examples of electives done by prior fellows including neuroradiology, palliative care, and infectious disease rotations.
Wards Rotation: This rotation is designed to be an intensive experience on the diagnosis and management of neurologic disorders on the inpatient setting. Patients in the Clinical Decision Unit (23-hour observation unit where appropriate patients can be admitted for further workup under the care of the Emergency Department) and patients admitted to the primary general neurology service are seen by the Wards team. The team generally consists of the Neurohospitalist Attending, Neurohospitalist Fellow, Neurology senior resident (PGY-4), Neurology junior resident (PGY-2), Psychiatry intern (PGY-1), and medical students.
Consult Rotation: On this rotation, fellows develop the skillset to manage neurologic sequalae and complications of systemic diseases and their therapies. The Neurology Consult Service sees patients admitted to floor-level services, including adult patients admitted to Lucile Packard Children’s Hospital. The team generally consists of the Neurohospitalist Attending, Neurohospitalist Fellow, two Neurology senior residents (PGY-4 & PGY-3), sub-intern, and rotating residents from Internal Medicine and Neurosurgery.
Education, Quality Improvement, & Research
Supplementing the clinical experience, our fellows participate in a weekly Neurohospitalist Division case conference, a weekly one-on-one didactic session with Neurohospitalist faculty members, and monthly case presentations at Neurohospitalist Division meeting. In addition, there are a variety of excellent elective weekly clinical conferences that neurohospitalist fellows are encouraged to participate in. These include neuro-oncology tumor board, neuro-immunology conference, and neuromuscular conference. Fellows generally have protected time to participate in university-wide leadership and education training courses such as the Clinical Effectiveness and Leadership Training program (CELT), the Realizing Improvement through Team Empowerment (RITE) program, and/or the Clinical Teaching Seminar Series (CTSS). Fellows have many opportunities to participate in clinical research and may pursue training in research through programs such as the Stanford Intensive Course in Clinical Research (ICCR). Fellows with specific research interests, such as machine learning, may participate in related Stanford graduate-level courses.