Training in the medicine-neurology training program leads to board eligibility in both medicine and neurology in five years. This training occurs within existing fully accredited internal medicine and neurology training programs at the teaching hospitals of the Indiana University School of Medicine. These include: Indiana University Hospital, Riley Hospital for Children, Wishard Memorial Hospital, Methodist Hospital, and the Roudebush VA Medical Center. Four of these hospitals are located on a single medical campus within easy walking distance of each other. The three campus adult hospitals are functionally united within the both the Department of Medicine and the Department of Neurology. Riley Hospital is used for the neurology, but not the medicine, component of the training. Methodist Hospital provides the added perspective of a private hospital and the opportunity to work with physicians in private practice.
THE TRAINING EXPERIENCE IN BRIEF| Year 1 | Medicine 12 months | |
| Year 2 | Neurology 6 months, Medicine 3 months, Neurology 3 months | |
| Year 3 | Medicine 3 months, Neurology 6 months, Medicine 3 months | |
| Year 4 | Neurology 6 months, Medicine 3 months, Neurology 3 months | |
| Year 5 | Medicine 3 months, Neurology 6 months, Medicine 3 months |
A MORE DETAILED DESCRIPTION OF THE TRAINING EXPERIENCE
Year 1
Medicine-Neurology trainees spend their first year in internal medicine. Ambulatory training includes a weekly continuity clinic one-half day per week at our VA Hospital clinic site, one month in the Wishard Hospital emergency room (with the option for one week of vacation), one month devoted exclusively to ambulatory patient care and didactic training, and two weeks of an elective experience (linked to a one- or two-week vacation), part or all of which includes an ambulatory component, depending upon the elective chosen. The ambulatory block includes a core experience in dermatology and gynecology. Inpatient training includes nine months on inpatient rotations, which, on average, are evenly divided among the three adult teaching hospitals. The general medicine inpatient services at Wishard Hospital care for both intensive and non-intensive care patients; about 15% are the former. One of the rotations at University Hospital is on the cardiology inpatient service.
Continuity clinic occurs one-half day each week and takes place within the VA clinic system.
Year 2
Year 2 is divided into a six-month block on neurology, a three-month block on medicine, and another three-month block on neurology.
On neurology, residents spend four months on general neurology wards, two months learning neuroanatomy, one month in the neurology intensive care unit, one month on pediatric neurology, and one month of ambulatory neurology.
During the three months of medicine, the resident spends one month on ambulatory medicine, one month in the intensive care units at the VAMC or Methodist, and one month on the general medicine inpatient service at Wishard Hospital. The ambulatory block includes a core experience in geriatric assessment. Beginning in year 2 the resident supervises first year internal medicine trainees. Throughout this and all subsequent years, the resident continues to follow patients in continuity clinic on an every-other-week basis. On the in-between weeks, the residents sees patients in a neurology clinic. Vacation is taken during the neurology months.
Continuity clinic for this and succeeding years alternates each week between medicine and neurology.
Year 3
Year 3 is divided into a three-month medicine block, a six-month neurology block, and a three-month medicine block.
The medicine rotations include two months of inpatient general medicine, two months of subspecialty medicine, one month of geriatrics, and a one month elective on a consultation service. One of these months is spent on another cardiology rotation on either the inpatient service at University or Methodist Hospital or a consultation experience at one of the four adult hospitals.
The neurology rotations include two months each of psychiatry and general neurology wards and one month each of neuropathology and neuroradiology.
Vacation for this year is split between the medicine and neurology rotations.
Year 4
Year 4 is divided into a six-month block of neurology, a three-month block of medicine, and a three-month block of neurology.
The neurology experience during this year consists of performing neurology consultations for five months and EEG/EMG and general neurology wards for two months each.
The medicine months consist of an elective consultation rotation, an inpatient general medicine rotation at one of the three adult hospitals, and a rotation on a subspecialty inpatient service at University or Methodist Hospital.
Vacation for this year is taken during the neurology rotations.
Year 5
Year 5 is divided into a three-month block of medicine, a six-month block of neurology, and ends with another three-month block of medicine.
The medicine months includes one month in the emergency room, one month of critical care, one month of inpatient general medicine, one month of ambulatory medicine, one month of inpatient subspecialty medicine, and one month of electives. The critical care month is taken at Methodist or VA Hospital.
On neurology the resident spends two months in the clinics, two months on pediatric neurology, one month as a consultant and one month on an elective.
Vacation during this year is split between the medicine and neurology rotations.
We hope the information in this brief description provides a clear picture of our program. We believe we prepare trainees well for a combined practice in medicine and neurology or as a basis for additional training leading to investigative careers in either or both fields. Please do not hesitate to contact us for additional details, and please visit us to evaluate the program firsthand. You may call us at 317-656-4260 (Dr. Logio, medicine) or 317-962-5828 (Dr. Fleck, neurology).
