The Department of Neurology strives to reach three goals: outstanding patient care, education of those who serve, and research. The Department has a full-time professional staff of 70, representing all the major subspecialty areas in Neurology. While each member of the staff has a unique roll to play in the productivity of the Department, all are required to participate in the teaching and mentoring process. The Department of Neurology registers 40,000 outpatient visits per year, 6,000 of which represent new patient visits. There are 1,900 primary neurological admissions to Cleveland Clinic annually, and an additional 3,000 inpatient consultations are rendered annually.
The Department of Neurology supports three ACGME-accredited primary residency programs, including Adult Neurology and Child Neurology. In addition, the Department currently supports four ACGME-accredited post-residency subspecialty training programs, including Clinical Neurophysiology with focus in EMG/Neuromuscular Diseases, Clinical Neurophysiology with focus in EEG/Epilepsy, Clinical Neurophysiology with focus in Sleep Medicine, and Vascular Neurology. In addition, the Department supports three other fellowship programs, including Headache/Pain, Neuroimmunology/Multiple Sclerosis, and Neurointensive Care.
The Department of Neurology and Section or Pediatric Neurology offer a three-year ACGME-accredited residency in Neurology with Special Competence in Child Neurology. We do offer a combined General Pediatrics (2 years)/Child Neurology Residency (3 years) program. Two child neurology residents are accepted each year. Applications are accepted on ERAS.
Overview of Program
Residents begin with one year on the adult neurology service (Adult Neurology Residency Program). Rotations during this year include six months of inpatient care, plus adult outpatient and elective rotations.
During the second and third years, child neurology residents spend a total of six months as the child neurology inpatient chief resident and is responsible, along with the attending staff, for managing all primary inpatients and hospital consultations. They also spend six months in the child neurology outpatient clinic, as well as rotating through specialty clinics. Training includes a comprehensive neurophysiology course with three months spent in EEG and one month spent in EMG. Other required rotations include a one month child psychiatry block as well as two months of neuropathology. A number of months are dedicated to elective time which includes epilepsy, genetics, neuro-ophthalmology, developmental pediatrics, neurobehavioral pediatrics, pediatric rehabilitation medicine, sleep medicine, and others.
The residents conduct a weekly CME-credited Child Neurology Grand Rounds. There is also a daily Noon Conference lecture series, a biweekly pediatric neuroradiology conference, and a monthly journal club.
The child neurology resident on-call rotates, on average, every fourth to fifth night. There is no in-house call during the last two years of the program.
In addition to the standard training requirements, residents will be expected to complete at least one clinical or basic research project during each year of the program. Many residents choose to be involved in more than one ongoing clinical research project, including drug development studies and longitudinal studies. There is the opportunity for sponsored travel for those residents who present research projects at scientific meetings. Residents are mentored and encouraged to publish the results of their studies in peer-reviewed journals.
Formal Evaluations During Training
During the program, progress is monitored by monthly reviews as well as by semi-annual evaluations with the Program Director. These semi-annual evaluations include feedback from staff attending faculty, other residents, nurses, clerical staff and patients. Each spring, the American Academy of Neurology administers the Resident In-Service Training Examination, which is intended to simulate the American Board of Psychiatry and Neurology (ABPN) Certification Examination. Feedback is provided so that residents can assess their strengths and weaknesses towards improvement.
The ABPN also mandates that residents demonstrate competency in clinical skills by successfully completing a series of five formal evaluations. Residents are assessed on their ability to interview and to perform a neurological examination. These evaluations can be performed throughout the three years of neurology residency. Successful completion is required to apply for the certification examinations after completion of the residency.
Three weeks are allotted for vacation each year. The Department sponsors junior membership in the Academy of Neurology and Child Neurology Society for all residents. During the PGY-5 year, three days may be spent away at one professional meeting toward which a stipend can be applied to defray costs. The one meeting limit does not apply to trainees presenting scientific papers, for whom costs of meeting attendance will be defrayed for all such meetings.
The Child Neurology Residency Program accepts candidates through the Electronic Residency Application Service (ERAS). If applying for a Categorical position, we offer two-day combined interviews with Pediatrics and Child Neurology. That will be coordinated and scheduled by the Child Neurology program. There is no need to apply separately to Pediatrics.
International Medical Graduates are welcome to apply to the program and must hold a valid ECFMG certificate or provide proof that they are in the process of obtaining a certificate. They must apply through ERAS as above. Cleveland Clinic sponsors both J-1 and H-1B visas.
Applications are reviewed by the Program Director, and prospective candidates are contacted by telephone and/or email to schedule an interview. Applications should be completed by Sept. 15th; applications received after this date are subject to availability of interview dates.
If you would like to receive additional information about the Child Neurology Residency Program, please contact:
Gary Hsich, MD
Department of Pediatric Neurology, S60
9500 Euclid Ave.
Cleveland, OH 44195
Child Neurology Residents
Amanda March, DO
Medical School: Philadelphia College of Osteopathic Medicine
Elham Abushanab, MD
Medical School: Jordan University of Science & Technology
Travis Larsh, MD
Medical School: Northeast Ohio Medical University
Undergraduate: University of Cincinnati, College of Engineering and Applied Science
Bijina Shrestha, MD
Medical School: Manipal College Of Medical Sciences
Anthony Staples, DO
Medical School: Edward Via College of Osteopathic Medicine, Virginia Campus
Undergraduate: Liberty University