Welcome

Welcome

Welcome to our neurology residency program!  

I have had the distinct honor and privilege to work with an outstanding group of clinicians, educators, and administrators as well as similarly gifted neurology trainees for many years as program director. While it is a daunting responsibility to educate and impart the knowledge, skills, and attitudes necessary to become, not only competent, but extraordinary clinical neurologists, we all welcome this challenge and relish the opportunity to do so.

We enjoy the educational resources necessary to accomplish our mission by providing care in a tertiary care community setting with staff and patients of various cultural, religious, and socioeconomic backgrounds while at the same time offering the most advanced technological resources.  In spite of our small program, our residents have showcased their academic talents by presenting their research projects at multiple regional, national, and international scientific venues and with publications in peer-reviewed scientific journals and book chapters.

We are looking for well-rounded individuals who seek nothing short of excellence in clinical practice and who share our enthusiasm to actively seek new knowledge, who are compassionate and whose goal reflects our motto to keep “Patients First”, who thrive in a team setting, and who are passionate about taking ownership of their patients.  These characteristics will ensure that you will not only become a competent practitioner of your trade, but an extraordinary one.

We are proud to have sparked and nurtured the interest of our residents in a wide variety of neurological subspecialties by having approximately 90% of our graduates pursue fellowship training in such diverse areas as vascular neurology, interventional neuroradiology, neuroimmunology/MS, neuromuscular disease, neurophysiology/EMG, movement disorders, epilepsy, sleep medicine, pain management, neuroophthalmology, and neurooncology.  Furthermore  they have accomplished this at cutting edge academic centers such as Brigham and Women’s Hospital, Cleveland Clinic Foundation, Case Western Reserve University, University of Pittsburgh, Washington University in St. Louis, New York University, University of Miami, University of Texas Southwestern/Parkland Hospital,  Duke University, Lahey Clinic, National Institutes of Health, and the University of Utah to name a few.

If you share our passion, I encourage you to research our program in more depth at this web site, by contacting our superb program coordinator, Belinda Ortiz, and ultimately by applying to our program.

Sincerely,

Image of Efrain D. Salgado, MD

Efrain D. Salgado, MD
Director Neurology Residency
Program Director, Stroke Center
Cleveland Clinic Florida

Overview

Overview

The Cleveland Clinic Florida Neurology Residency Program, accredited by the Accreditation Council of Graduate Medical Education (ACGME), accepts applications through the Electronic Residency Application Service (ERAS) and participates in the National Residency Matching Program (NRMP). There are two positions offered per year in our three-year, PGY2 to PGY4 program. The required first year in Internal Medicine is also offered at Cleveland Clinic Florida. Candidates applying to our program will automatically match with our preliminary (PGY1) internal medicine program provided this is chosen as an option in your application through the NRMP. Since these are dedicated preliminary positions for our neurology program, they are only offered to our neurology-matched candidates and cannot be filled without a Neurology match in our program. Please note that it is not necessary to arrange a separate interview with our internal medicine program in order to qualify for these dedicated preliminary positions. 

Educational Conferences 

There are a wide variety of regular conferences and lectures scheduled on a daily basis Monday through Friday. These include but are not limited to Grand Rounds, Emergency Neurology, Subspecialty lectures, Neuroradiology, Ethics, Psychiatry, CPC, Chairman Rounds, Journal Club, RITE review sessions, Continuum sessions, and Basic Neuroscience. The residents are responsible for preparing and presenting some of these lectures or conferences. In addition, residents are also responsible for completing regular COMET on-line and other web-based learning modules to complement their medical knowledge and to help them acquire the skills and attitudes necessary to practice without direct supervision.

Rotations

Rotations

First Year of Residency (PGY1)

The ACGME requires that the PGY1 year be spent in an ACGME or Royal College of Physicians and Surgeons of Canada-accredited general internal medicine training program. For more details regarding the required rotations during this year, the reader is referred to the ACGME Program Requirements for Graduate Medical Education in Neurology posted in the ACGME website.

First Year of Neurology Residency (PGY2)

The majority of this year is spent in direct patient care, most of which is in the inpatient setting where the resident is exposed to a wide variety of general neurology patients as either primary neurology admissions or consultations in a wide variety of settings including the stroke unit, the epilepsy monitoring unit, intensive care unit (ICU), and emergency room. The inpatient team consists of a neurology attending, a senior neurology resident, junior neurology resident, and occasionally a rotating medical and/or psychiatry resident and several medical students. Teaching/hospital rounds are held 7 days/week, 365 days/year. The on-call schedule averages every 4th night for PGY2 and PGY3 residents. PGY4 residents do not have a regular call schedule, but rather fill in when PGY2 and PGY3 residents are not able to take call due to rotations in Cleveland or due to vacation or absence for whatever other approved reason. Cleveland Clinic Florida uses a module system with 13 four-week modules making up the academic year. In total, a PGY2 resident has 8 inpatient modules, 2 general neurology outpatient modules, 2 EEG/Epilepsy (outpatient/inpatient) modules, and 1 neuroradiology module. While in the inpatient service there is a daily review of neuroradiological imaging studies with neuroradiology staff support if necessary. Longitudinal outpatient clinic is scheduled one-half day per week with a staff preceptor who will work with the resident throughout the three years of training.

Second Year of Neurology Residency (PGY3)

As a senior PGY3 resident, 4 modules are spent in the inpatient service, 3 ½  in the outpatient service, 3 in EMG, 2 in Neuropathology with Mondays spent in Neuro-opthalmology, and ½ module in Sleep Medicine. Each outpatient rotation beyond the first year is spent in a subspecialty service including movement disorders, neuromuscular disease, multiple sclerosis, and cognitive/behavioral neurology. The Neuropathology and Neuro-opthalmology rotations take place at the Cleveland Clinic Foundation in Ohio.

Third Year of Neurology Residency (PGY4)

As a senior PGY4 resident, 3 1/2 modules are spent in Pediatric Neurology, 4 1/2 modules in electives, 2 modules in the outpatient service, 1 module in Psychiatry, 1 module in Neurosurgery, and 1 inpatient module. The Pediatric Neurology rotation takes place at Nicklaus Children’s Hospital in Miami; the Psychiatry at University Hospital and Medical Center in Tamarac.

Elective Rotations

  • Neuromuscular Disorders
  • Behavioral Neurology
  • Neuromuscular Disorders/EMG
  • Epilepsy/EEG
  • Cerebrovascular Disorders
  • Multiple Sclerosis
  • Movement Disorders
  • Neuro-otology
  • Interventional Pain Management
  • Research
  • Board Review
  • Sleep Medicine
  • Neuroradiology
  • Headache
Application

Application

How to Apply

The Neurology Residency Program participates in the Electronic Residency Application Service (ERAS) for all positions. You must complete all components of the ERAS Application in order for your application to be considered complete and to be reviewed by the Selection Committee. Our application requirements are the same as the standard ERAS application:

  • Complete Application
  • CV
  • Personal Statement
  • Medical Student Performance Evaluation (MSPE)
  • Medical School Transcript
  • USMLE Step I Transcript & Score > 220 is suggested with one (1) attempt/ COMLEX  Level equivalent
  • USMLE Step 2 Transcript & Score >220 is suggested with one (1) attempt / COMLEX Level 2 equivalent
    • Must have USMLE /COMLEX Step 2 Score Report uploaded into ERAS prior to the deadline of the Rank List submission. If you do not have a Step 2 Score Report uploaded, you will not be ranked (assuming you were invited for an interview).
  • Three Letters of Recommendation

International Medical Graduates

Here are some frequently asked question by graduates of international medical schools regarding the application process:

  • U.S. clinical experience is strongly preferred
  • USMLE Step I Transcript & Score > 220 is suggested with one (1) attempt
  • USMLE Step 2 Transcript & Score >220 is suggested with one (1) attempt
    • Must have USMLE Step 2 Score Report uploaded into ERAS prior the deadline of the Rank List submission. If you do not have a Step 2 Score Report uploaded, you will not be ranked (assuming you were invited for an interview).
  • ECFMG certification at the time of application is required. Please review the ECFMG requirements for additional information.
  • Must have graduated medical school within the last 5 years. Anything greater than 5 years does not meet the minimum requirements.
  • Visa information – We sponsor J-1 and H-1B visas
Benefits

Benefits

Salary

Please refer to the table below for new salary rates, effective April 1, 2017:

Grad Level Current Pay Rate
1 52,474
2 54,341
3 56,265
4 58, 284
5 60, 673
6 63, 145
7 65, 840
8 67, 073

Paid Time Away: Vacation, Maternity, & Paternity

  • Vacation
    3 weeks (15 working days) provided at the beginning of each academic year
  • Maternity
    6 weeks paid leave for natural childbirth or adoption; 8 weeks for cesarean section.  Additional time off unpaid up to a maximum of 12 weeks under the Family Medical Leave Act.
  • Paternity
    2 week paid leave. Additional time off unpaid up to a maximum of 12 weeks under the Family Medical Leave Act. 

Insurance

  • Healthcare
    Cleveland Clinic Florida covers 50% of annual Healthcare Plans for Clinical Trainees and their families. Effective on the first day of training with no waiting period.
  • Dental and Vision Care
    Cleveland Clinic Florida covers 100% of annual Dental and Vision Care Plans for Clinical Trainees.
  • Maternity Care
    100% coverage is provided through the health care plan that you select within the plans guidelines.
  • Pharmaceuticals
    As outlined by the Cleveland Clinic Florida Health Plan.
  • Malpractice
    Paid by the Cleveland Clinic Educational Foundation/Cleveland Clinic Florida. Limited to activities within the training program.
  • Life Insurance
    $25,000 term group policy.

Travel Privileges and Other Education Activities

Senior residents, chief residents and fellows in ACGME and NON-ACGME programs that meet eligibly criteria as outlined in the Graduate Physicians Manual may be approved to attend academic meetings for the purpose of presenting or engaging in leadership roles within national societies will be eligible up to 5 days per academic year with a maximum reimbursement of $1,200 per academic year.

Additional Benefits

  • Book Allowance
    A $250 educational allowance per year is available to all clinical residents/fellows. Primary use is for textbooks.
  • On-call Meals
    Breakfast, lunch and dinner: Paid by Cleveland Clinic Florida when on in house night call.
  • Membership
    AAN membership paid for by the program.
  • Cell phones
    Apple iPhone provided to all residents.
  • Uniforms
    Supplied by Cleveland Clinic Florida.
Staff

Staff

Cleveland Clinic Florida

  • Efrain Salgado, MD - Program Director
  • Adriana Rodriguez, MD - Associate Program Director
  • Nestor Galvez-Jimenez, MD - Chairman
  • Badih Adada, MD - Center Director, Neuroscience Institute
  • Fabian Candocia, MD
  • Camilo Garcia, MD
  • Anas Hadeh, MD
  • Tarannum Khan, MD
  • Ramon Lugo, MD
  • Karen Nader-Pineiro, MD
  • Avi Oppenheimer, MD
  • Richard Roski, MD
  • Laurence Smolley, MD
  • Po-heng Tsai, MD

Cleveland Clinic Ohio

  • Greg Kosmorsky, DO
  • Gabrielle Yeaney, MD

University Hospital and Medical Center

  • Robert Antoine, MD
  • Ethan Kass, DO
  • Eric Robbins, MD
  • Sachin Singh, DO

Nicklaus Children’s Hospital

  • Michael Duchowny, MD
  • Sayed Naqvi, MD

Program Coordinator

Belinda Ortiz, MBA.MHA
2950 Cleveland Clinic Blvd.
Weston, Florida 33331
Phone: 954.659.5359
Fax: 954.659.6216
Email: ortizb2@ccf.org

Current Residents

Current Residents

Class of 2018

  • Subin Mathew, MD - Chief Resident
    Dr.BR Ambedkar Medical College, Kadugondana, India
  • Pirouz Piran, MD - Chief Resident
    Shahid Beheshti University, Iran

Class of 2019

  • Huan Huynh, MD - Resident
    University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
  • Samer Riaz, DO - Resident
    West Virginia School of Osteopathic Medicine, Lewisburg, WV

Class of 2020

  • Anam Baig, DO - Resident
    Lake Erie College of Osteopathic Medicine, Bradenton, Florida
  • Dhara Murray-Frank, MD - Resident
    Universidad de Ciencias Medicas de la Habana, Havana, Cuba
Alumni

Alumni

Testimonials

Learn what our alumni are doing now. Read more about:

Listing

2017 Ava Ferdinand, MD Clinical Neurophysiology Fellowship Mount Sinai Hospital, NY
2017 Kateryna Kurako, MD Neuromuscular Disease Fellowship Beth Israel Deaconess/Harvard Medical, MA
2016 Alex Linn, MD Vascular Neurology Fellowship University of Utah, UT
2016 Dennys Reyes, MD Vascular Neurology Fellowship National Institutes of Health, MD
2015 Rachana Gandhi, MD Neuromuscular Disease Fellowship Duke University, NC
2015 Nancy Rosales, MD Multiple Sclerosis Fellowship New York University, NY
2014  Shira McMahan, DO Movement Disorders Fellowship Cleveland Clinic, FL
2014  Muhammad Umer, MD Clinical Neurophysiology Fellowship Wayne State University, MI
2013  Camilo Garcia, MD Epilepsy Fellowship Cleveland Clinic, OH
2013  Raghav Govindarajan, MD Neuromuscular Disease Fellowship   Washington University, MO
2012  Danita Jones, DO   Neuromuscular Disease Fellowship   Cleveland Clinic, FL
2012  John Morren, MD Neuromuscular Disease Fellowship Cleveland Clinic, OH
2011 Rolando Ania, MD Neurology Hospitalist Mercy Hospital, FL
2011 Alexandra Soriano, MD Neuromuscular Disease Fellowship Cleveland Clinic, FL
2010 Channa Kolb, MD Multiple Sclerosis Fellowship Brigham and Women Hospital/Harvard, MA
2010 Disha Shah, MD Neuromuscular Disease Fellowship Lahey Clinic, MA
2009 Margarita A. ElRamey, DO Neuromuscular Disease Fellowship Cleveland Clinic, FL
2009 Ramon Lugo, MD Movement Disorders Fellowship Cleveland Clinic, FL
2008 Michelle Dompencial, MD Neuromuscular Disease Fellowship Cleveland Clinic, FL
2008 Ikram Khan, MD Epilepsy Fellowship Case Western Reserve University, OH
2007 Luis Rivera, MD Private Practice HIMA, San Pablo Hospital, PR
2007 Syed Fazel Zaidi, MD Cerebrovascular Disease Fellowship University of Pittsburgh, PA
2006  Alvaro Padilla, MD Private Practice Hollywood, FL
2006 Tanvir Syed, MD Clinical Neurophysiology Fellowship Cleveland Clinic, OH
2006 Kalmaldeen Saldin, MD Neurology Residency Duke University, NC
2005 David Giampetro, MD Pain Medicine Fellowship Hershey Medical Center, PA
2005 Angela Spencer, MD Cerebrovascular Disease Fellowship Cleveland Clinic, FL
2004 Eskender Getachew, MD Sleep Neurology Fellowship UT Southwestern Medical Center, TX
2004 Stanley Krolczyk, DO Pain Fellowship University of South Florida, FL
2003 Sajeel Chowdhary, MD Neuro Oncology Fellowship University of Calgary, CAN
2003 Tarannum Khan, MD Movement Disorders Fellowship Cleveland Clinic, FL
2002 Eric Ciliberti, MD Neuro Ophthalmology Fellowship Bascom Palmer Eye Institute, FL
2002 Sivalingam Sivendran, MD Cerebrovascular Disease Fellowship Jackson Memorial Hospital, FL
2001 Periut Perla, MD Private Practice Baptist Medical Center, FL
2001  Maria Herrera, MD Neuromuscular Disease Fellowship Cleveland Clinic, FL
Research

Research

Research Presentations: Platform, Posters

(Graduates last 5 years and current residents)

  • Recurrent Herpes Simplex Type−2 meningoencephalitis as a stroke mimicker
  • Longitudinally extensive transverse myelitis in a post-influenza vaccination patient
  • Atypical reactivated varicella zoster virus Infection
  • West Nile virus as the cause of acute encephalitis and subacute myelitis/polyradiculitis
  • Central nervous system vasculitis triggered by cytomegalovirus encephalitis.
  • “Fou rire prodromique” as the presentation of a left frontal ischemic stroke
  • Stroke in Parkinson's disease is high: A risk factor assessment.
  • Quadriplegia secondary to an epidural tuberculous abscess
  • Thunderclap headache as the only presentation of herpes simplex encephalitis - A review of uncommon causes of thunderclap headache.
  • Colon adenocarcinoma: An uncommon cause of leptomeningeal carcinomatosis.
  • Cervical spine chordoma presenting with acute dysarthria
  • Unusual presentation of Moyamoya disease
  • Cannabinoids are not associated with better control of epilepsy.
  • Brachial plexopathy and Horner’s syndrome as a rare complication of keloid formation
  • Quality of life in adults with gliomas: Literature review
  • Posttraumatic glioma: Literature review
  • Prevalence of autonomic symptoms in generalized myasthenia gravis
  • Electroneuromyographic correlation with clinical severity, antibody levels and treatment response in myasthenia gravis
  • Common etiologies of acute symptomatic seizures evolving from lateralized periodic discharges
  • Stability of botulinum toxin A dosage over time in patients with hemifacial spasm, blepharospasm and cervical dystonia
  • Cortico-basal ganglionic degeneration : Cases series
  • Rare presentation of Eagle’s syndrome as Bell’s palsy
  • Neurological complications after kidney transplantation
  • Reversible cerebral vasoconstriction syndrome presenting as coital headache and intracerebral hemorrhage
  • Epilepsy, syncope and SUDEP, A small case series
  • Immunotherapy for respiratory complications of sporadic late-onset nemaline myopathy (SLONM) with monoclonal gammopathy
  • Facio-brachio-crural dystonic seizures as the first manifestation of limbic encephalitis
  • A prospective study: Clinical significance of anticholinergic nasal sprays in patients with Parkinson disease afflicted by rhinorrhea
  • Nasopharyngeal carcinoma presenting as a Cluster-Type headache
  • Reversible unilateral diffusion restriction with normal FLAIR in mesial temporal lobe in transient global amnesia
  • Transient pseudobulbar affect as a heralding symptom of right lateral thalamic stroke
  • Magnetic resonance imaging in the diagnosis of trigeminal neuralgia
  • Prevalence of pain symptoms in generalized myasthenia gravis
  • Thunderclap headache as a presentation of ocular myasthenia gravis. Case report.
  • The prevalence of coexistent asymptomatic ulnar neuropathy at the wrist with CTS
  • Epilepsy awareness in a South Florida community – an observational study
  • Role of sural sparing in differentiating inflammatory demyelinating versus axonal polyneuropathies- a retrospective analysis
  • Quadruple extracranial arterial dissection with reversible cerebral vasoconstriction syndrome (RCVS) in a habitual cocaine user presenting with thunderclap headache
  • MRI evidence of carotidynia- the need for re-examination of this clinical and radiological enigma
  • Stunningly extensive intracerebral, symmetric calcifications: A case of Fahr’s Syndrome.
  • Analyzing a regional multiple sclerosis registry and presenting the importance of early treatment after diagnosis with long term clinical course evaluation
  • An unusual cause of hemiplegia in a renal transplant patient
  • GBS in H1N1 infection
  • Headache triggered by a neck lipoma
  • Pituitary adenoma masquerading as cavernous sinus thrombosis in a thrombophilic, MRI-unsafe, post-op patient.
  • Clinical utility of the carotid doppler ultrasound in the evaluation of syncope.
  • Clinico-serological correlation in the assessment of exacerbation, remission and progression in Myasthenia Gravis
  • Electromyographic correlation with clinical severity, antibody levels and treatment response in Myasthenia Gravis
  • Acute autonomic symptoms with anti-MAG neuropathy as a presentation of small B-cell lymphoma
  • Thoracolumbar spinal angiolipoma demonstrating high signal on STIR imaging: A case report and review of the literature
  • The prevalence of psychiatric comorbidity and recreational drug use in epileptic and non-epileptic events is high
  • Defining the undefined, rapid improvement stroke symptoms
  • Analyzing a regional Multiple Sclerosis registry and presenting the importance of early treatment after diagnosis with long term clinical course evaluation
  • The relationship between motor symptom lateralization and non-motor symptoms (NMS) in Parkinson's disease patients
  • Interleaving could be a better programming technique for Parkinson’s disease(PD) and dystonia patients
  • Electrodiagnostic findings in Parkinson’s disease patients with peripheral nerve injuries
  • Cocaine induced migraine and other mimickers of stroke- A literature review
  • Retrospective analysis of a cohort of non-systemic vasculitic neuropathy: Role of sural sparing in differentiating inflammatory demyelinating versus axonal polyneuropathies
  • Idiopathic recurrent conus myeloradiculitis
  • Retrospective analysis of incidence of infections in generalized myasthenia gravis (MG).
  • Crossed motor aphasia during migraine aura: A report of 2 cases
  • Anti-acetylcholine receptor antibodies in a patient with LEMS and idiopathic thromobocytopenic purpura
  • Factors causing myasthenia gravis exacerbation
  • Sensory electrodiagnostic parameters for differentiating demyelinating and axonal neuropathies
  • Therapeutic dilemma in generalized myasthenia gravis and Good's syndrome overlap
  • Clinico-demographic predictors of limb and bulbar-onset symptoms in clinically definite amyotrophic lateral sclerosis (Modified El Escorial)
  • Prevalence and clinical features of multiple sclerosis in Latin America.
  • Guillain-Barre Syndrome masquerading as a Multiple Sclerosis exacerbation: a case report and review of the literature
  • Prevalence of arrhythmia in myasthenia gravis

Publications: Articles, Chapters, Books

(Graduates last 5 years and current residents)

  • Is intravenous recombinant tissue plasminogen activator (r−tPA) safe in patients on dabigatran?
  • Stroke literacy, stroke behavior and stroke proficiency in a South Florida population
  • Prevalence and control of stroke risk factors in a South Florida population
  • Rasagiline induced hypersexuality in Parkinson's disease
  • Too much too soon
  • Sneddon syndrome
  • Awaji Island modified criteria for ALS—Increased sensitivity without change in specificity: Are they really two sides of the same coin?
  • Closed loop communication to prevent delay in r-tPA administration
  • Spinal subarachnoid hemorrhage mimicking a carotid artery dissection
  • When patients don’t tell all: The diagnostic challenge
  • New ACGME resident duty hour impacts Neurology and Family Medicine
  • Is it time to approve the higher dose of dabigatran?.
  • Usefulness of superficial peroneal nerve/peroneus brevis biopsy in vasculitic neuropathy
  • Froin's syndrome an uncommon mimicker of GBS
  • Is it too early to predict the failure of natalizumab in NMO
  • Prevalence and clinical features of multiple sclerosis in Latin America.
  • Hemifacial spasm: unusual causes and differential diagnosis
  • Where is dihydroergotamine mesylate in the changing landscape of migraine therapy?
  • Current and prospective disease-modifying therapies for amyotrophic lateral sclerosis.
  • Movement disorders. In: Aminoff MJ. Netter's Atlas
  • Neurological Emergencies in Clinical Practice
  • The March of Thrombolytic Therapy