Combined Neurology-Psychiatry Residency
Curriculum
The Brown University Combined Residency Program in Neurology and Psychiatry provides a year of internal medicine, two years of neurology training, two years of psychiatry training and an integrated final year of neurology and psychiatry training. The combined program is designed to provide solid training in the diagnosis and treatment of neurological and psychiatric disorders. In addition, combined residents develop expertise in the treatment of neuropsychiatric disorders by working closely with a large group of faculty studying brain disorders.
Applicants are strongly encouraged to do their PGY I internship in internal medicine at Rhode Island Hospital. For residents completing their internship at Rhode Island Hospital, their internship in Internal Medicine includes 9 months of Internal Medicine, 2 months of Inpatient Psychiatry, and 1 month of Behavioral Neurology Consults.
The first year of the Combined Residency Program involves 6 months Neurology Ward, 2 months of Neurology Consultations, 1 month EEG and 1 month of Pediatric Neurology. Residents have a weekly half-day Neurology Continuity clinic throughout the year and a monthly half-day Neuropsychiatry clinic.
Second year residents complete a 3 month rotation in EEG, EMG, and Neuromuscular disease, 2 months of Pediatric Neurology, 2 months of Neuropathology, 2 months of Neurology Consultations, and 3 months of Inpatient Psychiatry and Dual Diagnosis. Residents continue their Neurology Continuity and Neuropsychiatry clinics and in addition rotate through specialty clinics in Neuromuscular Disease, Movement Disorders, Stroke, Epilepsy, and Child Neurology.
The third year of the program includes 3 months as the Chief Resident on the Neurology Consultation Service, 3 months of Psychiatry Inpatient and Dual Diagnosis, 2 months of Consultation-Liaison Psychiatry, 1 month of ER Psychiatry, and 2 months of Community Psychiatry. Residents continue their Neurology Continuity and Neuropsychiatry Clinics and begin a Psychiatry Continuity Clinic.
Fourth year residents complete a 9 month rotation on the Psychiatry Outpatient Service and 3 months of Child and Adolescent Psychiatry. The inpatient and outpatient psychiatry rotations involve extensive exposure to geriatric psychiatry and forensic psychiatry. Clinics involve a weekly Psychiatry Continuity Clinic and monthly Neuropsychiatry and Neurology Continuity Clinics.
The curriculum for the fifth and final year is determined in consultation between the combined resident and the directors of the Neurology, Psychiatry, and Combined Programs. Residents serve as Chief Resident of the Combined Program and will help supervise and teach residents and medical students. The resident complete 3 months in the Neurology Specialty Clinics. There is considerable elective time in the final year. Residents must complete a data-oriented research project of their own design. Throughout the residency, Additional work on clinical research projects is strongly encouraged.
Rotations
PGY I Internal Medicine-internal medicine rotations are completed primarily at Rhode Island Hospital. The neurology and psychiatry rotations in year 1 are done at Rhode Island and Butler Hospitals. Click here for more information.
PGY II-IV Neurology rotations are done primarily at Rhode Island Hospital, with some rotations carried out at Butler, Memorial and Miriam Hospital. Click here for more information.
PGY III-V Psychiatry and PGY VI Psychiatry and Neurology are completed at all of the hospitals affiliated with Brown Medical School (Bradley, Butler, Eleanor Slater, Memorial, Miriam, Rhode Island, VA). Click here for more information.
Elective months may be completed with faculty at any of the Brown affiliated hospitals plus rotations away from Providence by special arrangement with the Program Directors.
Evaluation of Trainees
Trainees receive monthly evaluations for each rotation, Practice board evaluations are administered twice annually by full-time faculty. The dual board resident will take the Residency In-Service Training Examination for Neurology twice and for Psychiatry twice. The dual board resident will meet twice a year to assess progress with the Director of the Combined Residency.