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Child Neurology Program

Dr. Walsh and companySupervision

A child neurology training program exists to both educate and train physicians to be independent practitioners. For that reason, guided and gradual assumption of responsibility for patient care as well as the other aspects of child neurology practice is a vital part of the program. As a faculty, we encourage this assumption of responsibility as a resident’s knowledge and experience, skill and judgment permit. Supervision and evaluation are designed and implemented with this goal in mind.

Attending physicians always retain final responsibility for the diagnosis and management of patients seen by the neurology service but we recognize that there is often more than one acceptable approach to diagnosis and management. We seek to educate our successors, not train our replicas.

The Resident
Physicians are responsible for practicing within their limits of educational and professional development as perceived and informed by faculty guidance and self-assessment. Residents have access to advice and assistance of the supervising physician on each rotation at any time and may request the presence of the attending physician for any emergency or other urgent situation when necessary. Consultation and advice may be sought from any member of the faculty but final responsibility and thus decisions for an individual patient’s care rest with the attending physician of record.

The Attending Physician
The attending physician on a service assumes responsibility for not only the medical care given to patients but also their safety by supervising the quality of neurological care provided by residents and others on the neurology team. Additional responsibilities include teaching related to both patients and their neurological conditions as well as being available –by electronic means or in person- at all times to residents involved in the care of patients on the service.

Program Director – Child Neurology
The Program Director has the responsibilities delineated by the Residency Review Committee of the ACGME for the program. These include administrative and educational oversight of content, organization, quality and evaluation activities. He has responsibilities for both support and guidance of residents during their time in the program.

Director Child Neurology –Saint Louis University
The Director of Child Neurology is the administrative head of the Section of Child Neurology and responsible to the Chairman of the Department of Neurology and Psychiatry, Saint Louis University for the organization, quality, development and day to day management of the Section. Each resident has the right to address concerns or advance suggestions concerning the training program, the section as well as to discuss personal issues with the Director.

On Call Schedule
After hours and weekend call is shared by the residents in the adult and child neurology training programs. On call responsibilities include management of neurology service patients as well as coverage of consults both inpatient and in the emergency room for both adult and pediatric patients. In house pediatric housestaff are assigned to all pediatric neurology inpatients and available to assist with medical management. Duty hours are in strict compliance with ACGME guidelines.

Resident Evaluation

Comparison of a resident’s growing knowledge, skill and competence with both the standards of the profession and the progress of peers is a valuable part of the educational program. Careful and timely feedback is designed to encourage by demonstrating achievement and guide by identifying areas yet to be mastered. We accomplish this by:


  1. Discussion of individual cases and general topics during and as part of clinical care rendered in both inpatient and outpatient settings by supervising faculty.
  2. Completion of a written evaluation form for each rotation which identifies specific goals of the rotation and progress in meeting them.
  3. Monthly review of resident progress and performance by the faculty as a group.
  4. Semi-annual review of evaluations and discussion of future training directions and possible modifications with the Program Director.
  5. Immediate resident notification of any evaluation, written complaint or other raised concern that would adversely affect successful advancement in the program.
  6. Twice yearly Mock Board examinations by the faculty
  7. Yearly participation in the in-service examination of the American Board of Psychiatry and Neurology.

Fair Process

Each resident is entitled to the protection of fair process procedures as established by the Department of Neurology and Psychiatry and Saint Louis University School of Medicine in matters pertaining to academic grievances.

Program Evaluation

The Child Neurology Training Program continuously monitors and evaluates its structure and performance in order to provide an excellent educational program. Study and critical review of current methods allows retention of what is worthwhile, improvement when indicated and possible plus innovation as opportunities arise. This is accomplished through the following mechanisms:

The Program Director, faculty and residents meet annually to review the program’s goals, objectives, and performance. Topics include but are not necessarily limited to:

  1. Program resources
  2. Faculty support
  3. Supporting Institutions
  4. Volume and variety of patients
  5. Teaching methods and effectiveness
  6. Clinic and ward supervision
  7. Methods and timing of evaluation

The Office of Graduate Medical Education conducts a review of the program at the mid-point of each accreditation cycle of the ACGME. This in-house evaluation is carried out by reviewers from outside the Department of Neurology & Psychiatry but from within Saint Louis University School of Medicine. Faculty and resident interviews are conducted and the information gained –along with the program’s strengths and weaknesses provided in a written report to the Program Director, Director of Child Neurology, Chairman of the Department of Neurology & Psychiatry and Associate Dean in charge of Graduate Medical Education.

The Program maintains accreditation by the Accreditation Council of Graduate Medical Education and thus undergoes regular evaluation by the Neurology Residency Review Committee. This provides both documentation and confirmation of the program’s organization and performance as well as identification of opportunities for innovation or improvement – both in comparison to accepted independent, national norms for all training programs.


  1.  MD degree or accepted equivalent
    1. -US or Canadian medical school graduates must have passed USMLE I and II
    2. -Graduates of Osteopathic schools must have passed USMLE I or NBOME I
    3. - International Medical Graduates must have a current ECFMG certificate
  2. Successful completion of two years of postgraduate training which may consist of
    1.  Two years of ACGME approved training in Pediatrics OR
    2.  One year of ACGME approved training in Pediatrics AND EITHER
      1. - One year of training in basic neuroscience or
      2. - One year of PGY I level training in an approved residency as otherwise specified in the ACGME
    Requirements for resident training in Neurology.
  3.  Eligibility for a Missouri Medical License
  4.  Successful completion of a personal interview

The Child Neurology Program participates in the San Francisco Match Program.
All prospective applicants must register with the Match.

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