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Adult Neurology Residency (Florida)


Adult Neurology faculty member teaching a course at Mayo Clinic in Jacksonville, Florida.

Clinical training

The Adult Neurology Residency at Mayo Clinic's campus in Jacksonville, Florida, is divided into two parts: an initial year (PGY-1) of graduate medical education in internal medicine followed by three years of adult neurology residency training (PGY-2 through PGY-4).


Before you begin your residency training, you must complete one year (PGY-1) of clinical training.

The American Board of Psychiatry and Neurology (ABPN) requires that you spend one year in an accredited internal medicine program in the U.S. or Canada, or in a transitional program that has been approved by the Accreditation Council for Graduate Medical Education (ACGME) and includes at least six months in internal medicine. No neurology residency credit will be given for time spent in a residency program for another medical specialty. The requirements for the PGY-1 year can be found on the ABPN website.

The Adult Neurology Residency is strictly a categorical program with six categorical slots. In general, no separate interview with the Department of Internal Medicine is required for those interested in the categorical program. A separate interview is necessary if you are interested in the neurology residencies at Mayo Clinic's campuses in Rochester, Minnesota, or Phoenix/Scottsdale, Arizona.

A unique feature of the Adult Neurology Residency in Florida is the "Transition to Neurology" course. The course occurs during May and June of the PGY-1 year. The first month is built on a program of didactics over a variety of topics in neurology, simulations of emergent neurological conditions including brain attacks and status epilepticus, and lumbar puncture training. During this month, you are free of patient care responsibilities. In June, you are immersed into the inpatient service. You spend two weeks on the general inpatient service and two weeks in the Neurocritical Care Unit. You have limited patient responsibilities but are an active member of these inpatient teams.

PGY-2, PGY-3, PGY-4

The Adult Neurology Residency emphasizes the essentials necessary to become skilled in the practice of neurology. Our department hopes to instill in its residents an interest and enthusiasm for patient care, education and research.

You begin the Adult Neurology Residency (PGY-2) with a mixture of hospital and outpatient experiences. Most of your PGY-3 year is spent pursuing elective rotations as well as learning clinical neurophysiology and gaining exposure to pediatric neurology. In your PGY-4 year, you have greater responsibility at the hospital and outpatient clinic.

On clinical assignments, you are the primary physician seeing several new neurology patients each day. During hospital assignments, you supervise and teach junior neurology residents, medical residents and medical students. You evaluate and manage both routine and emergency admissions and provide consultations for other services.

Throughout your residency, you receive regular didactic and clinical instruction in neurology, neuroradiology, neuroanatomy, and neuropathology. As your experiences increase during your residency, you are given greater responsibility in both patient management and resident education.

Rotation schedule

Adult neurology (inpatient) 6.5 months
Night float 1.5 month
Adult neurology (outpatient) 2 months
Neuromuscular 1 month
Neurocritical care unit 1 month
Electives 1 month
Adult neurology (inpatient) 2.5 month
Night float 1 month
Child and adolescent neurology 2 months
Core clinical neurophysiology 2 months
Epilepsy monitoring unit 1 month
Electives 4.5 months
Adult neurology (inpatient) 4 months
Night float 1 month
Adult neurology (outpatient) 1 month
Child and adolescent neurology 1 month
Neurocritical care unit 1 month
Epilepsy monitoring unit 1 month
Electives 3 months
Psychiatry 1 month

Rotation schedule totals

Adult neurology (inpatient and general outpatient) 19.5 months
Child and adolescent neurology 3 months
Core clinical neurophysiology 2 months
Neurocritical care unit 2 months
Epilepsy monitoring unit 2 months
Peripheral neurology 1 month
Electives 8.5 months
Psychiatry 1 month

Rotation descriptions

Adult neurology outpatient services

While on outpatient rotations at the clinic, you evaluate patients with both common and unusual neurological conditions. You participate in daily teaching and case discussions as well as have numerous outpatient educational opportunities.

Continuity clinic

You attend a continuity clinic for one half-day a week throughout the three years. In this clinic, you develop experience with consistent follow-up of patients requiring ongoing care for a variety of neurological disorders.

Adult neurology inpatient services

During your inpatient rotations, you learn to evaluate and treat neurological emergencies in the Mayo Clinic hospital emergency room. You also evaluate a wide variety of neurological disorders in the inpatient setting, including the intensive care unit. You participate in teaching rounds each day in the hospital.

Child and adolescent neurology

Mayo Clinic has a formal affiliation for teaching and research with Nemours Children's Clinic, Jacksonville, and Wolfson Children’s Hospital in Jacksonville. Your training in caring for children and adolescents occurs under the direction of the pediatric neurology division.

During PGY-3 (two-month rotation) and PGY-4 (one-month rotation), your child and adolescent neurology assignments are divided between hospital and outpatient clinic services. You gain experience dealing with acute and outpatient pediatric neurological disorders. You also learn the appropriate evaluation of neonatal, infant, child and adolescent patients with neurological disorders.

Core clinical neurophysiology

During PGY-3, you spend two months in a clinical neurophysiology rotation. This assignment includes didactic instruction and practical experience in the basics of: 

  • Electromyography (EMG)
  • Nerve conduction studies
  • Electroencephalography (EEG)
  • Evoked potentials
  • Autonomic function testing
  • Polysomnography

After completing this rotation, you can choose to spend additional elective time in the EMG lab if desired.


During PGY-4, your psychiatry assignment is divided between hospital and outpatient clinical services. During this rotation, you participate directly in the evaluation and decision-making for patients referred to psychiatry. You learn the psychological aspects of the patient-physician relationship and the importance of personal, social and cultural factors in disease processes.

You also learn the principles of psychopathology, psychiatric diagnosis and therapy, and the indications for and complications of drugs used in psychiatry.

Neuromuscular medicine

During PGY-2, you have a rotation dedicated to neuromuscular medicine. This month includes clinic evaluation and management of peripheral nervous system diseases, including motor neuron disease, radiculopathy, plexopathy, neuropathy, neuromuscular junction disorders and myopathy. In addition, you are introduced to clinical neurophysiology, including an introduction to electromyography.


You have eight and one half months of elective rotations during your residency. In addition to further training in adult or child and adolescent neurology, your elective options include, but are not limited to:

  • Behavioral neurology
  • Brooks Rehabilitation Hospital
  • Cerebrovascular disease
  • Clinical epilepsy and epilepsy monitoring unit
  • Clinical neurophysiology
  • Clinical neuropsychology
  • Electroencephalography (EEG)
  • Headache
  • Movement disorders
  • Multiple sclerosis and demyelinating diseases
  • Neuromuscular junction diseases
  • Neuro-oncology
  • Neuro-ophthalmology
  • Neuroradiology
  • Palliative care
  • Research
  • Sleep disorders
  • Speech pathology

Rotations to other Mayo Clinic sites

In the rare circumstance when a rotation is not available in Jacksonville, you may rotate to Mayo Clinic's campus in Rochester, Minnesota, or Phoenix/Scottsdale, Arizona (or both). These rotations offer a unique opportunity to participate firsthand in Mayo's three-campus national practice.

Mayo International Health Program

You are encouraged to take advantage of the Mayo International Health Program, which helps Mayo residents and fellows pursue elective rotations and provide medical care to underserved international populations in well-planned, mentored settings. The program provides selected participants with up to $2,500 in financial support to help defray travel and basic living expenses.

Call frequency

Your call schedule varies by individual rotation. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME). We take the ACGME work hour standards very seriously and ensure full compliance.

Currently we utilize a Night Float system. When on Night Float, call is 6 p.m. until 7 a.m. the following morning. The Night Float resident stays to present to the incoming teams and then has the rest of the day free until 6 p.m. Night Float is Monday through Friday only. The Night Float resident is off on Saturday and Sunday.

The Night Float rotation is for two weeks. In general, call when not on Night Float is no more than once a week covering Saturday or Sunday. PGY-2 residents have weekend day-call once a month on average, during which they take call and cross-cover issues from 7 a.m. to 5 p.m.

Didactic training

Clinical conferences, seminars, small discussion groups, journal clubs, one-on-one instruction and formal didactic courses are integral parts of the Adult Neurology Residency. There is a dedicated neuroanatomy course during the fall of the PGY-2 year and the clinical neurophysiology and neuroscience courses take place during the PGY-3 year. 

A Neurology Core Lecture Series is given during all three years of your residency. Our residents are involved in both quality improvement and practice improvement projects. 

Case studies

During the residency, you prepare case study presentations. You present the pertinent information of an interesting case, conduct an in-depth discussion of that case, and learn to systematically search and interpret the medical and scientific literature.

Committee assignments

You are given the opportunity to gain administrative experience. Neurology residents participate in the administration of the educational programs and the clinical practice at Mayo Clinic through these committee experiences.

Research training

All neurology residents are required to conduct scholarly activity during the residency. You may do a chart review, case report or original investigation. A clinical studies unit is available to provide support services, and there are resources available in the Center for Clinical and Translational Science. A list of faculty mentors and areas of interest is provided.

Additionally, all neurology residents are encouraged to complete the Fundamentals of Clinical and Translational Science (FunCaTS) course.

Teaching opportunities

You have the opportunity to teach residents from internal medicine and family medicine, as well as third- and fourth-year medical students, through bedside instruction and formal and informal didactic lectures.

Career development

You meet periodically with your faculty adviser and program director to discuss your career goals. Mayo Clinic often recruits staff physicians from its own training programs, so when you successfully complete the Adult Neurology Residency, new opportunities may be available at one of Mayo Clinic's group practices.


To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the Adult Neurology Residency. You are formally evaluated by supervising faculty members after each clinical rotation and meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.