Pediatric Neurology Residency Program

A message from our program director

Thank you for your interest in the OHSU Pediatric Neurology Residency Program. Our program will be participating in the 2021 NRMP Main Residency Match.

We prioritize high-quality clinical care in the context of a three-year, ACGME-accredited program. Our goal is to train clinical neuroscientists: individuals who provide expert patient care with a strong foundation of basic and clinical neurosciences and who have the skills to pursue diverse career pathways. Mentorship is abundantly available to help define, pursue, and reach those personalized goals. Our program requires independently motivated, self-directed learners who can benefit from the flexibility we offer as a small (one trainee per year) program. We also value balancing training with life outside of the hospital.

Carter Wray, M.D. 
Associate Professor of Pediatrics 
Director, Pediatric Neurology Residency Program

  • Train pediatricians through the Pediatric Neurology Residency Program to become leaders who provide expert patient care with a strong foundation of basic and clinical neurosciences and who have the skills to pursue diverse career pathways, clinical and/or academic.

  • Train Pediatric Neurology residents through a self-directed educational model established within the departments of Pediatrics and Neurology to become expert in managing diagnoses such as epilepsy, headache, neuromuscular, tone and movement disorder, and stroke.

  • Train Pediatric Neurology residents in the diagnosis and management of the pediatric neurology spectrum, including neuroimmunology, neuro ophthalmology, motor disorders, neuroradiology, neuropathology, and other related subspecialties in conjunction with the OHSU Adult Neurology fellowship program.

  • Train self-directed residents in the methods of research to develop a particular area of research interest with the goal of development of one research presentation and/or quality improvement project during the course of training and the long term contribution of research to the field of Pediatric Neurology during or after completion of training.

Please see the Department of Pediatrics fellowship page for departmental benefits available to all pediatric fellows, and the OHSU GME page for Employment and Benefits information, including salary, transportation, and insurance.

Clinical training

Oregon Health & Science University (OHSU) and Doernbecher Children's Hospital (DCH) is a referral center serving children from Portland, the expanse of Oregon, southern Washington, and western Idaho. Neurology faculty and trainees provide inpatient care to primary neurology patients including those on video EEG telemetry, as well as consultation services to the inpatient ward, emergency room, and neonatal and pediatric intensive care units. Outpatient care is provided in general neurology and subspecialty clinics, some of which are at the adjacent Shriner's hospital: 

  • Doernbecher Childhood Epilepsy Program clinic (including surgical, Vagus nerve stimulator, and ketogenic diet management) 

  • Drs. Colin Roberts, Carter Wray, R. Jason Coryell, & Ittai Bushlin; Andrea R. Frank, M.S.N., C.P.N.P. & Wendy Herrick, DNP, CPNP 

  • Neuromuscular clinic 

  • Dr. Erika Finanger; Meganne Leach, MSN, PNP 

  • Neurooncology clinic 

  • Drs. Yoon-Jae Cho, Kellie Nazemi 

  • Headache clinic 

  • Drs. Kaitlin Greene, Emily Riddle 

  • Tone management/spasticity clinic 

  • Drs. Jenny Wilson & Daniel Crowder 

Close clinical and curriculum relationships are maintained with other disciplines including Neurodevelopmental Disabilities/Child Development and Rehabilitation Center, Child Psychiatry, Neurosurgery, Neuroradiology, and Adult Neurology. Clinical experiences occur at DCH, OHSU, and Shriner's Hospital, which are all on the OHSU campus.

The curriculum fulfills requirements by the Accreditation Council for Graduate Medical Education (see program requirements under Child Neurology section of the Neurology Residency Review Committee). 

The first two years are a part of the pediatrics residency program, but with a slightly different set of rotations to meet the Training Requirements for General Pediatrics for the Pediatrics-Child Neurology Pathway

All three years are divided between adult and child neurology. The first neurology year (PGY-3) is spent primarily on ward services. The trainee becomes facile at the neurologic examination and develops a strong foundation in neuroanatomic localization. Six months of the PGY-3 to -5 time is spent in adult neurology inpatient rotations. Six other months are spent on adult outpatient rotations, including selected elective rotations such as neuroradiology, EEG, and neuropathology. In the third neurology year (PGY-5), more time is spent on elective rotations, as well as a required rotation in child psychiatry. The curriculum may be organized to allow for research activities. 

Weekly half-day outpatient continuity clinic occurs throughout the three years.

Call frequency

In-house call is required during pediatric residency, and on adult neurology ward rotations, on an average of every fourth night. There is NO in-house call during child neurology rotations, during which the trainee acts as a fellow taking call from home. Call is on average two nights per week and one or two weekends per month.

Didactics

The Weekly Pediatric Neuroscience Seminar is predominantly faculty lead, and jointly organized by Child Neurology and Neurodevelopmental Pediatrics, and is a forum for journal club, case discussions, or interdisciplinary didactic presentations.  

Weekly resident-led conference by Child Neurology and Neurodevelopmental Pediatrics trainees, including the general pediatrics residents, adult neurology residents, and medical students on service. 

Trainees are expected to attend: 

  • weekly Department of Neurology Grand Rounds 

  • weekly Pediatrics Grand Rounds 

  • weekly Department of Neurology clinical neurosciences conference 

  • twice a month Pediatric Neuroradiology Conference 

  • quarterly stroke clinical case conference 

Trainees are encouraged to attend the monthly Department of Pediatrics All-Fellows Conference Series. 

Both Pediatrics and Neurology morning report and noon conferences offer opportunities for the Child Neurology resident to present and teach colleagues.

Scholarship and mentorship

Although the emphasis of all Pediatric Neurology residency programs is to provide a strong foundation in clinical neurology, our residents are encouraged to pursue and complete a project, in order to take advantage of resources to learn about the academic process. The exact format is open-ended and may range from submitting a topic review to clinical research or basic science projects. Mentorship from Pediatric or Adult Neurology faculty, or staff in other collaborating divisions is available. 
 
While there is no formal research requirement, most of our residents have published either case reports or scholarship that is part of work done by faculty in our division. We do not have a formal research track to do one year of training in general pediatrics and one year of basic neuroscience research, but are open to discussing this possibility with the right applicant.

Research mentors

Teaching opportunities

Each pediatric resident spends a three-week rotation on Child Neurology seeing clinic patients and inpatient consults. Pediatric interns and residents also care for subspecialty patients admitted on the pediatric neurology ward service. There is an adult neurology resident on the pediatric neurology service each month as well. Some months there may also be neurosurgery resident, fourth-year pediatric elective medical student, and fourth-year student on his/her neurology rotation. 

Our pediatric neurology residents are expected to teach their general pediatric counterparts about neurology through both informal sessions and in the didactics listed above. They also educate their adult neurology colleagues about neurologic conditions in children. 

Trainees interested in formal education are encouraged to teach medical students in their second-year Nervous System and Function course, which is directed by Dr. R. Jason Coryell.

Alumni

Alison Christy, M.D., Ph.D. (2017)
Clinical Director of Pediatric Neurology, Providence Health and Services, Portland, OR 
Medical School: Medical Scientist Training Program at Northwestern University Feinberg School of Medicine 
PhD in Microbiology and Immunology from Northwestern University 
Residency: Oregon Health and Science University, 2017 
Why I Chose OHSU: I chose OHSU primarily for the location in Portland, Oregon  – but I was really glad I did, because I found a small program that gave me a lot of personal attention, supportive faculty, and an excellent exposure to a wide variety of patients and diagnoses.

Melissa Svoboda, M.D. (2014)
Assistant Professor, Neurodevelopmental Disabilities 
Medical School: University of Texas Health Science Center at San Antonio, 2007 
Residency: General Pediatrics, University of Texas Health Science Center at San Antonio, 2010
Why I chose OHSU: My training in the NDD program at OHSU was top notch! I am a very well-rounded clinician and have a strong foundation for clinical child neurology – more so than many of my friends who trained at other programs when we started out. I feel this is due to the amount of clinic exposure we are given during training and the excellent attendings who staff those clinics. I also received good research exposure and now have my own research grants because of the training I received there. The teachers at OHSU were not just limited to attendings – I learned as much from the excellent ancillary services such as the experienced speech therapists, physical therapists, etc. If it weren’t for my family being in a different place, I’d be back there now as an attending. It was a wonderful, rich, diverse place to train.

Michael Kruer M.D. (2011)
Director, Pediatric Movement Disorders Program, Barrow Neurological Institute, Phoenix Children’s Hospital 
Associate Professor, Child Health, Neurology, Genetics and Cellular & Molecular Medicine, University of Arizona College of Medicine – Phoenix
Medical School: University of Arizona College of Medicine, 2005 "
Residency: Pediatrics, Phoenix Children’s Hospital, 2007
Why I chose OHSU: I chose OHSU because of the fantastic faculty and the well-balanced interdisciplinary training I received in the beautiful Pacific Northwest. NDD training at OHSU was instrumental in providing me with the skills I needed to become a successful physician-scientist

Kit Yeng Lim, M.D. (2010)
Providence Medical Center
Medical School: Texas A&M 
Residency: Pediatrics & Neurology - OHSU
 .
Amy D. Harper, M.D. (2006)
Associate Professor, Virginia Commonwealth University  
Medical School: American University of the Caribbean  
Residency: Pediatrics, East Carolina University
Why I Chose OHSU: OHSU offers broad array of multidisciplinary neurodevelopmental clinics providing learners with an in depth teaching experience from many perspectives.

    • Degrees

      • B.A., 1993, Rice University
      • M.D., 2002, Oregon Health & Science University
    • Degrees

      • B.A., 1997, Dartmouth College
      • M.D., 2004, Medical College of Georgia
    • Areas of interest

      • Surgical approaches to epilepsy
      • Genetic causes of epilepsy
      • Socratic method focusing on epilepsy evaluation and management including EEG reading.
    • Degrees

      • B.A., 2001, Stanford University
      • M.D., 2008, Stanford University School of Medicine
    • Degrees

      • M.D., 1990, University of California at Davis School of Medicine
    • Degrees

      • B.A., 2007, University of Rochester
      • M.D., Ph.D., 2013, Icahn School of Medicine at Mount Sinai
    • Areas of interest

      • Pediatric epilepsy
      • Genetic causes of epilepsy
      • Surgical approaches to epilepsy
      • Status epilepticus
    • Degrees

      • B.A., 1994, Washington University
      • M.S., 1996, University of Cincinnati
      • M.D., 2006, Oregon Health & Science University
    • Areas of interest

      • Pediatric Epilepsy Research Consortium (current studies involving infantile spasms, epilepsy genetics, learning healthcare systems, and status epilepticus)
      • QI initiatives at national and local levels
    • Degrees

      • B.S., 2009, Marshall University
      • M.D., 2013, West Virginia University
    • Areas of interest

      • Developmental delays
      • Neurodevelopmental disabilities
      • Cerebral Palsy
      • Child neurology
      • Resident and student education
    • Degrees

      • B.A., 1997, Bryn Mawr College
      • M.D., 2003, Mayo Medical School
      • M.S., 2010, Johns Hopkins University
    • Areas of interest

      • Pediatric neuromuscular disease, specifically Duchenne muscular dystrophy and spinal muscular atrophy
    • Degrees

      • B.A., 2005, Stanford
      • M.D., 2013, Weill Cornell Medical College
    • Areas of interest

      • Primary headache disorders in children including migraine, New Daily Persistent Headache, chronic post-traumatic headache and multi-disciplinary approach to headache management
    • Degrees

      • M.D., 2002, Indiana University School of Medicine
    • Degrees

      • M.D., 2003, Universidad de Buenos Aires
    • Areas of interest

      • Pediatric neurocritical care
      • Traumatic brain injury
      • Pediatric epilepsy
    • Degrees

      • B.S., 1986, Stanford University
      • B.A., 1986, Stanford University
      • M.D., 1990, University of California, Los Angeles, School of Medicine
    • Areas of interest

      • Down syndrome
      • Spina bifida
      • Fetal neurology
      • Congenital brain malformations
      • General child neurology including tics/Tourette syndrome and headaches
      • Neurodevelopmental disorders
      • Neuroimaging
    • Degrees

      • M.D., 2014, Oregon Health & Science University
      • Ph.D., 2014, Oregon Health & Science University, Neuroscience Graduate Program
    • Degrees

      • M.D., 2014, Oregon Health & Science University
    • Degrees

      • B.A., 1989, Wesleyan University
      • M.D., 1995, Jefferson Medical College
    • Areas of interest

      • Pediatric epilepsy surgery
      • Clinical management of treatment resistant epilepsy syndromes
      • Clinical translational research
      • Novel epilepsy therapies
      • Gene therapies for childhood epilepsy
      • Cannabinoids (Oregon Cannabis Research Committee)
      • Genetics of cortical dysplasias
    • Degrees

      • M.D., 1963, Tufts Medical School
    • Degrees

      • B.S., 2000, Creighton University
      • M.D., 2013, Oregon Health & Science University
    • Areas of interest

      • Fine motor development in children with Down syndrome, autism and neurometabolic disorders

View more details about the faculty of the Department of Pediatrics and the pediatric residency program. 

Learn about the faculty of the Department of Neurology and the adult neurology residency program.

How to apply

Applications to the Child Neurology Training Program must be submitted through the Electronic Residency Application Service (ERAS), and should include the following: 

  • Personal Statement - Please discuss why you have chosen Child Neurology and, specifically, why OHSU might be a good fit for you and your career goals. This can be included as a brief addendum to the end of your personal statement. 

  • A minimum of three letters of recommendation (we do not require a letter from the Chair of the department) 

  • Medical Student Performance Evaluation (formerly called the "Dean's letter")

  • USMLE scores - at least Step 1 required to apply. We require Step 1 scores for all initial applications, including DO applicants. We also require Step 2 scores by January 31st.

Please also see the OHSU GME information on Applying to OHSU Residencies and Fellowships.

Oregon Health and Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu

Interviews

Applicants are invited for an interview based on the strength of their application. All interviews will be conducted virtually through Thalamusgme.org.  

Interview dates will range from November 2020 through January 2021 

Upon receipt of an application, the selection committee will review and notify each applicant by email of the decision to interview. Applicants may then schedule an interview online through Thalamus. Unfortunately, due to the volume of applications, we are unable to interview all applicants. 

International graduates

For graduates of a foreign medical school, at least one year of clinical training in the US or Canada must have been completed in order to apply. Applicants must be legally able to work in the US, or eligible to obtain work. Applicants must also provide a copy of a valid certificate from the Educational Commission for Foreign Medical Graduates, participate in the National Residency Match Program and apply through ERAS. 

Please also see the OHSU GME information on Applying to OHSU Residencies and Fellowships.

Contact Info

Carter Wray, M.D.
Associate Professor of Pediatrics 
Director, Pediatric Neurology Residency Program 
Clerkship Director for Neurology Residents and Medical Students 
wrayc@ohsu.edu 

Jenny Wilson, M.D.
Associate Professor of Pediatrics 
Associate Program Director, Pediatric Neurology Residency Program 
Wilsjen@ohsu.edu  

Kristina M. Fancy
Fellowship Program Technician
503-718-5171 

Image from the GME promotional video

A sense of OHSU

Experience OHSU GME, the wonders of Oregon, and be part of something bigger.