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PROGRAM DESIGN

The Larkin Community Hospital Neurology Residency Program is a four-year ACGME-accredited categorical program that combines rigorous academic training with the supportive environment of community-based care. The program provides comprehensive education in clinical neurology through an integrated approach that emphasizes patient-centered care, teaching, clinical service, and scholarly activity. Upon successful completion, residents are eligible for board certification in Neurology through the American Board of Psychiatry and Neurology.

Training is structured to meet all ACGME standards and core competencies, with a strong commitment to professionalism, ethical practice, and resident well-being. Protected time is built into the curriculum for didactics, research, and academic development, ensuring an appropriate balance between education and clinical responsibilities. Residents progress through a structured, faculty-supervised curriculum that includes conferences, seminars, journal clubs, and individualized mentorship. Graduates are well prepared for independent neurologic practice or advanced subspecialty fellowship training.

Rotations By Year

PGY-1
4 Months – General Neurology Inpatient and Outpatient
3 Months – Internal Medicine inpatient
1 Month – Cardiology
1 Month – Infectious Disease
1 Month – Psychiatry
1 Month – Critical Care Medicine
1 Month – Emergency Medicine
PGY-2
4 Months – General Neurology Inpatient and Outpatient
3 Months – Stroke and Neurologic Critical Care
1 Month – Electroencephalography and Epilepsy
1 Month – Nerve Conduction and Electromyography
1 Month – Multiple Sclerosis
1 Month – Cognitive and Movement Disorders
1 Month – Movement Disorders
PGY-3
3 Months – Pediatric Neurology
2 Months – Stroke and Neurologic Critical Care
1 Month – Electroencephalography and Epilepsy
1 Month – Nerve Conduction and Electromyography
1 Month – Cognitive and Movement Disorders
1 Month – Movement Disorders
1 Month – Pain Medicine
1 Month – Sleep Medicine
1 Month – Elective
PGY-4
1 Month – Stroke and Neurologic Critical Care
1 Month – Neurology Inpatient
1 Month – Electroencephalography and Epilepsy
1 Month – Nerve Conduction and Electromyography
1 Month – Cognitive and Movement Disorders
1 Month – Movement Disorders
1 Month – Pain Medicine
1 Month – Sleep Medicine
1 Month – Neuro-ophthalmology
3 Months – Electives

Participating Teaching Hospitals

Larkin Community Hospital – South Miami Campus (Inpatient and Outpatient Services)
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Located at 7031 SW 62nd Avenue in South Miami, Florida, Larkin Community Hospital is a well-established general, surgical, psychiatric, and teaching hospital. It has been designated an “Area of Critical Need” by both the Health Resources and Services Administration (HRSA) and the Florida Department of Health. For more than 40 years, Larkin has served the healthcare needs of South Miami and surrounding communities, providing comprehensive care through highly qualified interdisciplinary teams.

The institution also offers several specialized centers, including the Neuroscience Center, the Center for Advanced Neurology, the Cancer Center, and seven neuroimaging centers located throughout Miami-Dade County.

Larkin Community Hospital Palm Springs – Hialeah Campus (Stroke and Inpatient Services)
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Larkin Community Hospital Palm Springs Campus is a 247-bed statutory teaching hospital in Hialeah, Florida, and an ACHC-accredited Comprehensive Stroke Center and Primary Stroke Center. The campus offers an exceptional learning environment for Neurology residents, with hands-on experience in acute stroke care, including intravenous thrombolysis and mechanical thrombectomy, as well as a general inpatient neurology consultation. Under attending’s supervision residents manage a broad spectrum of neurologic conditions while working alongside multidisciplinary teams and utilizing advanced technology, preparing them for independent and comprehensive neurologic practice.

HCA Florida Kendall Hospital
HCA Kendall

HCA Florida Kendall Hospital is a 447-bed, full-service tertiary-care statutory teaching hospital and an American College of Surgeons–certified Level I Trauma Center, offering an exceptional training environment for Neurology residents. As a DNV-accredited Comprehensive Stroke Receiving Facility and Joint Commission certified Stroke Center, residents gain extensive hands-on experience in acute ischemic and hemorrhagic stroke management, emergency neurology, and neurocritical care, including care of complex trauma and critically ill patients. Neurology residents also manage a high volume of general inpatient neurology consultations, encompassing seizures, encephalopathy, neuromuscular disorders, movement disorders, and neuroinfectious diseases. The hospital’s robust emergency services, trauma center, burn center, and advanced diagnostic capabilities provide broad exposure to neurologic emergencies in a fast-paced setting giving neurology residents opportunities to gain experience in neurotrauma, including the care of patients with traumatic brain and spinal cord injuries. Supported by modernized GME facilities, simulation spaces, and a strong academic culture within HCA East Florida’s GME consortium, Kendall Hospital prepares residents for independent, comprehensive neurologic practice while serving the diverse communities of Miami-Dade County.

Nicklaus Children’s Hospital
Nicklaus Miami Childrens

Nicklaus Children’s Hospital is South Florida’s only licensed specialty hospital exclusively dedicated to the care of children and is home to the largest pediatric teaching program in the southeastern United States. This 289-bed Level I Pediatric Trauma Center provides comprehensive pediatric specialty and subspecialty care to patients from birth through age 21, offering Neurology residents exceptional exposure to a broad spectrum of pediatric neurologic conditions. As part of the nationally recognized Nicklaus Children’s Brain Institute, the nation’s first comprehensive medical program focused exclusively on the developing brain. Residents participate in the evaluation and management of complex disorders of the brain, spinal cord, and peripheral nerves, supported by integrated clinical care and active research initiatives. Training occurs in both inpatient and outpatient settings, with resident clinics staffed by dedicated pediatric neurology attendings who provide close supervision and individualized, one-on-one mentorship, fostering the development of strong clinical skills in child neurology.

Participating Teaching Practices

Larkin Multispecialty Clinic
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The Larkin Outpatient Multi-Specialty Center, located in South Miami, Florida, serves as the primary continuity clinic site for first-year Neurology residents. Under close upper-level and faculty supervision, residents conduct a full-day continuity clinic one day per week, allowing them to develop longitudinal patient relationships and manage a wide range of neurologic conditions in the outpatient setting. This structured clinical environment, supported by a multidisciplinary team of experienced physicians across multiple specialties, provides residents with essential training in comprehensive outpatient neurologic care while meeting the ongoing healthcare needs of the community.

Continuity Clinics

Carrie Landess, M.D. – Private Practice. General Neurology & Neurophysiology

Location: North Miami, FL

During this rotation, residents provide comprehensive neurological care to patients in an underserved area of North Miami, gaining experience with a broad spectrum of neurological conditions in a community-based setting. Residents learn to diagnose and manage common and complex disorders, including headache, stroke, epilepsy, movement disorders, neuropathy, and cognitive complaints, while addressing challenges unique to underserved populations, such as limited resources, language and cultural barriers, and social determinants of health. Under faculty supervision, residents practice patient-centered communication, develop resource-conscious management plans, and coordinate community support services. This rotation strengthens cultural competency, enhances clinical independence, and fosters a commitment to equitable neurological care for diverse and vulnerable patient populations.

 

Hector Lalama, M.D. – Private Practice. General Neurology & Neurophysiology

Location: Coral Gables, FL

The General Neurology and Neurophysiology continuity clinic provides residents with comprehensive outpatient experience in the evaluation and management of a broad range of neurological disorders, including epilepsy, neuromuscular disease, movement disorders, cognitive impairment, and headache. Emphasis is placed on integrating clinical assessment with diagnostic neurophysiology.

Residents gain structured exposure to EEG and EMG/NCS interpretation and participate in therapeutic procedures such as botulinum toxin injections and monthly deep brain stimulation (DBS) programming. Under close faculty supervision, this rotation reinforces outpatient neurology fundamentals, procedural skills, and clinical decision-making essential for independent practice.

 

Roberto Sanchez, M.D. – Private Practice. General Neurology & Vascular Neurology

 

Ariol Labrada, MD – Private Practice. General Neurology & Vascular Neurology

Location: Doral, FL

In the General Neurology Continuity Clinic, residents provide longitudinal care for a diverse outpatient population while developing comprehensive skills in ambulatory neurology. With a special emphasis on secondary stroke prevention and post-stroke care, residents manage patients with cerebrovascular disease, focusing on risk-factor optimization, diagnostic evaluation, and multidisciplinary recovery planning.
In addition, residents care for individuals with a broad spectrum of neurological conditions, including headache, movement disorders, epilepsy, cognitive disorders, and neuromuscular disease. Under close faculty supervision, residents refine clinical reasoning, patient counseling, and evidence-based management strategies. This experience fosters continuity in patient relationships, reinforces outpatient neurology fundamentals, and prepares residents for independent practice in both stroke and general neurology settings.

Global Neuro & Spine Institute – Ali Malik, D.O. (Nerve Conduction & Electromyography)

Location: Fort Lauderdale, FL

During the EMG/NCV rotation, residents develop core skills through hands-on electrodiagnostic training. Residents participate in the performance and interpretation of nerve conduction studies and needle EMG under direct faculty supervision, gaining experience with a wide range of peripheral nerve, and muscle disorders. Emphasis is placed on clinical-electrophysiologic correlation, proper technique, patient comfort, and diagnostic accuracy. Residents also take part in case discussions and focused teaching sessions to reinforce core concepts. Residents will demonstrate progressive competency in electrodiagnostic procedures, formulation of differential diagnoses, and evidence-based management of neuromuscular conditions.

South Miami Neurology – Simon Starosta-Rubinstein, MD – (Cognitive and Movement Disorders)

Location: South Miami, FL

Dr. Simon Starosta-Rubinstein, is part of South Miami Neurology a private practice, located in South Miami. The outpatient Cognitive and Movement Disorders rotation provides Neurology residents with focused training in the evaluation and longitudinal management of cognitive impairment and different type of dementias, including the assessment and monitoring of patients for new anti-amyloid therapies in Alzheimer’s disease, as well as Parkinson’s disease and other movement disorders in a community-based setting. Residents will develop strong skills in cognitive assessment, diagnostic reasoning, and treatment planning through supervised outpatient care, with an emphasis on continuity, functional evaluation, and patient-centered management.

Parkinson's Disease and Movement Disorders Center of Boca Raton - Isaacson Stuart, MD – (Movement Disorders)

Location: Boca Raton, FL

The Parkinson’s Disease and Movement Disorders Center of Boca Raton is a nationally recognized, non–university-based academic center and leading clinical research institution that provides community access to Phase II and Phase III FDA-regulated clinical trials focused on improving symptoms and slowing disease progression in Parkinson’s disease. Neurology residents gain valuable exposure to advanced diagnostic evaluation, longitudinal management, and emerging therapies for Parkinson’s disease and related movement disorders. Within a patient-centered, interdisciplinary care model that integrates medical treatment, wellness initiatives, and research programs. Learning from experienced movement disorder specialists, residents develop a strong understanding of novel therapeutics, research methodology, and comprehensive care strategies, preparing them to deliver evidence-based and innovative treatment in both community and academic practice.

Boca Raton Multiple Sclerosis Center - Brian Steingo, M.D. – (Multiple Sclerosis and Demyelinating Disorders)

Location: Boca Raton, FL

The Boca Raton Multiple Sclerosis Center, led by neurologist and MS specialist Brian Steingo, MD, offers Neurology residents comprehensive outpatient training in the evaluation and management of multiple sclerosis and related demyelinating and neuroinflammatory disorders. Through this clinical neuroimmunology rotation, residents develop core competencies in the diagnosis and classification of CNS demyelinating diseases, formulation of differential diagnoses, and appropriate diagnostic workup. Further advancing their skills by initiating and monitoring immunomodulatory therapies, recognizing treatment-related complications, and managing the long-term symptoms of MS and chronic neurologic disease, preparing them for independent practice in both community and academic settings.

Dr. Matthew Kay MD, PA (Neuro-ophthalmology)

Location: Aventura, FL

During the Neuro-Ophthalmology rotation, residents evaluate and manage patients with visual and ocular motor disorders related to the nervous system. Under the guidance of specialized faculty, residents perform focused neuro-ophthalmic examinations, interpret visual field testing and imaging, and learn to recognize key conditions such as optic neuropathies, papilledema, diplopia, visual field deficits, neuromuscular disorders affecting eye movements, and functional visual symptoms. Emphasis is placed on integrating neuroimaging, clinical findings, and systemic history to form accurate diagnoses and management plans.
Residents participate in discussions when needed and gain experience counseling patients on diagnostic results, prognosis, and treatment options. Residents will develop diagnostic acumen, examination technique, and confidence in managing complex neuro-ophthalmic presentations in both outpatient and consult settings.

Intensive Care Experts Health Network– Gustavo Ferrer, M.D. – (Sleep Medicine)

Location: Aventura, FL

During the Sleep Medicine rotation, residents gain clinical experience in the evaluation and management of patients with sleep-related neurological and medical disorders. Under the supervision of sleep specialists, residents participate in outpatient clinics, review polysomnography and home sleep study data, and learn to diagnose and treat conditions such as obstructive sleep apnea, insomnia, restless legs syndrome, narcolepsy, circadian rhythm disorders, and parasomnias. Residents develop skills in sleep-focused history taking, interpretation of sleep studies, and individualized treatment planning, including CPAP therapy management and behavioral interventions. The rotation emphasizes interdisciplinary collaboration and patient education, preparing residents to recognize and manage sleep disorders commonly encountered in neurologic practice and to understand their impact on overall health and neurologic function.

Miami Pain and Diagnostics – Mouhanna Joseph, MD – (Pain Medicine)

Location: South Miami, FL

During the Pain Medicine rotation, residents gain comprehensive exposure to the evaluation
and management of acute and chronic pain conditions commonly encountered in neurologic practice. Under the supervision of pain specialists, residents participate in outpatient clinics, multidisciplinary case discussions, and procedural sessions when available. Residents develop skills in performing focused pain assessments, identifying neuropathic versus nociceptive pain syndromes, and formulating evidence-based, multimodal treatment plans that may include pharmacologic therapy, physical and behavioral rehabilitation strategies, interventional procedures, and complementary modalities.
Common conditions evaluated include radiculopathy, neuropathic pain, migraine and other headache disorders, musculoskeletal pain, post-stroke pain, and complex regional pain syndrome. Emphasis is placed on safe opioid stewardship, patient education, functional goal setting, and coordination of multidisciplinary care. Residents will demonstrate improved confidence in diagnosing pain disorders, interpreting relevant diagnostic studies, and implementing personalized, patient-centered management strategies.

Larkin Miami Neuroscience Center – (Neurosurgery)
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Location: South Miami, FL

The Miami Neuroscience Center at Larkin is a state-of-the-art facility dedicated to the comprehensive care of patients with complex neurologic and neurosurgical conditions, including migraine and facial pain syndromes, brain tumors, vascular malformations, spinal disorders, and neuropathic pain. Led by world-renowned neurosurgeon Dr. Aizik Wolf, the multidisciplinary team of more than 25 specialists has performed over 10,000 advanced procedures during the past two decades. Neurology residents benefit from direct exposure to high-volume, complex cases and close collaboration with neurosurgery and pain management specialists, gaining valuable experience in diagnostic evaluation, peri-procedural management, and multidisciplinary decision-making. The Center utilizes cutting-edge technologies such as Gamma Knife®, Zap-X®, and Airo® to deliver advanced treatments including stereotactic radiosurgery, neurosurgery, and interventional pain management, providing residents with a unique learning environment that integrates innovation, clinical excellence, and individualized patient care.

 
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