Adult Neurology Residency Program

Raman Malhotra, M.D. Raman Malhotra, M.D.
Director, Neurology Residency
Jafar Kafaie, M.D. Jafar Kafaie, M.D.
Associate Director, Neurology Residency


Rebecca Grubb
Residency Program Coordinator

Fast Facts About our ACGME Accredited Neurology Residency

Department of Neurology

Over 20 dedicated faculty members in the Neurology Department with a total of 24 neurology residency positions

Training at three hospitals (SSM Health Cardinal Glennon Children's Hospital, SSM Health Saint Louis University Hospital and the St. Louis VA Medical Center) with different and diverse patient populations

Train with over 500 other residents and fellows from over 50 other residencies and fellowships offered  at our University

Daily resident conferences that cover the topics and materials that prepare our trainees to be successful on the residency in training exam (RITE), Board exam, and as a Practicing Neurologist

Accredited fellowships in clinical neurophysiology, vascular neurology, interventional neurology, and sleep medicine.

One of the oldest Neurology departments in the country with a long history of training residents and taking care of patients with brain and neurological disorders

We appreciate your interest in our neurology residency program. We seek to train aspiring neurologists who will provide high quality and state of the art care to their patients and will creditably represent themselves among their colleagues. We foster resident interest in clinical or basic research in the neurosciences.

Our program is composed of 24 positions beginning as a medical internship in the PGY1 year and extending through PGY4. We sponsor a child neurology training program which accepts two applicants yearly. Both programs are accredited by the American Council for Graduate Medical Education (ACGME) and comply fully with the requirements of the American Board of Psychiatry and Neurology.

Educational Conferences:

One-hour conferences are held 4 days a week for our residents. A rotating schedule of multi-specialty conferences includes basic neurosciences, clinical electrophysiology, child neurology, stroke, epilepsy, neuropathology, neuromuscular disorders, neuro-ophthalmology, neurocritical care, neuro-rehabilitation, neuropsychology, multiple sclerosis, sleep medicine, and journal club. This lecture series is designed to cover the important subjects of clinical and basic neurosciences over an 18-month period.  Thus, residents have lectures on individual subjects twice during their 3 year residency. The success of our residents in the annual Residents In-service Training Examination is in part a testimony to the effectiveness of this program.

Research and Scholarly Activity:

There are opportunities for clinical and basic research within the department and the university, and most residents publish several articles and abstracts during their training. Following graduation some 75% of residents pursue fellowship training and then enter academic or private practice.


The salary for resident positions in 2016-2017 year ranges from for  range from $51,744 for PGY1 to $55,548 for PGY4. Health and malpractice coverage are included.  In addition, the department provides a junior membership in The American Academy of Neurology, a subscription to Neurology, and a $500.00 stipend for books, medical equipment and travel to conferences and other academic events.  In the final year of the program, we support attendance at one or more national or regional meetings pertaining to neurology. We also provide reimbursement for those residents who are the primary sponsors of a presentation.

St. Louis is an openly friendly and accessible city in which to live. The cost of living here is reasonably low for a city of its size.  More can be found about St. Louis at

Application Process:

The Neurology residency program uses ERAS (Electronic Residency Application Service) and the NRMP (National Residency Matching Program). Our 50 or so interview spots between November and February fill quickly, so early applications are encouraged. For more information regarding the NRMP Matching Program, please visit Applicants with 2 USMLE scores below 90/220 must have extremely strong other credentials to be considered. While we will interview candidates whose CSA or USMLE results and ECFMG certificates are pending, we need to have this documentation before match day. US experience is a plus, not a must. We typically have a mix of international and US graduates. Since our 6 annual positions are listed with the Match, we do not offer positions outside of the Match. If we accept you as a resident, we will offer you a GY1 internship at our university hospital. We do offer J1 visas to most applicants. Please visit the ERAS website at ERAS for Students for more information on how to apply to our program. Thank you again for your interest in our neurology residency program.

Interview Day

The interview season starts in November and ends in February. Candidates who are selected for interviews will be emailed with the dates and schedule. We try our best to accommodate candidates’ preferences for the interview date scheduling. The interview process starts with a dinner with some of the current residents in the evening before interview day. On the interview day, the chair of Neurology and Program Director will welcome candidates at 7 am. Then candidates will attend the department grand-rounds lecture. This is followed by more detailed program overview by the program director and program coordinator.  Typically four faculty members will interview each candidate separately for approximately 30 minutes per candidate. Interviews are held in the morning and in the afternoon.  Candidates will also receive a tour of the hospital and university facilities as well as have lunch with some of our current residents.  Interviews will end by 3:00pm.


  1.  Will the department cover the candidates travel expenses including hotel and transportation to and from the airport?    We do not cover any expenses, but we will be happy to provide candidates with nearby hotels who may offer a discounted price.
  2. Will I be able to interview with the Chair of the Department?  Our Chair will interview as needed, but not every candidate will interview with the Chair.
  3.  Will I receive my interview schedule before my interview date?  No.  All schedules are provided on the day of interviews. Candidates do receive all other information prior to the interview date (contact info, maps, when and where to arrive the night before and the day of interviews.


The Neurology Residency at Saint Louis University is a categorical program. The program prepares the residents to be fully independent neurologists ready for a career in academic medicine or private practice. It equips residents with the necessary clinical skills in the diagnosis and management of neurologic diseases. A rich and varied clinical experience is provided by exposure to three busy primary inpatient services; neurocritical care service, stroke service and general neurology service as well as inpatient consult service, electrophysiology and multispecialty outpatient clinics at three teaching hospitals. Starting from second year, residents have weekly continuity clinic at the VA medical center.

Residents have a protected time for daily didactic sessions by faculty and weekly grand-grounds, in addition to weekly morning report and monthly RITE exam review sessions.

The program provides exposure to numerous subspecialty rotations and encourages residents to enroll into the clinical and basic research activities of the department.


The First Year (PGY-1)

In the first year of residency program, residents spend several rotations in the department of medicine at SSM Health Saint Louis University Hospital and VA Medical Center.

Residents also get an exposure to the emergency medicine at our university hospital.

Neuroradiology rotation is included during the first year of the program. One of the highlights of the first year is a dedicated month of clinical neurology didactics during which common neurologic diseases are discussed.

Typical sample rotation of first year is:



The Second Year (PGY-2)

Residents rotate of 7 months of inpatient rotations; general neurology, stroke neurology, neurocritical care and pediatric neurology. They also take 2 months of inpatient consult services at the VA medical center. The outpatient rotations consist of 3 months in the multi-specialty clinical neurology services during the second year  at Saint Louis University.

Typical sample rotation of second year is:



The Third Year (PGY-3) and Fourth Year (PGY- 4)

Third and Fourth Year Residents rotate in clinical neurology services for 5-6 of the 12 months. They typically spend 1-2 months each in stroke, neuro-critical care, general neurology, and the VA inpatient service. As the senior resident on  the team, they assume more responsibilities in-terms of teaching, supervision, as well as decision-making. 

The rest of the year is spent in the neuro-physiology laboratory gaining first-hand experience in performing EMG-NCS and reading EEGs, as well as having some time for electives. The program offers a multitude of elective options, which includes neuro-ophthalmology, sleep medicine, movement disorders, multiple sclerosis, neuromuscular diseases, epilepsy, interventional neurology, neuropathology, research, headache, behavioral neurology, and neuro-rehabilitation. 

During the third year of residency, two months are dedicated for night float coverage.

One psychology and 3 pediatric neurology months are spread out during the 2 years as well.

Residents have a protected time for daily didactic sessions by faculty and weekly grand-grounds, in addition to weekly morning report, weekly practical EEG, EMG, neuro-radiology, and neuropathology sessions, monthly RITE exam review sessions, and bi-monthly journal club presentations. 

 Typical sample rotations of the third and fourth year:


Research, Conferences and Workshops

Residents are encouraged to enroll in the research activities of the department at their areas of interest. Research projects are shared with an attending physician who acts as his/her research mentor. At the end of the year, residents are given the opportunity to share their research with members of the department and the university during the Department of Neurology Research day and the GME Resident Poster Day, respectively.

Attendance to national conferences is encouraged. Additional monetary support (in addition to the yearly resident fund) is provided to residents whose abstracts are accepted at national meetings. 

Residents are encouraged to attend educational conferences in different subspecialties.