University of North Carolina Hospitals Program

Program Identity & Fit

UNC's Adult Neurology Residency is an academic, university-based four-year categorical program housed entirely at UNC Medical Center and its outpatient clinics, serving as North Carolina's public academic medical center with broad subspecialty faculty depth across stroke, epilepsy, movement disorders, neuroimmunology, and neuromuscular disease. The curriculum follows a graduated-autonomy model with a longitudinal continuity clinic beginning PGY-2, an X+Y inpatient/outpatient structure, and dedicated PGY-3 scholarship time for research, education, global neurology, or procedural subspecialties. With 78% of recent graduates entering fellowship (many at top academic centers such as UCLA, Columbia, Michigan, and Duke) and 16% moving into academic faculty roles, the program is clearly fellowship- and academia-oriented while still producing community neurologists and neurohospitalists. Distinctive features include resident-driven curriculum design, seven categorical positions per class, holistic file review without score cutoffs, and an explicit emphasis on collegiality, shared workload, and mentorship as departmental values shaping day-to-day culture.