Successes and Challenges in Program Administration

The administration of a Neurology training program requires dynamic leadership. Training programs will have many internal and external challenges. The ability to prepare for these challenges is variable. This paper reviews three cases: (1) The resident who is failing to meet competency in the program, (2) the impact of the growing Vascular Neurology workload, and (3) the impact of the coronavirus disease 2019 (COVID-19) pandemic on neurology training, and how these were handled within our system. The objective of this paper is to provide a road map for addressing these challenges by learning how to identify the problem, utilize available resources, and maximize communication.