NEUR 632
Neurology Clerkship
Discipline: Clinical Science Year: 3
Objective Session Session
Type
Number
Course
Academic Year: 2010‐2011
Assessment Method
Department: Neurology
Educational
Method
Instructor
Course Director: Letort, Derek
June
to May
Objective
Clock Hours
Learn basic localization in neurology: brain, brain stem, spinal cord, motor neuron, peripheral nerve, neuromuscular junction, and muscle.
Develops skills in obtaining and presenting a history relevant to common neurological problems.
Have clinical exposure to common neurological diseases.
Discuss bioethical issues in neurology.
Know when to order and how to interpret common tests used in diagnosing neurological conditions.
Understand indications and proper procedure for performing a lumbar puncture.
Know when to refer a patient to a neurologist.
Learn and demonstrate the neurological exam.
Session 1
Clock Hours 1
Pretest
Session 2
Practical
Clinical Skills Development
Variable
Demonstration of neurologic examination in a conscious patient.
Practical
Clinical Skills Development
Uschmann
Demonstration of neurologic examination in a unconscious patient.
Quiz
Self Study Exercises
Chandler
Learn how to localize a lesion in neurology and the benefit of localization.
Quiz
Self Study Exercises
Uschmann
Example of NIH stroke scale scoring
Clock Hours 1
NIH stroke scale scoring
Session 6
Assessment of student knowledge in neurology
Clock Hours 1
Localization in neurology
Session 5
Rose
Clock Hours 2
Demonstration of neurologic exam in comatose patient
Session 4
Assessment
Clock Hours 2
Demonstration of normal neurologic exam.
Session 3
Quiz
Clock Hours 1
Neuroradiology
Session 7
Presentation
Variable
Learn how to present a patient with a summary of findings.
Quiz
Self Study Exercises
Rose
Learn diagnosis, management and treatment of CNS infections.
Quiz
Self Study Exercises
Letort
Learn diagnosis, management and treatment of common movement disorders.
Participation
Demonstration Variable
Observation of EMG followed by discussion with staff.
Participation
Demonstration Variable
Observation of EEG followed by interpretation with staff.
Clock Hours 1
Witness EEG
Session 12
Presentation
Clock Hours 1
Witness EMG
Session 11
Learn basics of reading CT and MRI brain scans.
Clock Hours 1
Movement Disorders
Session 10
Uschmann
Clock Hours 1
CNS infections
Session 9
Self Study Exercises
Clock Hours 8
Patient Presentations
Session 8
Quiz
Clock Hours 1
Review of clinic progress notes
Session 13
Preceptor Ratin Discussion
Variable
Demonstration of knowledge of progress note.
Quiz
Tutorial
Wee
Demonstration of knowledge of exam findings, etiologies of stupor and coma.
Quiz
Tutorial
Sundaram
Basics of electroencephalography
Neuromuscular junction defects Quiz
Tutorial
Rose
Learn differential diagnosis and management of neuromuscular junction defects.
Quiz
Tutorial
Auchus
Learn differential diagnosis and management of dementia.
Quiz
Tutorial
Sundaram
Be able to recognize, differentiate and treat seizures. Stabilize a patient with status epilepticus.
Clock Hours 1
Stupor and Coma
Session 14
Clock Hours 1
Introduction to EEG
Session 15
Session 16
Clock Hours 1
Clock Hours 1
Dementia
Session 17
Clock Hours 1
Seizure and Epilepsy
Session 18
Clock Hours 1
Muscle Disorders
Session 19
Tutorial
Veda
Be able to diagnose and manage focal neuropathies and polyneuropathies.
Quiz
Tutorial
Uschmann
Be able to recognize and manage acute stroke and secondary prevention.
Quiz
Tutorial
Corbett
Be able to recognize and triage emergent etiologies of headache and manage common forms of chronic headache.
Quiz
Tutorial
Herndon
Be able to recognize and triage emergent spinal cord injuries. Recognize signs and symptoms associated with spinal cord lesions.
Quiz
Tutorial
Herndon
Learn to recognize common presentations , acquire basic knowledge of MS and consider mimickers of MS.
Clock Hours 1
Multiple sclerosis
Session 24
Quiz
Clock Hours 1
Spinal Cord
Session 23
Learn to diagnose and manage different types of myopathies.
Clock Hours 1
Headache
Session 22
Veda
Clock Hours 1
Stroke
Session 21
Tutorial
Clock Hours 1
Polyneuropathy
Session 20
Quiz
Clock Hours 1
Videos of neurologic clinical findings
Session 25
Corbett
Recognize the significance of certain neurologic physical exam findings.
Preceptor Ratin Tutorial
Willis
Review of essentials in neurology.
Participation
Variable
Describe the indications and demonstrate proper procedure for the lumbar puncture.
Inpatient daily patient evaluation Preceptor Ratin Clerkship Experiences
Variable
Gain exposure to common neurological conditions seen in the inpatient setting.
Inpatient daily patient evaluation Preceptor Ratin Ward Rounds
Variable
Develops skills in presenting a history relevant to common inpatient neurological problems.
Preceptor Ratin Clerkship Experiences
Variable
Gain exposure to common neurological conditions seen in the outpatient setting.
Exam, written
Rose
Assess of mastery of neurology knowledge.
Clock Hours 2
Introduction to the lumbar puncture
Session 27
Session 28
Clinical Skills Development
Clock Hours 40
Clock Hours 20
Ambulatory clinic experience
Session 29
Tutorial
Clock Hours 1
Review of neurology
Session 26
Quiz
Clock Hours 1
Post test
Assessment