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 Education » MD Program » Curriculum » NEUROLOGY REQUIRED CLERKSHIPS

NEUROLOGY REQUIRED CLERKSHIP

Clerkship website: http://courses.washington.edu/neural/index.html . Additional site specific information is at http://courses.washington.edu/neural/sites/index.html.

NEURL P- Introduction to Neurology (8)

Offered:

AWSpS; 4 weeks.

Prerequisite:

Medicine, or Family Medicine, or Surgery, or Pediatrics for third-year students. Third- and fourth-year medical student.

Total Enrollment:

20

Faculty Contact:

Eric Kraus, M.D.

Administrative Contact:

Goldie Pontrelli, 206-616-6992, neural@u.washington.edu

Goals and Objectives

Student CORE goals and objectives:

  1. Learn the neurological exam.
    • Curriculum: Residents, attendings and preceptors in the hospital and clinic settings will teach the advanced neurological exam. During Thursday didactics in Seattle, a systematic review of the neurological exam will occur.
    • Benchmark: Two parts of the neurological exam will be benchmarked. The reflex and sensory exams. To learn the exams you will practice them in Thursday didactics, and you can read about the exams and watch a video by going to Mini-CEX.
    • Test: Demonstrate either the reflex or sensory exam benchmark in a clinical setting while observed by your preceptor. The CEX cards are incorporated into the pocket syllabus. You must repeat the CEX until a pass score is achieved. Cards will be collected at the end of the course.
  2. Learn localization in neurology.
    • Curriculum: For this course, the nervous system will be divided into 7 levels. They are brain, brain stem, spinal cord, motor neuron, peripheral nerve, neuromuscular junction, and muscle.
    • Benchmark: Features of each level will be taught at orientation, reviewed during Thursday didactics, and can be found in the pocket syllabus or by clicking here.
    • Test: Six cases will be assigned during the clerkship. Localization is an integral part of each web-based case. Answers are emailed to the clerkship director for review, and case discussion will occur during Thursday didactics or by video lecture for WWAMI students.
  3. Understand a bioethical issue in neurology.
    • Curriculum: Bioethical issues arise frequently in neurology. You are required to identify, observe, and reflect on at least one clinical scenario during the clerkship.
    • Benchmark: Three bioethical issues will be benchmarked. Each issue is linked to the Ethics In Medicine website. They are Breaking Bad News, Do Not Resuscitate Order, and Termination of Life-Sustaining Treatment. See the Mini-CEX tab for details.
    • Test: Write a reflection on one of the three bioethical options, and email to the clerkship director for review.
  4. Have clinical exposure to several neurological diseases.
    • Curriculum: It is expected that students will have broad exposure to patients with neurological disease no matter what site they are assigned.
    • Benchmark: See at least one patient in each of the following 7 categories: demyelinating disease, dizziness, headache, movement disorder, neuromuscular disease, seizure disorder, and cerebrovascular disease.
    • Test: On a daily basis, students will log their patients in the pocket syllabus. At the end of each of the first three weeks you will need to record the data by going to the patient log tab. If, at the end of three weeks, you have not seen a patient in each of the first seven categories, please do the appropriate on-line case, which automatically emails your answer to the clerkship director, and read the appropriate chapter in Clinical Neurology, Lange, 6th edition.
  5. Receive mid-rotation feedback
    • Curriculum: Feedback should be continuous throughout the 4-weeks. In order to ensure that is happening, we are putting you, the student, in charge. A feedback card has been developed for this purpose. Please read the instructions on the front, which urges you to ask for frequent feedback from attendings, preceptors and residents. Keep in mind that feedback should be both positive and negative.
    • Benchmark: All students should receive mid-rotation feedback. Feedback given after the first two weeks of the clerkship should allow you to improve your performance for the second two weeks. See student evaluation tab.
    • Test: The clerkship evaluation form has a question concerning mid-rotation feedback.

Student DESIRED Goals and Objectives

  1. Formulate a differential diagnosis for patients with neurological symptoms.
  2. Know when to order and how to interpret common tests used in diagnosing neurological disease.
  3. Understand the management principles for common neurological diseases.
  4. (Ideally) Perform a lumbar puncture.

Readings/Texts:

Resources to accomplish the learning objectives include general medical and neurology textbooks, didactic lectures, attendings/residents/students, and web based information. See http://courses.washington.edu/neural/indstudy.html for specific recommendation(s).

CLERKSHIPS SITES

ALASKA

NEURL 634:

Anchorage

Location:

Anchorage, AK

Facility:

Alaska Native Medical Center

Enrollment:

1, AWSpS

Site Coordinator:

Brian Trimble, MD

Housing:

The MAC 505 apartment is located within walking distance to the clinic. It is a 4-bedroom apartment that is located on the 3rd floor. The apartment has four bedrooms labeled A, B, C, and D. The apartment has one bathroom, kitchen, and storage area. The kitchen has all of the necessary cooking ware, full-size refrigerator, oven, stove and small appliances (coffee pot, microwave). Students pay for their own food and use the kitchen for preparing meals.

Transportation:

A shared car is available to student on site.

IDAHO

NEURL 643:

Boise, Dr. Lyons

Location:

Boise, ID

Facility:

Boise Neurological Assoc.

Enrollment:

1, AWSpS

Site Coordinator:

George Lyons, MD

Housing:

Housing is provided through St. Luke’s hospital in a fully furnished, 1 bedroom, non-smoking, residence inn-style apartment with a queen bed and kitchenette. Pets are not permitted.

Transportation:

Car required.

NEURL 644:

Idaho Falls, Dr. Vincent

Location:

Idaho Falls, ID

Facility:

Eastern Idaho Neurologic Assoc.

Enrollment:

1, AWSpS

Site Coordinator:

Stephen Vincent, MD

Housing:

Housing is not provided at this site. Only students who have housing and transportation in the area will be permitted to enroll at this site.

Transportation:

Car required.

NEURL 645

Idaho Falls, Dr. Garland

Location:

Idaho Falls, ID

Facility:

Idaho Falls Neurology

Enrollment:

5, AWSpS

Site Coordinator:

Erich W. Garland, MD

Housing:

Housing is provided in a furnished studio apartment with a queen bed and kitchenette. Pets are not permitted.

Transportation:

Car required.

NEURL 647

Boise, Dr. Lindholm

Location:

Boise, ID

Facility:

Karin M. Lindholm, DO

Enrollment:

6, AWSpS

Site Coordinator:

Karin M. Lindholm, DO

Housing:

Housing is provided through St. Luke’s hospital in a fully furnished, 1 bedroom, non-smoking, residence inn-style apartment with a queen bed and kitchenette. Pets are not permitted.

Transportation:

Car required.

NEURL 648

Coeur d’Alene

Location:

Coeur d’Alene, ID

Facility:

Michael Coats, MD

Enrollment:

5, AWSpS

Site Coordinator:

Michael Coats, MD

Housing:

Housing is provided. See course website for details.

Transportation:

Car required.

MONTANA

NEURL 640

Billings, Billings Clinic

Location:

Billings, MT

Facility:

Billings Clinic

Enrollment:

7, AWSpS

Site Coordinator:

Daniel Rodriguez, MD

Housing:

Housing is provided in a six-bedroom house shared with other UW students. The house has DSL and a desk top and wireless Internet access.

Transportation:

Car required.

NEURL 639

Billings, Neurology Associates

Location:

Billings, MT

Facility:

Neurology Associates

Enrollment:

6, AWSpS

Site Coordinator:

Lowell Quenemoen, MD

Housing:

Housing is provided in a six-bedroom house shared with other UW students. The house has DSL and a desk top and wireless Internet access.

Transportation:

Car required.

NEURL 638

Great Falls

Location:

Great Falls, MT

Facility:

Advanced Neurology Specialists

Enrollment:

8, AWSpS

Site Coordinator:

William Henning, DO

Housing:

Housing is in a 2-bedroom apartment and is shared with another student.

Transportation:

Car required.

NEURL 637

Missoula

Location:

Missoula, MT

Facility:

Montana Neurobehavioral Specialists

Enrollment:

4, AWSpS

Site Coordinator:

John D. Schaeffer, DO

Housing:

Housing is provided. See course website for details.

Transportation:

Car required.

WASHINGTON

NEURL 664

Burien

Location:

Burien, WA

Facility:

South Seattle Neurology Associates

Enrollment:

1, AWSpS

Site Coordinator:

Ming Chow, MD

NEURL 659:

Lakewood

Location:

Tacoma, WA

Facility:

Northwest Neurology

Enrollment:

1, AWSp

Site Coordinator:

Lia Guina, MD

Housing:

One-bedroom apartment or extended-stay hotel with kitchenette (depending on apartment availability). No pets.

Transportation:

Car required.

NEURL 663:

Redmond, Group Health

Location:

Redmond, WA

Facility:

Group Health Cooperative

Enrollment:

1, AWSp

Site Coordinator:

Brian Ito, MD

NEURL 658:

Olympia, Olympia Neurology

Location:

Olympia, WA

Facility:

Olympia Neurology

Enrollment:

2, AWSp

Site Coordinator:

Greg Bell, MD

Housing:

Housing is provided at a nearby extended-stay hotel with kitchenette.

Transportation:

Car required.

NEURL 665:

Seattle, UWMC

Location:

Seattle, WA

Facility:

UWMC

Enrollment:

26, AWSpS

Site Coordinators:

Eric Kraus, MD

NEURL 666:

Seattle, HMC

Location:

Seattle, WA

Facility

Harborview Medical Center

Enrollment:

52, AWSpS

Site Coordinators:

Andrew Rose-Innes, MD

NEURL 667

Seattle, VA

Location:

Seattle, WA

Facility:

Veteran’s Administration, Puget Sound

Enrollment:

26, AWSpS

Site Coordinator:

Gregg Meekins, MD

NEURL 668:

Seattle, NW Hospital

Location:

Seattle, WA

Facility:

Northwest Hospital