| HOME | Integrated Neurology Residency Program
For more information, please contact: Residency Coordinator N112 Health Sciences Center DC047.00 (573) 882-2260 Neurology Clerkship Student Orientation Welcome to the Neurology clerkship rotation! The goal of this clerkship is to help medical students acquire an understanding of the general principles of clinical neurology & their application in a patient centered setting. It starts with learning to take a thorough medical history related to neurologic disorders & performing a complete physical exam especially the neurologic examination. The next step is to be able to - make an anatomic diagnosis (where is the lesion and in what systems), then pathophysiologic diagnosis (what type of disease process), & then think about the various causes (etiologic diagnosis) of a given neurologic presentation. This is followed by understanding of evaluation methods and management of the neurologic disorders.
The medical students will achieve this goal through a variety of methods including: Please review this introductory packet with the following information: Objectives of Core Clerkship in NeurologyThis rotation is all about you and helping you learn and understand basic neurologic concepts. During these 2 weeks, we want you to be an active part of the Neurology team. In addition, we hope this rotation will give you a feel for the exciting new therapies & new opportunities in the field of Neurosciences. We welcome your suggestions in helping improve this clerkship. When you complete your online evaluations, please be honest and forthright with your comments. We value your input & would like to make this an interesting and exciting experience for you. So, welcome to Neurology! Hope you have an excellent educational experience!!
Objectives for Core Clerkship in Neurology Objective 1 – Patient EvaluationYou will be assigned to one of the following services: MU Inpatient service (2 students) or VA Neurology service (1 student) or MU Consult service (1 student). All services provide an excellent exposure to patients with neurological problems – inpatient and outpatient. Check with assigned resident for preparation & time of rounds. At MU, you will see a larger share of inpatients. You will also be able to attend the clinics with your service attending (with the approval of the attending physician). At the VA, it is accomplished by a larger emphasis on outpatients. You will attend the VA neurology clinics with the assigned VA attending & resident. At MU consult service, you will see & follow inpatients with neurologic disorders. You will also attend clinics with consult attending (with approval of attending physician). Assignments/Schedules will be provided during orientation or prior to start of rotation. Expectations/Responsibilities of Students You will have the opportunity to see patients with serious neurologic disorders. Repeated examination & evaluation will help (watch the resident/ attending as you start). Ward rounds with residents and attending staff take place regularly. You will be assigned inpatients – you will be expected to evaluate and follow them closely. You will present your patients on daily rounds and take active part in their care. You are expected to be on time, every day. Scheduled time for ward rounds will be available from the resident physician of your assigned service. The resident will also help you with details of your assigned service activities. As you see a patient, you should look up that neurologic condition and be prepared. This is the best time to learn. Ask your resident or attending physician for additional references if you wish. Documentation You will write a minimum of 2 H&Ps and 2 follow up notes-in Microsoft WORD at MU & forward them to the resident; directly on computer system at VA & forward it to the attending physician (also email a copy to Chris Bethel for record). They will review this, give you feedback. You will also be required to complete the patient log (PLOG). On Call responsibilities Each student will serve no more than 3days on call during 2 week rotation (barring emergency, no call switch please; and even in emergency, only with knowledge and approval of coordinator so appropriate personnel are informed). Call times are 4:30PM-2:30AM, Monday to Friday; 7.00AM-2.30 AM, Saturday/Sunday. INFORM THE ON CALL RESIDENT WHEN YOU START YOUR CALL (give your pager #) - so they can contact you as they see a patient. The resident physician will page you to come in & involve you to workup the patient. The weekend call starts at 7 AM as you are expected to attend morning rounds. The call can be off site. But you must be able to come to the hospital in 15 minutes. If you can’t do so, please remain on site & let the resident know.
Additional recommended activities PLOG & coverage of specific neurologic conditions
This is a brief 2 week rotation. But every attempt will be made to cover key Neurologic topics. PLOG review will show you areas requiring full participation & others that can be covered by observation or simulation e.g. case conferences, lectures, & grand rounds. EpilepsyNeurology Lectures and Case Conferences (Please attend all lectures & be on time; if lecture overlaps with clinic –go to the lecture) Lectures (Didactics)
1. Student evaluation Your overall grade/evaluation has two components: 50% Exam (written, multiple-choice examination).If you fail, you must repeat the exam. 50% Evaluations, based on rotation performance. 80% lecture attendance required.
2. Rotation evaluation Key personnel
Upinder Dhand MD, Clerkship Director 882-3133, dhandu@missouri.edu Suggested Reading Neurological differential diagnosis by Patten – excellent concise source focused on differential diagnosis (with touch of Neuroanatomy) Companion Handbook to Principles of Neurology by Adam & Victor – concise review Pocket Companion to Neurology & Clinical Practice by Bradley, Daroff, Fenichel and Marsden – concise review On call Neurology by Marshall & Mayer – very practical, complete with elevator thoughts as you are called to see a patient Clinical Neurology by Simon, Aminoff and Greenberg – ~ 300 pages textbook
*Harrison’s or Cecil’s textbook of Medicine
Online sources More Detailed Information Principles of Neurology by Adams & Victor Merrit’s Text of Neurology Localization in Clinical Neurology by Brazis, Masdeu, Biller Continuum issues (by topic) –available from your resident (each issue addresses a topic)
Attending and resident as a source
Neurology Lecture Series Neuroanatomy Didactics Grand Round Schedule
© 2008 Curators of the University of Missouri
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The Department of Neurology allocates one position each year to the integrated residency program for
MU Students
Only. The Integrated Residency Training Program in Neurology allows the new
resident several options including research projects in neuromuscular diseases, movement disorders, stroke, epilepsy; specialty clinics; and rural outreach programs. Students selected for the
Integrated Residency Program meet with the Residency Director to discuss their personal areas of interest and design
their externship accordingly.