Clinical Neurology Clerkship
Director: Cassandra J. Milling, M.D., Director, Neurology Education, and Assistant Professor, Neurology
Clerkship Description: During the Neurology Clerkship you will gain experience and understanding of most common neurological disorders that affect the population, in both ambulatory and inpatient clinical settings.
Boonshoft SOM Educational Objectives/Competencies
|
Code |
What competencies will this unit address? |
|---|---|
|
Foundational Knowledge – Medical Knowledge |
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|
1.1 |
Master fundamental biomedical concepts, terms, processes, and system interactions |
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Foundational Knowledge – Medical Knowledge |
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1.2 |
Describe the determinants of health |
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Foundational Knowledge – Medical Knowledge |
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|
1.3 |
Utilize evidence in making clinical decisions |
|
Application – Patient Care (Clinical Skills) |
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|
2.1 |
Conduct patient interviews and physical examinations |
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Application – Patient Care (Clinical Skills) |
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2.2 |
Diagnose patient health problems |
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Application – Patient Care (Clinical Skills) |
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2.3 |
Propose evidence-based health maintenance and therapeutic treatments |
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Integration – System-Based Practice |
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3.1 |
Connect knowledge of patient populations and health delivery processes in making diagnoses and therapeutic recommendations |
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Integration – System-Based Practice |
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3.2 |
Advocate for the humane, just, safe and prudent care of persons |
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Integration – System-Based Practice |
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3.3 |
Adapt to the complex economic and social structure of health care delivery |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.1 |
Reflect upon one’s personal strengths and weaknesses to make changes in one’s behavior |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.2 |
Find one’s own meaning in medicine |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.3 |
Take care of oneself |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.4 |
Deliver effective patient presentations and document accurately in the medical record |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.5 |
Communicate and work effectively with others |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.6 |
Demonstrate leadership skills in a variety of settings |
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Caring/Valuing – Professionalism Goals |
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5.3 |
Value and behave in a manner consistent with the highest ethical standards of the profession |
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Learning How to Learn – Practice-Based Learning |
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6.1 |
Develop a personal plan to become a better medical professional |
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Learning How to Learn – Practice-Based Learning |
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6.3 |
Appropriately utilize evidence-based resources to address uncertainty in medicine and gaps in knowledge/skills |
Clerkship-Level Objectives
| Code | What are the clerkship-level objectives for this course? |
Boonshoft SOM |
|---|---|---|
|
LO1 |
Frame a patient encounter in an organized fashion, reinforcing etiology, pathophysiology, clinical manifestations, localization, diagnostic strategies and therapeutic interventions. |
1.1, 2.1 |
|
LO2 |
Explain disease specific treatment strategies and associated prognosis and complications. |
1.1, 2.1 |
|
LO3 |
Understand the general clinical principles underlying neurologic localization. This includes the differentiation of lesions at the following levels of the nervous system: cerebral hemisphere (frontal, parietal, temporal, occipital), posterior fossa (midbrain, pons, medulla, cerebellum), spinal cord (cervical, thoracic, lumbar), nerve root (cervical, lumbar), peripheral nerve (mononeuropathy, polyneuropathy, and mononeuropathy multiplex), neuromuscular junction, muscle. |
1.1 |
|
LO4 |
Evaluate patients’ presenting clinical problems, including: (transient or episodic focal symptoms, transient or episodic alteration of consciousness, focal or diffuse weakness, clumsiness, gait disturbance, involuntary movements, dizziness, vision loss, diplopia, dysarthria, dysphagia, aphasia, acute mental status changes, dementia, headache, facial pain, neck pain, low back pain, numbness or paresthesias, common developmental disorders). |
1.1, 2.1 |
|
LO5 |
Diagnose and manage patients with acute and chronic conditions including: increased intracranial pressure, acute mental status change, meningitis/encephalitis, status epilepticus, acute stroke (ischemic or hemorrhagic), spinal cord compression, head trauma, acute respiratory distress due to neuromuscular disease, temporal arteritis, amyotrophic lateral sclerosis, brain death, primary and metastatic CNS tumors, coma, dementia (notably Alzheimers disease), seizures, multiple sclerosis, migraine, movement disorders (notably Parkinson disease, essential tremor, tardive dyskinesia), myopathies (notably polymyositis) and muscular dystrophies, myasthenia gravis, cranial neuropathies, peripheral neuropathies ( acute and chronic)). |
1.1, 2.1, 2.2, 2.3 |
|
LO6 |
Apply the fundamentals of neurological care to coordinate the care of patients with neurological disease. |
1.1 |
|
LO7 |
Demonstrate systematic approach to patients with neurological disease utilizing sound skills in gathering components of the neurologic history, general physical and neurologic exams. Demonstrate an organized approach to the neurologic exams in patients with normal as well as altered mental status. |
2.1, 4.4 |
|
LO8 |
Demonstrate appropriate interpretation of labs and testing. |
2.2 |
|
LO9 |
Begin to formulate diagnostic reasoning, and justify therapeutic decision-making. |
1.3, 2.2, 2.3 |
|
LO10 |
Demonstrate clear and concise oral presentations and written documentation reflecting a systematic approach to patients with neurological disease. |
2.1, 4.4 |
|
LO11 |
Identify the social determinants of health for a specific patient, and develop a plan to coordinate care to include community resources to try to improve the health of the individual. |
1.2, 3.1, 3.2 |
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LO12 |
Consider patient, physician, and system barriers to successfully negotiate treatment plans and patient adherence; and identify strategies that may be used to overcome these barriers. |
1.2, 3.1, 3.2 |
|
LO13 |
Identify the role of each team member to the care of the patient, and call on interdisciplinary resources to provide optimal and comprehensive care. |
3.3, 4.5, 4.6 |
|
LO14 |
Establish professional relationships and effectively communicate with patients, their families, instructors, colleagues and staff. |
4.1, 4.3, 4.5, 4.6 |
|
LO15 |
Work effectively with the broad, interdisciplinary team in patient care and appropriately incorporate their unique care skills. |
4.1, 4.3, 4.5, 4.6 |
|
LO16 |
Demonstrate the ability to act with honesty/integrity while maintaining ethical duties to patients and others. |
5.3 |
|
LO17 |
Demonstrate the ability to act in a manner that is dependable, dedicated and punctual. |
5.3 |
|
LO18 |
Demonstrate the ability to act with patience, altruism and equanimity. |
5.1, 4.1, 4.6 |
|
LO19 |
Recognize when additional information is needed to care for the patient and demonstrate ongoing commitment to self-directed learning. |
6.3 |
|
LO20 |
Demonstrate effective skills in navigating the medical literature to answer clinical care questions. |
6.3 |
|
LO21 |
Demonstrate the ability to acquire and soundly manage knowledge, identify knowledge deficiencies and create a plan for knowledge gains |
4.2, 6.3 |
|
LO22 |
Demonstrate the ability to seek out and listen to feedback on performance, accept it positively, and respond to it constructively by improving performance. |
4.5, 4.3, 4.1 |
Required Clinical Experiences
|
Encounter Log Items |
Target |
Expected Level of Responsibility |
Acceptble Alternate Experience | |
|---|---|---|---|---|
|
Neurocognitive Disorders |
1 |
Moderate |
Assigned Article |
|
| Neurocognitive Disorders |
1 |
Observation |
Assigned Article |
|
|
Psychiatric Condition |
1 |
Moderate |
Assigned Article |
|
| Psychiatric Condition |
1 |
Observation |
Assigned Article |
|
|
Substance Abuse |
1 |
Moderate |
Assigned Article |
|
| Substance Abuse |
1 |
Observation |
Assigned Article |
|
|
Change in strength or movement |
1 |
Full |
Online Didactics and Assigned Article |
|
| Change in strength or movement |
1 |
Observation |
Online Didactics and Assigned Article |
|
|
Headache |
2 |
Observation |
Assigned Article |
|
|
Obtundation/Stupor or Coma |
1 |
Moderate |
Online Didactics and Assigned Article |
|
|
Sensory change (numbness, dizziness, pain, &/or neglect) |
1 |
Full |
Online Didactics and Assigned Article |
|
| Sensory change (numbness, dizziness, pain, &/or neglect) |
1 |
Observation |
Online Didactics and Assigned Article |
|
|
Seizure |
1 |
Moderate |
Online Didactics and Assigned Article |
|
| Seizure |
1 |
Observation |
Online Didactics and Assigned Article |
|
|
Stroke |
2 |
Full |
Online Didactics and Assigned Article |
|
|
Visual change (blurred vision, visual loss, double vision) |
1 |
Observation |
Assigned Article |
Observation: Student is observing encounter
Moderate Participation: Student completes the History and Physical (either complete or focused) and participates in the differential diagnosis. (*Student directly interacts with the patient)
Full Participation: Student completes History and Physical (either complete or focused), participates in the differential diagnosis, and then completes a therapeutic treatment plan, which can include documentation.
