Neurology

Rotation: NEU 401-1

Length: 2 or 4 weeks

Goals: During the rotation you will:

Obtain a thorough history with proficiency in obtaining the following neurological complaints. Perform a complete and focused neurological exam (including a coma exam). Understand the patho-physiology and treatments for neurological conditions. Understand the neurological tests that are available and what purpose they serve. Ability to put your patients at ease and establish an effective relationship. Communicate effectively and efficiently to other physicians and health care members regarding patients. Demonstrate a mature and professional demeanor to patients, peers, and preceptors. Understand the reasons for patient admissions, consults, transfers, disposition, and follow-up appointments.

Objectives: Evaluate at least 5 patients (with unrepeated diagnoses and seen independently). These should be complete, with a consult note for each. Then should be presented at the bedside to the preceptor. Prepare and give a 10-15 minute presentation on a topic of your choice. Submit a case log of the various neurologic conditions you have encountered. Observe at least one stroke alert. Observe at least one lumbar puncture (bedside or fluoroscopy-guided). Complete reading assignments and discuss them with the preceptor

Recommended Reading:

Drislane FW, et al. Blueprints in Neurology, Blackwell Science, Inc. 2008. “Provides medical students with a reasonable compact review of neurology for practical use, attempting to clarify without oversimplifying.”

Gelb DJ. Introduction to Clinical Neurology, 2nd ed, Butterworth Heineman 1999. Was rated 3.86/5.0 on clerkship evaluations at University of Iowa. Some students commented that “text lacks organization,” while others “appreciated the clinical scenarios in each chapter.” Some students said they would “prefer a text that is more concise, highlighting the main points.”

Simon RP, Aminoff MJ, Greenberg DA. Clinical Neurology, 4th ed. Lange. 1999. “An approach to neurology based on the presenting symptoms or signs, developed while teaching in the clinics and wards of the University of California, San Francisco.”