4TH YEAR STUDENT OPTIONS

 

• Neurology 140 Clinical Clerkship

 

4th year students will serve as acting interns on the neurology consultation service. In addition, in-depth experience on one or more of the subspecialty services can be arranged.  Duties will include the evaluation of newly hospitalized patients with neurological disease as well as participating in neurology clinics.  Opportunities exist for more detailed learning among many of the sub-specialties offered including cerebrovascular disease/stroke, epilepsy, dementia, and neuromuscular disease.

 

This elective rotation is designed for a student who wants to extend their exposure and experience in evaluating neurological disease and perhaps focus more in specific disease entities.

 

Objectives:  
    

• Demonstrate a thorough neurological physical exam. 
• Formulate a plan of action for patients with neurological disease.
• List the causes, evaluative tools, and therapeutic measures for common neurological diseases encountered in inpatient setting.
• Understand the role of a neurological consultant in inpatient setting.
  
  

 

II.  Senior Medicine 140 and Neurology/Neurosurgery Combined Rotation UCSF Fresno

 

Introduction:

 

Medicine 140 is an eight week combined sub-internship for  fourth year medical students who would  like to have more experience in Neurology and Neurosurgery along with the  traditional internal medicine clerkship.  Medicine and the neurosciences have become an important part of daily clinical practice.  Students will spend 4 weeks in internal medicine, 3 weeks in neurology/neuroradiology, and one week in neurosurgery. This course is open to students who would like to become more familiar with brain and spinal imaging studies such as MRI, CT and angiography.  Students will have opportunities to interact with core faculty in many fields of the neurosciences such as neurology, neurosurgery, and neuroradiology.  The focus of the internal medicine portion of this rotation is to build on the skills learned during the medicine clerkship and to ready the student for residency training.

 

Goals:

After the students complete their 8-week rotation, it is expected that they should:

• Be able to perform and demonstrate a thorough neurological examination
• Develop skills in reading brain and spine imaging studies including MRIs and CTs
• Have the opportunity to do a supervised lumbar puncture,
• Be introduced to EEGs and other neurophysiological studies
• Have the opportunity to observe neurological surgical procedures in the operating room

 

Objectives:

 

Neurology Objectives:

• Demonstrate the ability to take a thorough history and to perform a neurological examination.
• Become familiar with the indications for neuroimaging, neurophysiological, and other neurointerventional studies as well as neurosurgical procedures.
• Develop some skills in the reading and interpretation of basic neuroimaging studies including  MRI, CT, and MRA.
• Demonstrate the ability to formulate a differential diagnosis for neurological and neurosurgical patients.
• Demonstrate the ability to recognize certain patterns of neurological disorders.
• Subinterns should demonstrate the ability to effectively communicate with patients, patients’ family members and other members of the healthcare team in a culturally sensitive manner.
• Subinterns should be able to demonstrate their ability in coordinating care for their patient between the emergency department, the medicine ward and the outpatient clinics.  To do so the student should demonstrate the ability to work well with healthcare providers and other ancillary staff in the efficient use of resources to care for their patients.
• Subinterns should demonstrate their ability to manage information in their day-today tasks in patient care.  This includes demonstrating ability in proper use of systems-based resources (eg. electronic medical records, patient lists, digital radiology files), proper patient care chart documentation, as well as appropriate use of paper and electronic clinical references.