Aims & Objectives
Aims: Your global level of competency and comfort at the end of the rotation. The objectives should help you reach the Aims.
Objectives: Specific, teachable, and testable components which, in sum, will lead to the Aims.
Expectations: What we require you to do,a priori, to have an optimal and successful experience. Expectations may overlap with objectives. However, expectations may include behaviors not explicitly taught by this clerkship, but common to the role of the medical student within the health care setting.
Knowledge: Factual information, as might be conveyed by a lecture, your reading, or a written exam (e.g. the differential for vertigo).
Skills: How knowledge is communicated and applied in life (e.g. obtaining the history, performing a neurological exam, presenting the patient on rounds, and synthesizing the case to arrive at a differential).
Attitude: Behaviors and professionalism in terms of your commitment to the patient, your team, and your education. Attitude is conveyed through verbal and non-verbal cues, and is how someone else perceives you.
The Neurology Clerkship provides an immersive experience as an integral team member treating patients with diverse diseases of the nervous system. The clerkship will provide broad exposure across a range of disease acuities and severity, location of health care access, age, and subspecialties.
At the conclusion of this rotation, the student will become competent at:
- Compiling a Detailed Neurologic History and Performing a Comprehensive and Accurate Neurologic Exam.
- Localizing the Lesion, Creating a Prioritized Differential, and Communicating the Neurological Problem to Physicians.
- Understanding Common Neurologic Disorders and Recognizing Neurologic Emergencies to Initiate Treatment.
- Appreciating when to Obtain Neurological Consultation.
- Washington University School of Medicine Medical Student Competency-Based Learning Objectives
- Specific Neurology Compentency-Based Learning Objectives
Below are the Clerkship Objectives and how the Neurology Clerkship supports achieving these competencies through experiences and didactics.
Integral Team Member on a Busy Neurology Service
- Carry new and follow-up patients
- Provide continuity on your patients
- Assist with patient care duties for others on your team
Proficiency in Neurology History and Exam
- Exam Demonstration After Orientation
- Structured Neurological Exam Handout and Neurologic Exam Skills Workshop during the 2nd week
- Observing Attendings, Chiefs, and Junior Residents talk to patients and examine them on rounds
- Witnessed Exam with Feedback from Resident
- Standardized patient encounter (OSCE)
Synthesize Information for Patient Care
- Discuss Patient with Resident after Initial Work-up
- Discuss Differential Diagnosis and Management on Rounds with Attendings and Chiefs
- Weekly Student Bedside Teaching which emphasizes the Problem-Based Approach and Pro-Active Data Gathering
Present Patients Concisely
- Oral Presentation Skills Workshop
- Learn Key Components of the Case History during Bedside Teaching Rounds
- Informal Presentation to Resident after each Initial Work-up
- Presenting Patients on Daily Rounds with Team
- Listening to Resident and Other Student Present on Rounds
Knowledge of Neurological Disease
- Core Clerkship Lectures
- Localization and Imaging Workshops
- Neurosurgery Lectures
- Assigned Reading Topics
- Clinical Exposure across Inpatient and Outpatient Settings