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Neurology

Educational Plan: A competency based development of knowledge and skills in Neurology through clinical experience, bedside teaching, didactic conferences and readings to achieve competence, proficiency and the foundation for mastery. 

Educational Methods:

Clinical Information and Didactics

  • The consult service consists of both emergency department consults as well as floor consults from all the services of the hospital. Typically, the internal medicine resident will be directed towards floor consults, unless the resident expresses an interest in seeing a simple emergency department case. The resident will generally see one or two new consults in a given day. The internal medicine resident is expected to round with the team and present the new patients that he or she has seen to the attending neurologist. After seeing a new patient, the resident should continue to follow that patient, checking the results of recommended tests and writing progress notes.
  • Scheduling of rounds will be determined on a daily basis with the faculty member.  Residents will be permitted to leave at 6:00 pm, in the event that rounds run later into the evening.  Residents will not be required to work on weekends.

Monday

Tuesday

Wednesday

Thursday

Friday

AM

7:30 am

Morning Report

7:30 am 

Grand Rounds

7:30 am

Morning Report

7:30 am

NeuroRad Case Conference

7:30 am

Morning Report 

PM


12-1pm

Neurology Grand Rounds

 1pm

Chairman’s Rounds




  • Residents will be expected to attend all Neurology-specific conferences scheduled above.
  • Contact NMH Neurology Consultation Service Pager:  312-695-3577

Evaluation Tools: Click here

Goals and Objectives:  Review the 6 core competencies that apply to your clinical rotations.Click here.

Practice Based Learning and Improvement
  PGY2/3: Incorporate regular chart review and patient follow up to learn from your clinical care.  Incorporate evidence based medicine into clinical decision making.  Review the latest research pertaining to your your patients.  Teach and mentor students and interns.
 
Systems Based Practice
  PGY2/3: Work in a multi-disciplinary team to provide high quality coordinated care.   Ensure accurate and timely documenation through the use of the electronic medical record.  Use knowledge and skills in quality improvement and patient safety to deliver safe and effective care.  Apply team leadership skills in appropriate settings.  Practice cost effective medicine with an awareness of health care economics and patient insurance status. 
 
Interpersonal Skills and Communication
  PGY2/3: Use effective listening skills with patients and health care providers.  Elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills.  Develop interpersonal and communication skills necessary to run an effective clincal team in the ambulatory.  Role model and teach effective communication techniques. 
 
Professionalism
  PGY2/3: Carry out your professional responsibilities in a timely manner.  Adhere to the ethical principles of a patient-centered practice.  Be sensitive to a diverse patient population and health care staff. Understand how biases influence clinical care, patient-physician interactions and health team interactions.  Role model and provide feedback to students and interns the principles of humanism in medicine.
 
Patient Care and Medical Knowledge­­­­­­­
PGY2,3
  • Review the diagnostic approach to a variety of acute neurological problems in theinpatient and outpatient setting
  • Define management strategies for common acute neurological problems.
  • Describe neurological localization based syndromatic diagnosis
  • Elicit pertinent findings on physical exam and perform a complete neurologic exam
  • Formulate a differential diagnosis for common syndromes and clinical presentations
  • Review the indications for neurologic consultation in ambulatory and hospitalized patients
  • Utilize imaging studies in a cost-effective manner

­­­­­­­­­­­­­­References:

  • Residents library in 12E conference room has a large selection of neurology texts to be used as references. Selected list is attached below. Residents are also expected to do literature searches on the topics that come up in teaching rounds.

General Neurology

  • Rowland, L. Merritt’s Textbook of Neurology. Ninth Edition Williams & Wilkins, Baltimore, Philadelphia, last edition
    • An excellent clinical text, easy to read
  • Adams, R. Victor, M. Ropper, A. Principles of Neurology. Sixth Edition McGaw-Hill, New York, St. Louis, San Francisco, 1997
    • More in depth discussion of anatomy, good chapter on vascular neurology
  • Mayo Clinic and Mayo Clinical Foundation. Clinical Examination in Neurology, 6th ed. St. Louis, Mosby-Year Book, 1991
    • A very comprehensive review of the clinical exam
  • DeJong, R. Revised By Haerer, A.F. DeJong’s The Neurologic Examination.  Fifth Edition J. B. Lippincott Company, 1992 
  • Fishman, R. Cerebrospinal Fluid in Diseases of the Nervous System. Second Edition W.B. Saunders Company, Harcourt Brace Jovanovich, Inc., Philadelphia, 1992
  • Plum, F.  Posner, J.B. The Diagnosis of Stupor and Coma. Edition 3 F.A. Davis Company,  Philadelphia, 1982
    • Have to read the first chapter, the rest of the book should be used as a reference
  • Johnson, R. Current Therapy In Neurologic Disease – 3.B.C. Decker, Inc., Philadelphia, Toronto, 1990
  • Saper, J. Silberstein, S. Gordon, D.  Hamel, R. Swidan, S. Handbook of Headache Management. Lippincott Williams & Wilkins, 1999
  • Samuels, M. A  Manual of  Neurologic Therapeutics, 6/E. Lippincott Williams & Wilkins, 1999
  • Goldstein PJ, Stern BJ. Neurological disorders of pregnancy, 2nd ed.Futura Publ Company, New York, 1992

Critical Care Neurology

  • Wijicks E. The clinical practice of critical care neurology. Lippencott-Raven, 1997
  • Weiner,W. Shulman, L. Emergent and  Urgent Neurology. Second Edition
    • Lippincott Williams & Wilkins, 1992

Neuroanatomy

  • Gilman, S. Newman W. Manter and Gatz essentials of Clinical Neuroanatomy and Neurophysiology. Edition 8, F.A. Davis Company, Philadelphia, 1992

For an extended list of references with direct article links, sign in to the Galter Health Library website at:

http://www.galter.northwestern.edu/guides/expand/resident-reading-lists