Medical Student Clerkship
The neurology clerkship at the University of Michigan Medical School is a required, 4-week experience in the third year. The goal is to teach students the principles and skills underlying the recognition and management of the neurologic diseases a general medical practitioner is most likely to encounter in practice. Further discussion of the core curriculum of the neurology clerkship is available at http://www.aan.com/students/clerkship/neurology_clerkship.pdf
Supervising Faculty:
| University Hospital (Clerkship Director) |
Douglas Gelb, Ph.D., M.D. dgelb@umich.edu
1914 Taubman Center SPC 5316
734-936-4549 |
| Veteran's Administration Medical Center |
Judy Heidebrink, M.D. jheide@umich.edu
2215 Fuller Rd
Ann Arbor , MI
734-761-7562
|
| Henry Ford Health System |
Brian Silver, M.D. silver@neuro.hfh.edu
Department of Neurology
Clinic Building K#11, Rm West #1115
2799 West Grand Blvd
Detroit , MI 48202
313-916-9107 |
| St. Joseph Mercy Health System |
Robert J. Levy, M.D.
A2 Neurology PC, Reichert Bldg.
5333 McAuley Dr, Ste 3112 - R
Ypsilanti , MI 48197
734-712-1400 |
| Jackson |
John Wald, M.D.
johnwald@umich.edu
1100 E Michigan Ave
Suite 302
Jackson , MI 49201
517-788-8408 |
|
Clerkship Objectives:
A. Knowledge
1. Recognition of which symptoms and signs suggest neurologic disease.
2. Ability to localize the region (or regions) in the nervous system where malfunction could produce a given constellation of symptoms and signs.
3. Ability to generate a differential diagnosis for a given constellation of symptoms and signs.
4. Ability to decide which diagnostic tests will narrow the differential.
5. Familiarity with clinical features of the most commonly encountered neurologic conditions: cerebrovascular disease, seizures, headaches, back pain, incontinence, visual symptoms, disequilibrium, dementia, movement disorders, neuromuscular disease, and acute mental status changes.
B. Skills
1. Ability to elicit historical information relevant to a patient's symptoms to identify and characterize neurologic disease.
2. Ability to perform a neurologic examination, and to identify significant abnormalities.
3. Ability to deliver a concise, logically organized and complete presentation (both oral and written) of a patient's history and physical, with a discussion of localization, differential diagnosis, diagnostic plan, and treatment plan.
C. Procedures
1. Ability to perform a lumbar puncture and interpret the results.
How students will be evaluated to ensure that each objective is met:
1. Performance in informal ward setting (evaluation form to be completed by resident).
2. Performance in formal teaching sessions (evaluation form to be completed by faculty).
3. Faculty rating of oral and written presentations (evaluation form to be completed by faculty).
4. Performance on written exam(s).
Methods to be used in student evaluation:
1. Observation of performance by faculty.
2. Observation of performance by house officers.
3. Logbook entries.
4. Assessment of write-ups/reports.
5. Written/oral tests.
Distribution of student's time (in half-days/clerkship):
| |
UM-Inpt |
UM-consult |
VA |
SJMH |
HFH |
Jax |
| # students |
6-8 |
2 |
3 |
2 |
1-2 |
1 |
| # half-days Inpatient Care |
40 |
32 |
20 |
20 |
30 |
10 |
| # half-days Outpatient Care |
4 |
8 |
20 |
20 |
15 |
30 |
|
Average number of patients seen by student each week: 2
On-call responsibility: 2 or 3 shifts during the 4-week period.
Where to report first day of clerkship: 1912 Taubman Center ; 7:45 a.m.
On the first day of your Neurology Clerkship, please report to the DeJong Library - 1912 Taubman Center - at 7:45 a.m. for your orientation session. (Directions: Go to the 1st floor of the Taubman Center building, and enter Neurology Clinic "C". Go through the waiting area and through the long hallway lined with department photos until it dead-ends at a hallway where there is a sign that says "Department of Neurology" and lists faculty names. Turn right and pass the hallway immediately on your left. The department library is Room 1912, the third door on your left (a sign is next to the door).
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