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Department of neurology



NEU1-3001/F NEUROLOGY REQUIRED CLERKSHIP-MEMPHIS/CHATTANOOGA/KNOXVILLE

Course Coordinator: Dr. Mervat N. Wahba

Size: 14

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
"This four-week (one block) required clerkship is only offered in Memphis and in selected months in Chattanooga and Knoxville.  Students are assigned for Adult or Pediatric Neurology to one of four primary locations that have Neurology Residents in Memphis: The Regional Medical Center, the Veterans Administration Medical Center, the Methodist University Hospital, or Le Bonheur Children’s Hospital. In Chattanooga the students are assigned to Erlanger Medical Center and in Knoxville the students are assigned to UT Medical Center.
Students who are particularly interested in primary care or pediatrics/pediatric subspecialties should consider requesting the rotation at LeBonheur. Four students only, who are particularly interested in primary care or pediatrics/pediatric subspecialties, per block, may elect to be assigned to the Pediatric Neurology-based rotation at the LeBonheur Children’s Hospital.  This must be requested at least one month in advance
Since the LeBonheur site is limited to four students, who are anticipating going into pediatrics or pediatric subspecialties, we ask that students, who will be working with adult patients, please choose one of the other three sites. All students will get some training in pediatric neurology when they do their pediatric rotation.
Irrespective of their assigned location, all students meet several times per week in the Neurology Department Library in order to attend formal teaching rounds in a case-discussion or team-based learning format. Attendance at these lectures, Grand Rounds and other scheduled teaching conferences is mandatory.  Students are exposed to patients with neurological disorders in outpatient/ambulatory, inpatient, and emergency room settings.  Students work closely with the Neurology staff physician (attending) and the resident physicians.  Students also participate in all of the Neurology Department's clinical conferences.
Scheduled absences from this clerkship should be avoided whenever possible. For students who must be absent, please familiarize yourself with the FAQs and the Student Handbook, especially the pages regarding absences and bonus exam. These can be found on Bb under the Neurology Clerkship.
The objectives of this clerkship are to:


  1. Develop skills in neurological history taking and in the performance and interpretation of the neurological examination.

  2. Apply neuroanatomy principles to localize the lesion within the nervous system

  3. Recognize common neurological emergencies and initiate their treatment

  4. Understand Pathophysiology and management of common neurological disorders.

For further information regarding this clerkship policies and procedures, please go to the Bb site for the Neurology Clerkship, http://courses.uthsc.edu/



NEU1-3010/F JI Any – Senior Clerkship in Neurology

Course Coordinator: Dr. Mervat Wahba

Size: 3

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.


The student will participate as an “Acting Intern” on the Neurology service. All students must first satisfactorily complete their core rotations in internal medicine and in neurology. The clerkship lasts 4 weeks and may be performed at the Regional Medical Center, the Veterans Administration Medical Center, Methodist University Hospital or the Methodist-LeBonheur Children’s Hospital. Acting student interns will be given the same scope of responsibilities as a PGY-1 resident.
The objectives of the rotation are:
1. To improve skills in obtaining an accurate neurological history

2. To improve skills in the neurological examination

3. To improve anatomical localization of the lesion

4. To improve the pathophysiological analysis of the lesion

5. To gain practical experience in the diagnosis and management of common neurological disorders

6. To become aware of the core competencies in neurology and how they will be used in the student evaluation


Responsibilities will include inpatients and outpatients and limited neurology night call (every fourth night until 10 PM) and weekend call (rounding on either Saturday or Sunday morning but not both). The student will follow between 3 and 5 inpatients at any given time and will be responsible for the H&P, daily orders, daily notes, on-service notes, transfer and off-service notes, and discharge summaries and write prescriptions for your patients upon discharge. The student is expected to read about his or her patients (neurology textbooks and journal articles), discuss the case daily with the chief resident and present to the attending. The student will also see 2 or 3 outpatients in a weekly clinic, present each case to the attending and write the note that the attending reviews and co-signs. Attendance at neurology conferences is required except when dealing with a neurological emergency. Vacation cannot be taken during the rotation. The student will receive informal feedback from the attending after two weeks and formal evaluation at the completion of the clerkship with an emphasis on the neurology core competencies. A copy of the core competencies evaluation form will be provided at orientation along with other materials.


NEU1-4012/F NEUROMUSCULAR DISEASES

Course Coordinator: Dr. Tulio Bertorini

Location: UT/Meth/MDA Clinic

Size: 1

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This will be a block elective that involves a preceptorship and tutoring in the study of diseases of the motor neuron, peripheral nerve, and muscle. Students will work closely with Dr. Bertorini in neuromuscular clinics, workup and therapy of neurology inpatients and consultations, performance of electromyography and nerve conduction studies, and neuropathological-histochemical evaluation of neuromuscular disorders.


NEU1-4013/F CLINICAL NEUROLOGY - CONSULTATION SERVICE

Course Coordinator: Dr. Michael Jacewicz

Location: VA Medical Center

Size: 2

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This course will supplement core training in neurology with exposure to acute neurological conditions on the consultation service. The student will have responsibility for 4-6 patients per week. Responsibility will be graduated and depend on the urgency and complexity of the consultation. Whenever feasible, students will see consults first. They will present the patients to their resident and/or attending on the same day. Students will interact with neuroradiologists, neurosurgeons, and other subspecialists as needed to implement their plan (under the close supervision of the consult resident and attending). They will write the initial consult note and follow-up notes as clinically indicated. The resident or attending will read and cosign all notes. The attending will write a separate consultation note as well. The resident will see all student consults promptly (on the same day as the student). The attending will see the patient within 24 hours of the consultation request. Students will discuss their patients with the resident and attending on a daily basis except weekends. The resident or attending will read and cosign all student notes. The student will supplement his acute neurology experience by attending Neurology clinic once or twice per week. He or she will see 1-3 patients and present these to the resident and/or the attending. All patients will receive separate resident and/or attending notes for these patients. The student will attend resident teaching rounds (held daily during the week), Neurology Grand Rounds, and various other departmental and related seminars (optional). Night call is optional. If the student chooses to take night call, night call will end at midnight. Optional weekend call would start at 8AM and last no later than midnight.

NEU9-4010/F VISITING ELECTIVE IN NEUROLOGY

Course Coordinator: Department Chair

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This course number is used by UTHSC students only for scheduling a visiting elective at another medical school for which credit is granted at UTHSC.


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