- All students complete an electronic Required Checklist for the neurology clerkship in Oasis.
- The Required Checklist components are valuable feedback and teaching components of the clerkship. The purpose of this format is to give you autonomy in getting feedback and teaching. It is your responsibility to seek out feedback. Each required component should be electronically signed by your residents and/or attending physician. For each two week block an attending physician should conduct and sign off on the feedback evaluation. (In NOPU, the NOPU resident may sign; in the specialty clinics the attending that you work with the most can sign.)
- There may be less time pressure in inpatient rather than outpatient settings for an attending to watch the student perform patient examinations. So, you should approach your senior resident to coordinate time(s) to do this. It may be easier to do the exam in stages, doing one or a few components at a time. Avoid waiting until the end of the block to complete.
- The midpoint of each 2-week block is a good point to request feedback from the attending. By this time, everyone will know one another and attending physician will have an idea of your areas of strength as well as areas needing improvement. Please seek out this feedback.
- The minimal list of patient complaints/problems must be appropriately completed and documented on the passport (see above).
- Observing or attempting a lumbar puncture is optional, but a good idea if you get the chance.
A nation-wide accreditation rule known as ED-2 requires all clerkships in all U.S. medical schools to specify—ahead of time—a minimal list of the exact types and numbers of patients that every student must see to pass the clerkship, and must document and oversee that all students comply with this. For the Neurology clerkship, the list of conditions is as follows:
Mandatory Case Exposures
- Limb weakness
- Somatosensory deficit (e.g. Numbness, tingling)
- Gait and/or movement disorder
- Dizziness (e.g. Vertigo, light-headed)
- Specific cognitive loss (e.g. Aphasia, amnestic disorder)
- Altered level of consciousness (e.g. Delirium, coma)
- Back and/or neck pain
- Acute stroke and/or intracranial hemorrhage
- The on-line common and emergent neurological cases that you are assigned to work through on a weekly basis and will be quizzed over fulfill the ED 2 requirements. You will also see many of these problems in your clinical exposure during the neurology clerkship experience.