2018-2019 M3/M4 Course Syllabi
Neurosurgery
COURSE NUMBER:
26 01 03
TITLE:
Neurological Surgery Acting Internship -ICE
This elective provides both inpatient and outpatient experience in neurosurgery at the acting internship level with preoperative, intra and postoperative exposure to a wide variety of neurosurgical patients. Each student will perform a neurological examination to assess a patient's neurological status. The student will be exposed to various diagnostic testsand from these test are used to diagnos:i specific disorders. At completion of the rotation the student will have an understanding and appreciation of neurosurgery as a surgical subspecialty.
PREREQUISITES:
Student should be in the fourth year of a medical school that is fully accredited by the LCME.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
DIRECTOR:
Kerry Crone, MD
kerry.crone@uc.edu
558-5387
Stetson, 2200
ADMINISTRATIVE SUPPORT PERSON:
Penny Schwab
penny.schwab@uc.edu
558-3903
MSB, 5213
INSTRUCTOR:
JosephCheng, MD
SITE(S):
Christ Hospital- Neurosurgery
University of Cincinnati Medical Center
MAX ENROLL:
4 
ROTATIONS:
Rotation Dates Max
1 07/02/2018 - 07/27/2018 4
2 07/30/2018 - 08/24/2018 4
3 08/27/2018 - 09/21/2018 4
4 09/24/2018 - 10/19/2018 4
5 10/22/2018 - 11/16/2018 1
6 11/26/2018 - 12/21/2018 1
7 01/02/2019 - 01/25/2019 0
8 01/28/2019 - 02/22/2019 0
9 02/25/2019 - 03/22/2019 0
10 03/25/2019 - 04/19/2019 0
11 04/22/2019 - 05/17/2019 0
12 05/20/2019 - 06/30/2019 0

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
Mon-Fri, 6 AM -6 PM. Must take a minimum of “4” night calls; “1” night should be a weekend.
REPORT 1ST DAY:
UCMC 4108 6:00 am

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • One(1) night per week or 4 times during rotation
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Participate in neurosurgical operative procedures
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook with specific attention to the following policies and procedures pertaining to the learning environment:


The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Chief Resident
TEACHING:
40% Attending Physician
30% Senior Resident
30% Other Faculty
FEEDBACK:
Faculty
ASSESSMENT:

ASSESSMENT METHODS:
Exam, Institutionally Developed, Oral
FINAL GRADE:
70% Clinical work performance evaluations
10% Attitude, e.g., professionalism, motivation etc
20% Topic presentation
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

1.    Develop interpersonal skills with neurologic patients and their families.

Curricular Resources :

Handbook of Neurosurgery by Mark Greenberg, MD. 7th edition.


The Department will provide each student with a loaner copy of this book while he/she is on
the neurosurgery service. Other resources (computer programs, activities, videos, slides, etc.)

Knowledge/Skills:

1.   Perform a complete and comprehensive neurological examination.

2.    Assess clinical level of neurologic dysfunction and propose etidogic differential diagnosis.

3.    Assess skull and spine x-ray films, CT and CTA scans,  MRI, MRA and MRV scans.

4.     Interpret relevant laboratory  data including intracranial pressure, mean arterial blood pressure, arterial blood gases, and central venous pressure as they relate to proper management of the neurologically impaired patient and serum electrolytes and osmolality.

 

5.     Differentiate between traumatic injury, metabolic disorders, congenital anomalies, tumors and infections which result in neurologic dysfunction with specific reference to their presentation and methods of treatment.

 

6.     Determine need for invasive studies, i.e. cerebral angiography.

7. Undertake initial management of the acutely impaired neurologic patient by assessing the degree of neurologic dysfunction, assessing the quality of the airway.

 

8. Undertake management of the acutely impaired neurologic patient in the NSICU under the auspices of the neurocritical care faculty.

Main Course Topics :
Neurological examination of patients.
Neurological assessment I management of trauma.
Neurological assessment I management of cervical and lumbar pathology.
Neurological assessment I management of intracranial lesions (tumors).
Neurological assessment I management of cerebrovascular disease.
Neurological assessment I management of pediatric patients.
Objectives:

Other Resources - Audiovisuals:
Teaching videos available through the Department of Neurosurgery.
Other Resources - Computer resources:
Internet
Other Resources - Other :
Learning files are available upon request.
Procedures:

1.   Perform a lumbar puncture for cerebrospinal fluid.

2.     Understand the indications for various invasive procedures including angiography, intracranial pressure monitoring, and placement of arterial and central venous lines.

SAMPLE WEEK

Monday:
6:00AM 7:30AM Rounds with the resident team UCMC room 4108
7:30AM 6:00PM Surgery/Faculty Clinics
Tuesday:
6:00AM 7:30AM Rounds with the resident team UCMC room 4108
7:30AM 6:00PM Surgery/Faculty Clinics
Wednesday:
6:00AM 7:00AM Rounds with the resident team UCMC room 4108
7:00AM 8:00AM Journal Club/Professor Rounds
8:00AM 9:00AM NS Grand Rounds
9:00AM 10:00AM Case Review Conference
1:00PM 6:00PM Resident Clinic, UCMC
Thursday:
6:00AM 7:30AM Rounds with the resident team UCMC room 4108
7:30AM 6:00PM Surgery/Faculty Clinics
Friday:
6:00AM 7:30AM Rounds with the resident team UCMC room 4108
7:30AM 6:00PM Surgery/Faculty Clinics
SCHEDULE NOTE:

Report daily (Monday-Friday) to the Neurosurgery Resident Office, University Hospital, Room 4108, at 6:00 am for  morning rounds.

The Chief Resident/Senior Resident will be responsible for making your assignments. 

Your are required to take night call a minimum of "4" times during this rotation; "1" night should be a weekend.

Attend at least "2" Ambulatory Care Clinic~ "1" must be with the Department Chairman.

Attend operative procedures whenever possible; however, do not exclude other responsibilities e.g. scheduled conferences, lectures and ambulatory care clinics. 

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observances and Class Attendance Policythat respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Accommodation for Religious Purposes, Medical Student Handbook.




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