2019-2020 M3/M4 Course Syllabi
Neurology
COURSE NUMBER:
10 01 11
TITLE:
STROKE
Designed for seniors students who have have interest in pursuing a career in neurology, this elective provides an introduction to neurological, neurosurgical, radiological, and research aspects of cerebrovascular disease and stroke.
PREREQUISITES:
26940373 (NEUROSCIENCE CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP)

None.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4 wks
DIRECTOR:
Matthew Flaherty, MD
matthew.flaherty@uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Angela Bustamante
bustamam@uc.edu
513-558-1754
MSB, 7103A
INSTRUCTOR:
Daniel Woo, MD
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 07/08/2019 - 08/02/2019 2
2 08/05/2019 - 08/30/2019 2
3 09/03/2019 - 09/27/2019 2
4 09/30/2019 - 10/25/2019 2
5 10/28/2019 - 11/22/2019 2
6 11/25/2019 - 12/20/2019 2
7 01/06/2020 - 01/31/2020 2
8 02/03/2020 - 02/28/2020 2
9 03/02/2020 - 03/27/2020 2
10 03/30/2020 - 04/24/2020 2
11 04/27/2020 - 05/22/2020 2
12 05/25/2020 - 06/30/2020 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:
8:00 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
Stetson Room 2313 8:00 a.m. 2326

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient (Nights)
  • Conference
  • also, carry a stroke team pager and attend all calls during the day) ; required research project involving literature review and data collection, to be decided upon at onset of rotation
  • 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.

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:
Dawn Kleindorfer, MD/Llz Venn
TEACHING:
60% Attending Physician
20% Senior Resident
10% Junior Resident
10% Research Faculty
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
40% Clinical work performance evaluations
40% Attitude, e.g., professionalism, motivation etc
20% Stroke Power Point Presentation
GRADE ASSIGNED BY: Course director

OBJECTIVES

Attitudes :
1. Interact professionally and appropriately with patients and colleagues.

2. Communicate effectively with patients and colleagues.

3. Show willingness to learn and ability to self-direct and self-motivate.


  

Curricular Resources :
1. Wiebers DO, Valery CF, Brown RD.  Cerebrovascular Disease in Clinical Practice.  Boston:  Little Brown, 1997.

2. Yock, Douglas H.  Imaging of CNS Disease:  A CT and MRI Teaching File.  2nd edition.  St. Louis, Mosby Year Book, 1991.

3.  Relevant papers given for review at beginning of rotation.


 

Knowledge/Skills:


   1. Demonstrate familiarity with risk factors, prevention, and consequences of cerebrovascular disease; the evaluation and treatment of acute stroke; as well as neurological and psychosocial issues in long term follow-up of stroke patients as part of the Stroke Team.

  2. Demonstrate familiarity with common cerebrovascular neurosurgical procedures.

   a. Observe common procedures including carotid endarterectomy, aneurysm clipping, and management of acute ischemic and hemorrhagic stroke.
   b. Maintain regular contact with the cerebrovascular team to check on scheduled or anticipated surgeries that would be educationally appropriate toward this objective.

  3. Display knowledge of basic neuroanatomy, as well as familiarity with basic neuroimaging procedures, by spending one half day per week reviewing CT and MRI scans with neuroradiology staff.

   a. Observe common neuroradiologic diagnostic and interventional procedures, such as cerebral angiography and aneurysm coiling.
   b. Maintain regular contact with neuroradiology to check on scheduled or anticipated cases that would be educationally appropriate toward this objective.

  4. Gain exposure to and demonstrate familiarity with current stroke research by serving as a research assistant to one of the Department of Neurology's stroke researchers and completing a required project.

Main Course Topics :

   Cerebrovascular disease

   Stroke
    - epidemiology
    - prevention
    - diagnosis
    - acute management
    - long term management

  Common cerebrovascular neurosurgical techniques and applications.

  Common diagnostic and interventional neuroradiologic techniques.

Objectives:

Other Resources - Audiovisuals:
N/A
Other Resources - Computer resources:
Online NIHSSS Certification
Other Resources - Other :
Stroke-care teaching file,when it becomes available.
Procedures:

 1. Display proficiency with and become certified in the use of the NIH stroke scale.

  2. Systematically review CT and MRI scans, recognize normal images, and appropriately describe abnormalities if present.

  3. Further develop and demonstrate basic neurological history and physical exam skills.

 

SAMPLE WEEK

Monday:
8:00AM 12:30PM Stroke Call Team
12:30PM 1:30PM Lunch
1:30PM 5:00PM Research Project
Tuesday:
8:00AM 10:00AM Stroke Research Conference
10:00AM 12:30PM Neuroradiology CT/MRI reading
12:30PM 1:30PM Lunch
1:30PM 5:00PM Neuroradiology with Dr Kleindorfer
Wednesday:
8:00AM 9:00AM Grand Rounds
9:00AM 10:00AM Neuroscience Lecture
10:00AM 12:30PM Stroke Call
12:30PM 1:30PM Lunch
1:30PM 5:00PM Stroke Call
Thursday:
7:00AM 8:00AM Cerebrovascular/Stroke Conference
8:00AM 10:00AM Stroke Call
10:00AM 12:00PM Stroke Clinic Dr Kleindorfer/Dr Broderic
12:00PM 1:00PM Lunch
1:00PM 5:00PM Dr. Broderick
Friday:
8:00AM 12:00PM Neurosurgery Procedures
12:00PM 1:00PM Lunch
1:00PM 5:00PM Research Project
SCHEDULE NOTE:
n/a

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 Observance Policy that 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, Religious Observance Policy, Medical Student Handbook.




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