2020-2021 M3/M4 Course Syllabi
Neurology
COURSE NUMBER:
10 01 02
TITLE:
ELECTIVE ACTING INTERNSHIP IN NEUROLOGY -ICE
The student will function as the primary caregiver in the inpatient setting as part of a team of residents and faculty. The student will complete admission orders, history and physicals, diagnosis, follow-up care, and discharge planning under the supervision of attending faculty and senior residents. Will attend neurology resident conferences.
PREREQUISITES:
Successfully passed Clerkship in Neuroscience
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
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: NO
COURSE LENGTH:
4
DIRECTOR:
John Quinlan, MD
john.quinlan@uc.edu
558-5443
MSB, 7103
ADMINISTRATIVE SUPPORT PERSON:
Angela Bustamante
bustamam@uc.edu
513-558-1754
MSB, 7103A
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 07/06/2020 - 07/31/2020 2
2 08/03/2020 - 08/28/2020 2
3 08/31/2020 - 09/25/2020 2
4 09/28/2020 - 10/23/2020 2
5 10/26/2020 - 11/20/2020 2
6 11/23/2020 - 12/18/2020 2
7 01/04/2021 - 01/29/2021 2
8 02/01/2021 - 02/26/2021 2
9 03/01/2021 - 03/26/2021 2
10 03/29/2021 - 04/23/2021 2
11 04/26/2021 - 05/21/2021 2

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:
7:00 am - 5:00 pm Monday - Friday
REPORT 1ST DAY:
Orientation 7870 CARE 800am

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Journal Club
  • 5 days of night shift (8 pm to 8 am), but they do not work days during those 5 days
  • 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.
TEACHING:
50% Attending Physician
50% Senior Resident
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Harrisons Textbook of Medicine, 18th edition, section 17
Knowledge/Skills:
 Patient Care

1.  Elicit focused and complete history and physical, acquiring the relevant information that is appropriate for the patient encounter.

2.  Obtain supplemental historical information from sources other than the patient.

3.  Perform a comprehensive neurologic physical examination in a logical, organized, and thorough manner.

4.  Order laboratory test based upon the differential diagnosis for a given patient that is appropriate for the student’s level of training.

5.  Implement and follow thru on treatment plans for the patients’ main diagnosis at an appropriate level for the student’s training.

6.  Discharge patients in a safe manner, demonstrating the importance of continuity of care to the primary care physician.

7.  Interpret laboratory data, EKGs, and radiology films at the appropriate level for the student’s training.

Medical Knowledge

1.  Formulate the neurologic differential diagnosis based upon patients signs and symptoms.

2.   Use basic neuro-anatomy as the foundation for localization in neurologic disease.

3.  Understand the systems of practice for diagnostic modalities, such as lumbar puncture, EEG, EMG, and MRI.

4.  Create and use a list of commonly used medications for the care of stroke, epilepsy, neuromuscular emergencies, and neuro-behavioral issues.
Main Course Topics :
1.    Cerebrovascular Disease: Ischemic Stroke, Intracerebral Hemorrhage, Subarachnoid Hemorrhage
2.    Epilepsy and Seizures
3.    Neuromuscular Emergencies: Guillain Barre, Myasthenia Gravis, ALS
4.    Encephalopathies, Delirium, Dementia
5.    CNS Demyelinating Diseases: Multiple Sclerosis, Devic’s
6.    Neuro-Oncology: Glioblastoma, Astrocytoma
7.    Parkinsonism
8.    Neuro-Critical Care: Traumatic Brain Injury, ICH
9.    Neuro-Infectious Disease: Meningitis, Encephalitis
10.    Neuro-Radiology
11.    Neuro-Anatomy
12.    Neuro-Pharmacology
Procedures:
System Based Practice

1.  Participate in the team based approach to patient care, playing an active role in the team.

2.  Document and communicate clear discharge instructions for the receiving primary care physician.

3.  Actively involve a multidisciplinary approach to patient care, utilizing physical therapy, occupational therapy, nursing, speech therapy, nutrition, respiratory therapy, case management, and social work services.

4.  Understand resource utilization and begin to practice efficient and cost effective medical decision making.

Practice Based Learning and Improvement

1.  Establish a pattern of lifelong learning by reading on every patient.

2.  Critically analyze the medical literature using the principles of evidence-based medicine and biostatistics to apply the best medical evidence to the care of the patient.

3.  Exhibits an investigatory approach to knowledge deficits:  Generates questions and utilizes available resources to answer the questions.

4.   Responds to feedback provided by faculty and senior residents.


SAMPLE WEEK

Monday:
7:00AM 8:00AM PreRounding
8:00AM 9:00AM Team Rounds
9:00AM 10:00AM Collaborative Rounds
10:00AM 5:00PM Patient Care
5:00PM 5:30PM Sign Out and Transition of Care
Tuesday:
7:00AM 8:00AM PreRounding
8:00AM 9:00AM Team Rounds
9:00AM 10:00AM Collaborative Rounds
10:00AM 12:00PM Patient Care
12:00PM 1:00PM Conference
1:00PM 5:00PM Patient Care
5:00PM 5:30PM Sign Out and Transition of Care
Wednesday:
6:30AM 7:30AM PreRounding
7:30AM 8:00AM Lecture
8:00AM 9:00AM Grand Rounds
9:00AM 10:00AM Lecture
10:00AM 11:00AM Team Rounds
11:00AM 2:00PM Patient Care
2:00PM 3:00PM Collaborative Rounds
3:00PM 5:00PM Patient Care
5:00PM 5:30PM Sign Out and Transition of Care
Thursday:
7:00AM 8:00AM PreRounding
8:00AM 9:00AM Team Rounds
9:00AM 10:00AM Collaborative Rounds
10:00AM 12:00PM Patient Care
12:00PM 1:00PM Conference
1:00PM 5:00PM Patient Care
5:00PM 5:30PM Sign Out and Transition of Care
Friday:
7:00AM 8:00AM PreRounding
8:00AM 9:00AM Team Rounds
9:00AM 10:00AM Collaborative Rounds
10:00AM 12:00PM Patient Care
12:00PM 1:00PM Conference
1:00PM 5:00PM Patient Care
5:00PM 5:30PM Sign Out and Transition of Care
SCHEDULE NOTE:

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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