2020-2021 M3/M4 Course Syllabi
Neurology
COURSE NUMBER:
10 02 15
TITLE:
MOVEMENT DISORDERS OP -ICE
Designed for students who have interest in pursuing a career in neurology, with a special interest in movement disorders, this course provides an introduction to the diagnosis and treatment of Parkinson’s disease, Chorea, Dystonia, Tremor, Myoclonus, and Ataxia.
PREREQUISITES:
26940373 (NEUROSCIENCE CORE CLKSP)

Must be a fourth year medical student
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:
ICE, Outpatient
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
4 weeks
DIRECTOR:
Cara Jacob, MD


ADMINISTRATIVE SUPPORT PERSON:
Angela Bustamante
bustamam@uc.edu
513-558-1754
MSB, 7103A
SITE(S):
UCMC - Medical Arts Bldg
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/06/2020 - 07/31/2020 1
2 08/03/2020 - 08/28/2020 1
3 08/31/2020 - 09/25/2020 1
4 09/28/2020 - 10/23/2020 1
5 10/26/2020 - 11/20/2020 1
6 11/23/2020 - 12/18/2020 1
7 01/04/2021 - 01/29/2021 1
8 02/01/2021 - 02/26/2021 1
9 03/01/2021 - 03/26/2021 1
10 03/29/2021 - 04/23/2021 1
11 04/26/2021 - 05/21/2021 1

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 p.m. 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
  • 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:
60% Attending Physician
20% Senior Resident
20% Research Fellow
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
-    Parkinson’s disease and Movement Disorders (Jankovic and Tolosa)
-    Disorders of Movement (Martino, Espay, Fasano, and Morgante)
-    Online archive of common and rare movement disorders videos
Knowledge/Skills:
-    Discuss the key phenomenological aspects of Parkinson’s disease, dystonia, and other movement disorders.
-    Understand the rationale at the basis of pharmacological treatments of different movement disorders
-    Recognize genetic conditions with dominant and recessive inheritance and comprehend the rationale at the basis of genetic counseling
-    Interpret the report of gait analysis and other neurophysiological testing (i.e. study of tremor and myoclonus) performed in the assessment of movement disorders
-    Address ethical issues related to the diagnosis and management of functional (psychogenic) movement disorders.
-    Analyze and assess literature appropriate to movement disorders and critically report them.
Main Course Topics :
-    Parkinson’s disease and atypical parkinsonism
-    Chorea and other hyperkinetic movement disorders
-    Dystonia
-    Tremor
-    Myoclonus
-    Ataxia
-    Cost efficient medical decision making in Movement Disorders Pharmacological therapies
-    Advanced (surgical) therapies for Movement Disorders
-    Gait Analysis and other neurophysiological assessment of movement disorders
-    Deep Brain Stimulation programming
-    Dietary consideration in pharmacological therapies for Parkinson’s disease
Procedures:
-    Display proficiency and become certified in the use of the Movement Disorder Society Unified Parkinson’s disease Rating Scale (MDS-UPDRS)
-    Display proficiency in the use of the Unified Dyskinesia Rating Scale
-    Display proficiency in the use of the Scale for Assessment and Rating of Ataxia (SARA)
-    Perform a basic gait and postural assessment

SAMPLE WEEK

Monday:
8:00AM 9:00AM Journal Club
9:00AM 10:00AM Research Meeting
10:00AM 12:00PM Computer-based literature search (Preparation of Project)
12:00PM 1:00PM Lunch
1:00PM 5:30PM Deep Brain Stimulation Surgery
Tuesday:
8:00AM 12:00PM Clinic in MAB
12:00PM 1:00PM Lunch
1:00PM 5:30PM Clinic in MAB
Wednesday:
8:00AM 9:00AM Neurology Grand Rounds
9:00AM 10:00AM Neurology Residents and Students lecture
10:00AM 12:00PM Computer-based literature search (Preparation of Project)
12:00PM 1:00PM Lunch
1:00PM 4:00PM Review of Literature Preparation of Project
4:00PM 5:30PM Discussion of Complex Cases
Thursday:
8:00AM 12:00PM Clinic in MAB
12:00PM 1:00PM Lunch
1:00PM 5:30PM Gait Analysis
Friday:
8:00AM 12:00PM Review of Literature Preparation of Project
12:00PM 1:00PM Lunch
1:00PM 5:30PM Discussion of Research Project
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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