Knowledge/Skills:
Patient Care1. 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.Interpersonal Communication
1. Communicate with patients and families to explain the diagnosis, evaluation, and treatment plan for the admitting problem.
2. Play an active role in discussions with patients and families on goals of care.
3. Use the electronic medical record to document H&Ps, daily notes, and discharge summaries in a detailed, concise, and timely manner.
4. Explain discharge medications, follow-up, and other relevant information to patients and families.
5. Present concise, organized H&Ps and daily notes and modifying the language used based upon whether the presentation is during patient centered rounds vs table rounds.
6. Communicate effectively with consulting physicians in the care of neurologic disease.Professionalism
1. Recognize the indications for contacting an upper level resident or attending.
2. Dress in professional attire with ID badge always within sight.
3. Arrive at scheduled events on time and prepared.
4. Treat all patients, staff, students, residents, and faculty with dignity and respect.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.