Knowledge/Skills:
The elective acting intern will be able to:
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 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.