2024-2025 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, Ataxia and functional disorders.
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:
Syed Zaidi
zaidisd@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Angela Bustamante
bustamam@uc.edu
513-558-1754
MSB, 7103A
SITE(S):
UCMC - Movement Disorders
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 1
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 1
9 12/16/2024 - 01/10/2025 1
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
13 04/07/2025 - 05/02/2025 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 p.m. Monday-Friday
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Ambulatory
  • Conference
  • Journal Club
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
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:
100% Attending Physician
FEEDBACK:
ASSESSMENT:
Assessment of student's history taking and examination skills focusing on movement disorders and ability to recognize the basic phenomenology of common movement disorders like Parkinson's disease and essential tremor. Also presentation skills will be assessed (discussion with attending and formal topic presentation at the end of elective).

ASSESSMENT METHODS:
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Oral Patient Presentation
Participation
Self-Assessment
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
        Reading and/or Texts
-    Parkinson’s disease and Movement Disorders (Jankovic and Tolosa)
-    Disorders of Movement (Martino, Espay, Fasano, and Morgante)       
-   Continuum- movement disorders addition

·        Other Resources - Computer resources

- Movement Disorder Society Unified Parkinson’s disease Rating Scale (MDS-UPDRS): 


- Online International Parkinson’s and Movement Disorders Society Fundamental series. Access as follows: 

Go to https://www.movementdisorders.org/MDS.htm then click on “education” tab, then on drop down menu click on “e-learning”, scroll to bottom of badge and click button that says “non-member” and select “fundamental series”. All of the lectures in the fundamental series are free. You will have to “add them to the cart” and check out to access them but you do not have to put in any payment information. These are the courses I recommend which include videos.
-MDS Fundamentals Course: Ataxias
-MDS Fundamentals Course: Autonomic and Sleep and Other Non-motor Complications (pre-motor and advance non-motor)
-MDS Fundamentals Course: Chorea (including HD)
-MDS Fundamentals Course: Classification and Approach to the Patient with Movement Disorders
-MDS Fundamentals Course: Diagnosis of Parkinson's Disease
-MDS Fundamentals Course: Drug-Induced Movement Disorders
-MDS Fundamentals Course: Dystonia
-MDS Fundamentals Course: Functional Movement Disorders
-MDS Fundamentals Course: Management of Advance Stage Parkinson's disease (motor fluctuations)
-MDS Fundamentals Course: Management of Early Motor Parkinson's disease
-MDS Fundamentals Course: Multiple System Atrophy
-MDS Fundamentals Course: Myoclonus
-MDS Fundamentals Course: Tauopathies- PSP and CBD
-MDS Fundamentals Course: Tremors (other than PD)

 - Functional Movement Disorder online lecture by Dr. Kathrin LaFaver, MD:

https://www.youtube.com/watch?v=fuPaaXkrQXk

Instructional Methods:
• Evaluating and presenting movement disorder patients in the outpatient setting
• Reading the provided educational material for the course
• Attending movement disorder conferences/lectures and neurology grand rounds
• Presentation on movement disorder topic of choice at the end of the rotation

Knowledge/Skills:
  • Become proficient in performing a movement disorders history and exam and presenting movement disorders patients to the attending in the outpatient setting. 
  • Become familiar with 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 
  • Analyze and assess literature appropriate to movement disorders.
  • Display proficiency in the use of the Movement Disorder Society Unified Parkinson’s disease Rating Scale (MDS-UPDRS)

Main Course Topics :
  • Parkinson’s disease and atypical parkinsonism
  • Chorea and other hyperkinetic movement disorders
  • Dystonia
  • Tremor
  • Myoclonus
  • Ataxia
  • Functional movement disorders
  • tics
  • drug induced movement disorders
Procedures:
N/A
Remediation Plan:
Options Include but must be discussed with director:

1. Complete the online movement disorders courses as listed on movement disorders society (MDS) web site. (see below)
2. Arrange to attend extra clinc
3. Attend a DBS Procedure

Movement Disorder Society Unified Parkinson’s disease Rating Scale (MDS-UPDRS): 


- Online International Parkinson’s and Movement Disorders Society Fundamental series. Access as follows: 

Go to https://www.movementdisorders.org/MDS.htm then click on “education” tab,  scroll to bottom of the page and select “fundamental series”. All of the lectures in the fundamental series are free. You will have to “add them to the cart” and check out to access them but you do not have to put in any payment information. These are the courses I recommend which include videos.
-MDS Fundamentals Course: Ataxias
-MDS Fundamentals Course: Autonomic and Sleep and Other Non-motor Complications (pre-motor and advance non-motor)
-MDS Fundamentals Course: Chorea (including HD)
-MDS Fundamentals Course: Classification and Approach to the Patient with Movement Disorders
-MDS Fundamentals Course: Diagnosis of Parkinson's Disease
-MDS Fundamentals Course: Drug-Induced Movement Disorders
-MDS Fundamentals Course: Dystonia
-MDS Fundamentals Course: Functional Movement Disorders
-MDS Fundamentals Course: Management of Advance Stage Parkinson's disease (motor fluctuations)
-MDS Fundamentals Course: Management of Early Motor Parkinson's disease
-MDS Fundamentals Course: Multiple System Atrophy
-MDS Fundamentals Course: Myoclonus
-MDS Fundamentals Course: Tauopathies- PSP and CBD
-MDS Fundamentals Course: Tremors (other than PD)







SAMPLE WEEK

Monday:
8:00AM 9:00AM Journal club
9:30AM 12:00PM DBS MER observation
12:00PM 1:00PM Lunch
1:00PM 5:00PM Independent study, presentation preparation
Tuesday:
8:00AM 12:00PM West Chester clinic
12:00PM 1:00PM Lunch
1:00PM 5:00PM West Chester clinic
Wednesday:
8:00AM 11:00AM 1st and 3ed Wednesday DBS CONFERENCE 9:00am-10:30am, 2nd Wed DBS surgery
12:00PM 1:00PM Neurology grand rounds
1:00PM 5:00PM Independent study
5:00PM 6:00PM MDVR 1st and 3rd Wednesday
Thursday:
8:00AM 12:00PM UCGNI clinic
12:00PM 1:00PM Lunch
1:00PM 5:00PM UCGNI clinic
Friday:
8:00AM 12:00PM UCGNI CLINIC
12:00PM 1:00PM Lunch
1:00PM 5:00PM UCGNI CLINIC
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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