The Neurology Clerkship is a 4 week rotation taken during the third year of medical school. It has been designed to provide a broad experience in neurology, with ambulatory and outpatient rotations and diverse patient problems from typical complaints seen in primary care to tertiary-level, refractory neurological diseases.
Also emphasized are the basic tools of neurologic diagnosis: the neurologic history and examination. Students develop their clinical skills by actively participating in patient evaluations and learn a organized and methodical approach.
Students also learn to incorporate neurologic studies to help confirm their diagnoses, including neuroimaging (MRI, CT) and neurophysiologic studies (EEG, EMG and NCV).
Neurologic complaints are seen commonly in primary care situations, and a good understanding of neurologic conditions is essential for proper diagnosis and management. Common neurologic disorders include migraine headache, lumbar radiculopathy, dizziness, seizures, neuropathy, dementia, Parkinson Disease and stroke. During your rotation you will see many examples of these disorders and become familiar with their signs and symptoms and develop skills to evaluate and treat these common disorders.
Each 4 week clerkship consists of 4 one-week subrotations, which include:
Throughout the clerkship there is a stream of student seminars in core neurologic topics, including neurologic exam, stroke, migraine and epilepsy. Students are also welcome to attend the resident seminars, held on Tuesday at 12 noon and Thursday at 11:30 am.
Students are expected to attend all student seminars and major neurology conferences (Grand Rounds, Professor's Rounds, Neuroradiology and Brain Cutting). Students should see patients independently and take their own histories and perform exams. In addition, students should read about all their patients. A list of readings is provided on the education page.
Each student should take the practice clinical skills exam with a junior resident during the first two weeks of rotation. During the third and fourth weeks they will be given a clinical skills exam by faculty or chief resident in neurology for a grade.