Neurology

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M35/828  Neurology Sub-Internship for Visiting US Medical Students

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This four-week elective for fourth-year visiting students from a US medical school provides the option (space permitting) of four weeks of Adult Inpatient Service (Stroke for 2 weeks, General Neurology for 2 weeks), or two weeks on an Adult Inpatient Service and two weeks on the Adult Consult Service.

Students on the inpatient service will function as a Sub-Intern under the supervision of their junior resident, chief resident, and attending physician. The student will also attend weekly clinical conferences and a weekly outpatient clinic experience. This elective is suitable for visiting fourth-year students interested in Neurology, who wish to improve their Neurology knowledge and skills.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Consult Service: Inpatient 90%, Outpatient 10%
Inpatient Service: Inpatient 90%, Outpatient 10%

Major Teaching Responsibility
Consult Service: Single attending and resident
Inpatient Service: Single attending, chief resident, junior resident

Patients Seen/Weekly
Consult Service: 10-12
Inpatient Service: 8-12

On Call / Weekend Responsibility
Consult Service: No call. Work one day per weekend
Inpatient Service: Every 4th night

M35/830  Neuro-Oncology

Valid start weeks for 4-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Provide an outpatient-oriented combined pediatric and adult neuro-oncology experience for 4th year medical students. (1) Attend multidisciplinary adult and pediatric neuro-oncology clinics and case conferences (tumor boards); (2) Attend adult and pediatric radiation oncology clinics; (3) Attend neuropathology brain tumor review; (4) Participate in subspecialty brain tumor clinics; (5) Attend monthly brain tumor research conferences.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Outpatient 90%, Conferences/ Lectures 10%; Subspecialty Care 100%

Major Teaching Responsibility
Team teaching in clinic

Patients Seen/Weekly
50 patients

On Call / Weekend Responsibility
None

M35/851 Neurology

Valid start weeks for 4-week blocks are: Weeks 9, 13, 17, 21, 33, 37 and 41.

This elective provides the opportunity to learn about clinical research and clinical care in health brain aging and dementia. Students should contact Dr. Morris or Dr. Snider to discuss this, as this elective is customized based on student interests. This can be a two-week or four-week elective. Students can gain proficiency in interviewing techniques and in the neurologic examination of the geriatric patient, and be introduced to neuropsychology, neuropathology, biomarkers, neuroimaging, genetics, and other biomedical procedures important in the diagnostic evaluation of older adults. The Knight ADRC is an interdisciplinary group, so students have the opportunity to interact with physicians, nurse clinicians, psychologists, and social workers, and to explore the neuropsychology, neuropathology, biomarkers, neuroimaging, genetics, and other biomedical procedures used in the diagnosis of dementing disorders such as Alzheimer’s disease, dementia with Lewy bodies, frontotemporal dementias, cerebrovascular disorders, and affective disorders.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Varies based on student interest: a typical distribution would be Research and Clinical Patient Evaluation 80%, Conferences/Lectures 20%, Subspecialty Care 100%

Major Teaching Responsibility
Attending neurologists, psychiatrists, and geriatricians involved in the evaluation of memory and aging

Patients Seen/Weekly
6-12

On Call / Weekend Responsibility
None

M35/859  Neonatal Neurology

Valid start weeks for two-week blocks are: Weeks 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25, 27, 29, 31, 33, 35, 37, 39, 41, and 43.

The Neonatal Neurology elective will consist of a combination of inpatient and outpatient experiences designed to provide medical students with comprehensive exposure to the field. Through the rotation, students will actively participate in all aspects of patient care, acquiring the knowledge and skill necessary to effectively manage infants with neurological disorders, including encephalopathy, stroke, seizures, hypotonia, intraventricular hemorrhage, and periventricular leukomalacia, among others. Clinical activities will be tailored to fit the interests and goals of the individual student and include a combination of inpatient and outpatient exposures. Inpatient activities will occur in the St. Louis Children’s Hospital Neonatal Intensive Unit as part of the Neonatal Neurology Consultation service. Outpatient activities will occur in the St. Louis Children’s Hospital Outpatient Clinics. Students will also attend educational conferences specific to the field during the rotation, including Neonatal Neurology Clinical Conference and Neonatal Neuroradiology Conference.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Inpatient 60%; Outpatient 30%; Conferences/Lectures 10%; Subspecialty Care 100%

Major Teaching Responsibility
Pediatric Neurology faculty attending on consult service and in outpatient clinics

Patients Seen/Weekly
25-30

On Call / Weekend Responsibility
None

M35/860  Pediatric Neurology

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

The senior elective experience in child neurology is designed to adapt to the individual goals and objectives of students. The elective takes place in two 2-week blocks that occur among five possible venues as chosen by the student: (1) Outpatient clinics, (2) In-patient ward service, (3) In-patient general consult service, (4) NICU consult service, and (5) Video EEG (VEEG) monitoring service. The combination of services and experiences will be arranged directly between the student and the Course Master prior to beginning the rotation. In the outpatient clinics, students will rotate between a variety of subspecialty clinics and work with a variety of attendings in order to experience the breadth of outpatient pediatric neurology. Students rotating on the inpatient ward service will have a different role than the third-year student on pediatrics. The fourth-year student will focus solely on neurology patients and work closely with the pediatric neurology resident to develop neurology-specific care plans. No call or weekend duties will be expected on this rotation. On the general consult services, students will work with the consult attending and pediatric neurology residents on that team to see consults in the PICU, CICU, ER, and other hospital floors. The NICU consult team focuses on infants in the NICU. Student rotating on the VEEG monitoring service will focus on learning the indications and uses of VEEG and basic EEG reading skills. All students choosing a pediatric neurology elective will arrange their specific schedule with the Course Master beforehand.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Inpatient rotation 80%; Outpatient rotation 80%; Conferences/Lectures 20%; Subspecialty Care 100%

Major Teaching Responsibility
Inpatient: Single attending and senior resident; Outpatient: Multiple attendings

Patients Seen/Weekly
Inpatient: 5-9; Outpatient: 20-25

On Call / Weekend Responsibility
None

M35/861  Neurology/Neurosurgery ICU

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

The student will be integrated into the Critical Care Team that provides care in the Neurology/Neurosurgery ICU. Diseases frequently encountered include intracerebral hemorrhage, head trauma, subarachnoid hemorrhage, and stroke. The student will follow patients, participate in rounds and perform some procedures under supervision. Didactic sessions will be provided as conferences or lectures from the ICU attending.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Inpatient 80%; Conferences/Lectures 20%; Subspecialty Care 100%

Major Teaching Responsibility
Fellows and residents

Patients Seen/Weekly
25

On Call / Weekend Responsibility
Variable

M35/865  Adult and Pediatric Epilepsy

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

Students will learn how epileptologists diagnose and manage epilepsy in adults and children. They will learn how to use the history and physical exam and laboratory studies such as EEG, MRI, PET, and SPECT to diagnose and manage patients with new onset epilepsy, established epilepsy, and medically intractable epilepsy. They will become familiar with the medical management of epilepsy as well as the treatment options for medically intractable epilepsy including surgery, the vagus nerve stimulator, and the ketogenic diet. They will also learn how to manage the co-morbid conditions that accompany epilepsy such as depression, behavioral problems, cognitive impairment, sleep disturbance, and non-epileptic events. Students will accomplish these goals by attending epilepsy clinics and rounding on the inpatient epilepsy service with the epilepsy team at Barnes-Jewish Hospital and St. Louis Children’s Hospital. They will attend the Adult Epilepsy Conference, the Pediatric Epilepsy Conference, and Neurology Grand Rounds. Students will also have the opportunity to observe epilepsy surgery if they wish. They will have the option to present one 15-30 minute talk on a topic relevant to epilepsy.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Inpatient 70%; Outpatient 10%; Conferences/Lectures 20%; Subspecialty Care 100%

Major Teaching Responsibility
Attending faculty, fellows

Patients Seen/Weekly
40

On Call / Weekend Responsibility
None

M80/807  Physical Medicine and Rehabilitation

Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

The elective is designed to provide the student with a broad introduction to the field of Physical Medicine and Rehabilitation. Major objective of this clinical elective is to achieve greater knowledge of the neurological and musculoskeletal diseases and their treatment, and gain understanding of basic principles of rehabilitation. The student will learn the clinical and rehabilitative care of patients with strokes, traumatic brain injury, spinal cord trauma and diseases, and limb amputations. Student will gain clinical skills in evaluating in management of functional impairments. Students will be expected to participate in daily rounds on inpatient rehabilitation units with the clinical care team, follow 3-5 patients, attend multidisciplinary team conferences and family meetings, attend outpatient rehabilitation clinics in spinal cord, stroke, traumatic brain injury, and amputee. Teaching and supervision is provided by the physiatry and neurology faculty of the Division of Rehabilitation. Rehabilitation and neurology residents are involved in student teaching as well. Students are required to participate in didactic teaching conferences within the PM&R residency.

This rotation is particularly useful for students considering careers in rehabilitation, neurology, geriatrics, primary care, neurosurgery, or any other field that will require experience in the evaluation and management of patients with physical impairment and disabilities.

Schedule of Elective Intervals
Weeks 1-4: June 20, 2016 -July 17, 2016
5-8: July 18, 2016 – August 14, 2016
9-12: August 15, 2016 – September 11, 2016
13-16: September 12, 2016 – October 9, 2016
17-20: October 10, 2016 – November 6, 2016
21-24: November 7, 2016 – December 4, 2016
25-28: December 5, 2016 – January 15, 2017
29-32: January 16, 2017 – February 12, 2017
33-36: February 13, 2017 – March 12, 2017
37-40: March 13, 2017 – April 9, 2017
41-44: April 10, 2017 – May 7, 2017

Student Time Distribution
Inpatient 80%; Outpatient 10%; Conferences/Lectures 10%; Subspecialty Care 100%

Major Teaching Responsibility
Attending faculty and residents

Patients Seen/Weekly
20

On Call / Weekend Responsibility
None