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Neuroscience Clerkship
About the Clerkship
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Departments
Neurology
Neurosurgery
Ophthalmology
Neuroradiology
Rehabilitation Medicine
Course Content
Orientation
Lectures
Other Information
Important Course Dates
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All students are expected to attend orientation on the first day of the course. Students begin their assigned rotation immediately following orientation.

Below is a brief overview of the topics covered in orientation. The course handbook distributed via email prior to the start of the course contains more detailed information.

Course Orientation Outline
  Overall Course Objectives
  Course Breakdown
  Course-Wide Topics
 
Professionalism/Attire
 
Didactic Sessions and Readings
 
Conferences/Multidisciplinary Cases
 
OSCE, Final Exam, and Final Grade
 
VAH Computer Training
 
Attendance Policy
 
Questions and Notices

Overall Course Objectives
Learn about the care of neurologic disorders likely to be seen by the primary care physician. Become familiar with these disorders as they evolve through stages: early presentation, diagnosis, treatment and rehabilitation.

Solidify your neurologic exam skills by performing neurologic assessments from the perspective of a neurologist, a neurosurgeon, an ophthalmologist and a rehabilitation physician.

Understand how these specialties collaborate. Learn what to expect from a consultation made to each.

See the course handbook for additional course objectives.


Course Breakdown
Three weeks of Neurology; one week each of Neurosurgery, Ophthalmology, and one week split between Rehabilitation Medicine and Neuroradiology.

Please refer to the handbook prior to each rotation change.

Weekly schedules are meant to be representative and they are subject to change depending on cases available and clinic schedules.

Learning objectives for each discipline are in the course handbook and on this Web site.

Learning objectives for each lecture can be found by clicking here.


Course-Wide Topics
Professionalism
Concept of a physician as a professional:
  • Honesty
  • Reliability
  • Trustworthiness
  • Selflessness
Ethical responsibilities for medical students and physicians:
  • Honesty on medical school course examinations, in patient write-ups and in the reporting of research
  • Respect for patients, colleagues, staff and faculty
  • Violations of honesty and of patient confidentiality will be subject to disciplinary action and will raise questions about suitability to become a physician

  Appropriate Attire
Students are expected to dress in a professional manner:
  • White coats
  • Open-toed shoes are not appropriate
  • For men: a collared shirt and tie
  • For women: if skirts are worn, length should be to knees or below, and tops should be modest

 

Didactic Sessions and Course Readings
Didactic sessions are held Monday-Friday, unless otherwise noted. All students are expected to attend daily.The session topic will not necessarily correspond to clinical activities of all students that particular day.

See Representative Lecture Schedule

Lecture handouts are available here.


  Conferences
Students are expect to attend discipline-specific and course-wide conferences as part of their work week schedules. Specific times and locations are outlined in the course handbook.

  Multidisciplinary Case Conferences

Over the course of the six weeks there are up to four multidisciplinary case conferences which gives each student an opportunity to thoroughly research one aspect of a neurological case and present recommendations to their colleagues.

Mentors will help students prepare a five-minute presentation based on an assigned topic which will include the student's review of the literature. Presentations should include a one-page handout and one multiple choice question to ask the group. Presentations are not formally graded but course directors will be present to observe and provide feedback. Students should be prepared for additional questions.


  Exams and Evaluations

Students receive a single grade for this course. The grade will be based on two components: a departmental component (60%); and a final examination (40%). The departmental component itself will be a composite of five grades (one from each department) weighted to reflect the time spent in each department. Each departmental grade will be based on faculty/resident contact, quizzes, write-ups, case presentations, participation in discussion sessions, fund of knowledge, participation in rounds/clinics, etc. Expectations for each week are discussed in subsequent sections. A three-station OSCE (Objective Structured Clinical Examination) will be administered on a “pass/fail” basis on the last Wednesday of the course. To receive a grade for this course, you must pass the OSCE. Students who receive one or more failing scores, or two marginal scores, among the stations will be required to seek remediation in those subject areas.

Course OSCE

  • A three-station exam administered on a pass/fail basis, on the last Wednesday of the course
  • Students who receive one or more failing scores or two marginal scores amongst the OSCE stations will be required to seek remediation in the necessary subject areas
  • Students should dress professionally (with name tag) and bring medical equipment as directed by the neuroscience clerkship.
  • Students who need special accommodations for the OSCE should let the clerkship coordinator know before the end of the first week of the clerkship rotation.
  • Parking is not available for the OSCE. Please see shuttle/bus schedules for transportation.

Final Exam

  • Computerized, 65 questions (MC & T/F), administered on the last day of the course.
  • Exam questions are based on the course learning objectives and information shared at the multidisciplinary case conferences.
  • The examination counts for 40% of the grade.
  • Students who require special accommodations for the examination should let the clerkship coordinator know before the end of the first week of the clerkship.

 
VAH Computer Training
Students who have not yet previously taken the VAH computer training session will need to attend training on the first day of their neurology rotation.
Exceptions:
  • Students who have already completed the VAH computer training within 90 days of starting the neuroscience clerkship and still remember their access code do not need to attend training.
  • Students who have already gone through the VAH computer training but it is has been longer than 90 days or have forgotten their access code do not need to attend training. Codes can be reactivated or students can receive a new code from the Information Resources Office in the VAH.
Students will need to present a valid photo ID other than their UW ID (such as a driver's license or passport) to receive a code.

  Attendance Policy
Over the course of the six weeks you are allowed five days off for excused non-emergent absences, such as residency interviews or USMLE CS.  If more than 5 days are needed during this clerkship, the request will be handled on a case by case basis. Time will be expected to be made up.

You may not take more than 3 consecutive days off at any one time.  If 2 or 3 days are taken, the course director for the affected period may require that some days be made up.  The time made up will not automatically extend the 5 day limit you have for excused absences. Your absence should not conflict with your multidisciplinary case presentation, OSCE or the final examination.

You must give timely notice to the clerkship coordinator for non-emergent absences.  At least two weeks in advance of this clerkship, an email was sent from us requesting information about potential absences.  If you had nothing to report at that time, but suddenly receive an invitation for an interview on short notice, please contact the coordinator immediately.  In either event, you must provide the coordinator with a copy of your invitation.   

Emergent absences, including immediate family death or your own personal sickness, will be evaluated on a case by case basis.

Consequences
Not following these policies will result in notification to the Dean’s office.  Discipline can range from reduction in course grade (e.g., for not providing a timely notice of absences) to the requirement that you repeat the course (e.g., for unexcused non-emergent absences).

  Questions and Notices

Contact clerkship coordinator first. Check email regularly for updates and schedule changes. Student questions and feedback appreciated.