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Neuroscience Clerkship
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Neurology
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Rehabilitation Medicine
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Objectives:
1. Understand the role of occupational/physical/speech therapy, rehabilitation psychology and the multidisciplinary rehabilitation team in treating disabled patients in acute and chronic care settings.
2. Construct a comprehensive problem list for a patient with a disability. This list should include long-range medical, functional, psychological and social issues.
3. Be able to perform a manual muscle test and a comprehensive back examination.
4. Be able to discuss strategies for chronic pain management.

Expectations:
During the rehabilitation portion of the clerkship, students will have exposure to a wide range of clinical problems: chronic pain, stroke, brain and spinal cord trauma, cerebral palsy, spina bifida, and degenerative disease of the spine. We hope that by the end of the week on rehabilitation medicine, that students will understand the functional implications of these neurological diseases and understand how a multidisciplinary rehabilitation team operates. In each student's professional future a number of patients will require rehabilitation. This one-week experience will give students an idea about when to consult a rehabilitationist and what to expect.

Students will divide their time between outpatient and inpatient activities. Students will be assigned one patient already present on the rehabilitation inpatient service to observe and evaluate. At the end of each week on the rehabilitation service, students will be asked to discuss this patient in detail. Students will not need to write daily progress notes. During the outpatient portion, students will see other patients on a one-time basis. Students will learn from contact with these patients how take a pertinent history and how to perform a pertinent physical examination.

Students are also expected to complete rehabilitation medicine readings during this week of the clerkship.