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NEURO 412

Neurology (NEURO)

Dept. Contact Rocio Chavez
Location Suite 2700, Bldg. 105
Phone 708-216-2687
Email rchavez@lumc.edu

 

Department: Neurology 
Course Number: NEURO-412
Course Title: Pediatric Neurology  
No. of Students: 1  
Site: LUMC 
Supervisor: Eugene Schnitzler, MD
Duration: 4 weeks
Periods Offered: Year round 
Prerequisite: Completion of Neurology and Pediatrics Clerkships.
Special Note:  
Description: The rotation is conducted at the Ronald McDonald Children’s Hospital, which is a “hospital within a hospital,” and as such shares laboratory, radiology, and clinical electrophysiology services, although there are specialized personnel for the interpretation of pediatric diagnostic studies. The majority of the rotation takes place in the pediatric neurology outpatient clinics – Loyola Outpatient Center, Oakbrook Terrace, and Niles. 
The team consists of the neurology resident (PGY2-PGY4), medical student, and a full time faculty member serving as the attending physician supervising the team. The team is a consultative service for all the pediatric services including the Pediatric Intensive Care Unit (PICU), the Neonatal Intensive Care Unit (NICU) or the pediatric floor patients. The neurology resident and medical student are responsible for obtaining the initial history and examining the patient, and formulating an initial plan for work up for discussion with the attending physician. The team is also able to undertake therapeutic measures to stabilize a patient when necessary. A majority of the rotation involves outpatient clinics on Monday-Friday, where the students will see ambulatory patients with the supervision of attending physicians. The students will be exposed to all major neurologic subjects including – neuromuscular diseases with ability to witness and participate in pediatric electromyography/nerve conduction studies and nerve/muscle biopsies, headache clinic, autism/ADD clinic, movement disorders, cerebral palsy, and of course seizures with the ability to read EEG’s.

Structured Educational Activities:
1. Morning Rounds: Discussion and review of all the patients with the attending physician Monday through Friday. These are generally “work rounds” to review care, and involve brief teaching sessions.

2. Pediatric Neurology Outpatient Clinic meets Monday through Friday in three sites including Loyola Outpatient Center, Oakbrook Terrace, and Niles. New patients and follow-up patients with common and tertiary care neurological diseases are seen by the students with attending supervision. Diagnostic and management plans are established collaboratively.

3. Pediatric Neurology Weekly Conference occurs every Wednesday at noon. Topics range from clinical case presentations to didactic lectures by the faculty.

Recommended Resources:
1. Biller J. Stroke in Children and Young Adults 2009
2. Menkes JH, Sarnat, HB. Textbook of Child Neurology. 2005
3. Swaiman KF, Ashwal S. Pediatric Neurology: Principles & Practice. 2006
4. Fenichel GM. Clinical Pediatric Neurology. A Signs and Symptoms Approach. 2009
Method of Evaluation:

1. Medical Knowledge will be assessed through clinical observations, reflected on the Student Summative Evaluation (SSE). A 20 question, multiple choice exam will be given on the last day of the elective. 
2. Communication Skills, Professionalism, and Patient Care are assessed during clinical activities and are also reflected on the Student Summative Evaluation (SSE) form.
3. Social and Community Context will be assessed through clinical activities and questions on this topic will be included on the final multiple choice exam. 
4. Competencies are evaluated on the SSE, completed by the Attending(s) at mid-rotation (end of week 2) and end-rotation (end of week 4). All SSE forms will be discussed with the student at those times. The mid-rotation evaluation does not count toward the final grade, and is an informal feedback. It is intended to give the student guidance as to modifying, improving or encouraging continuation of their performance to the end of the clerkship.

Calculation of Final Elective Grade:

80% Student Summative Evaluation
20% 20 question multiple choice exam
Dept. Contact Rocio Chavez
Location Suite 2700, Bldg. 105
Phone 708-216-2687
Email rchavez@lumc.edu

 

Department: Neurology 
Course Number: NEURO-412
Course Title: Pediatric Neurology  
No. of Students: 1  
Site: LUMC 
Supervisor: Eugene Schnitzler, MD
Duration: 4 weeks
Periods Offered: Year round 
Prerequisite: Completion of Neurology and Pediatrics Clerkships.
Special Note:  
Description: The rotation is conducted at the Ronald McDonald Children’s Hospital, which is a “hospital within a hospital,” and as such shares laboratory, radiology, and clinical electrophysiology services, although there are specialized personnel for the interpretation of pediatric diagnostic studies. The majority of the rotation takes place in the pediatric neurology outpatient clinics – Loyola Outpatient Center, Oakbrook Terrace, and Niles. 
The team consists of the neurology resident (PGY2-PGY4), medical student, and a full time faculty member serving as the attending physician supervising the team. The team is a consultative service for all the pediatric services including the Pediatric Intensive Care Unit (PICU), the Neonatal Intensive Care Unit (NICU) or the pediatric floor patients. The neurology resident and medical student are responsible for obtaining the initial history and examining the patient, and formulating an initial plan for work up for discussion with the attending physician. The team is also able to undertake therapeutic measures to stabilize a patient when necessary. A majority of the rotation involves outpatient clinics on Monday-Friday, where the students will see ambulatory patients with the supervision of attending physicians. The students will be exposed to all major neurologic subjects including – neuromuscular diseases with ability to witness and participate in pediatric electromyography/nerve conduction studies and nerve/muscle biopsies, headache clinic, autism/ADD clinic, movement disorders, cerebral palsy, and of course seizures with the ability to read EEG’s.

Structured Educational Activities:
1. Morning Rounds: Discussion and review of all the patients with the attending physician Monday through Friday. These are generally “work rounds” to review care, and involve brief teaching sessions.

2. Pediatric Neurology Outpatient Clinic meets Monday through Friday in three sites including Loyola Outpatient Center, Oakbrook Terrace, and Niles. New patients and follow-up patients with common and tertiary care neurological diseases are seen by the students with attending supervision. Diagnostic and management plans are established collaboratively.

3. Pediatric Neurology Weekly Conference occurs every Wednesday at noon. Topics range from clinical case presentations to didactic lectures by the faculty.

Recommended Resources:
1. Biller J. Stroke in Children and Young Adults 2009
2. Menkes JH, Sarnat, HB. Textbook of Child Neurology. 2005
3. Swaiman KF, Ashwal S. Pediatric Neurology: Principles & Practice. 2006
4. Fenichel GM. Clinical Pediatric Neurology. A Signs and Symptoms Approach. 2009
Method of Evaluation:

1. Medical Knowledge will be assessed through clinical observations, reflected on the Student Summative Evaluation (SSE). A 20 question, multiple choice exam will be given on the last day of the elective. 
2. Communication Skills, Professionalism, and Patient Care are assessed during clinical activities and are also reflected on the Student Summative Evaluation (SSE) form.
3. Social and Community Context will be assessed through clinical activities and questions on this topic will be included on the final multiple choice exam. 
4. Competencies are evaluated on the SSE, completed by the Attending(s) at mid-rotation (end of week 2) and end-rotation (end of week 4). All SSE forms will be discussed with the student at those times. The mid-rotation evaluation does not count toward the final grade, and is an informal feedback. It is intended to give the student guidance as to modifying, improving or encouraging continuation of their performance to the end of the clerkship.

Calculation of Final Elective Grade:

80% Student Summative Evaluation
20% 20 question multiple choice exam