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NEUROLOGY CLERKSHIP MANUAL

I. INTRODUCTION:
WELCOME TO THE NEUROLOGY CLERKSHIP!
We look forward to helping you build a foundation of knowledge and acumen in this
important field of medicine. You will function as an integral part of the medical team and
we hope that you will take full advantage of this opportunity to make an important
contribution to your patients' care and foster their well-being.
This clerkship is a required four-week rotation, offered during the junior/senior
continuum. Completion of the Medicine Part I clerkship is a prerequisite. Please read this
package carefully. It contains important information that should help you get the most
from the clerkship.
OBJECTIVES: NEUROLOGY CLERKSHIP
The clerkship objectives are aligned with the *Keck School of Medicine objectives.
During the Neurology Clerkship, the students will be able to:
*Medical Knowledge: Demonstrate knowledge of established and evolving biomedical,
clinical, epidemiological, and social-behavioral sciences, and apply this knowledge to
patient care.
Neurology Clerkship
Demonstrate basic knowledge, based on patient care as well as study, of selected SPP or
must see neurologic conditions. For neurology those are:
Dementia
Demyelinating disease: MS or GBS
Disorders of Sleep
Headache
Movement Disorders: PD or other
Seizure
Stroke
ALS (DVD)
Myasthenia Gravis (DVD)

*Patient Care: Provide patient care that is compassionate, appropriate, and effective for
the treatment of health problems and the promotion of health including demonstrating
basic clinical skills of history taking and physical examination; appropriate usage and
interpretation of clinical procedures and diagnostic tests; and clinical problem solving,
patient care activities, patient education, and the ability to respond to dynamic clinical
situations.

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Neurology Clerkship
Demonstrate basic clinical skills of history taking and physical examination in the
setting of neurologic disease;
Demonstrate skill in performing the neurologic examination;
Demonstrate appropriate usage and interpretation of imaging and other diagnostic
tests;
Demonstrate clinical problem solving and the ability to generate an appropriate
differential diagnosis;
Demonstrate skill in patient care activities in both the inpatient and outpatient
setting;
Demonstrate the ability to deliver timely and appropriate guidance to the patient
with a neurodegenerative disorder

*Interpersonal and Communication Skills: Listen and communicate clearly with


patients, families, and health care team member: s using effective nonverbal, verbal, and
writing skills. Collaborate effectively with others in the classroom, clinical setting, and
community at large.
Neurology Clerkship
Demonstrate appropriate, timely and compassionate verbal and non-verbal
communication skills with patients and their families and visitors
Demonstrate effective oral and written communication with the health care team
Present (verbally) a complete, well-organized verbal summary of the patient's
history and physical examination findings, including an assessment and plan.
Document the history, physical examination, assessment and plan using a format
appropriate to the clinical situation. Write admission and daily orders for a
hospitalized patient

*Ethical Judgment: Recognize the ethical dimensions of medical practice and health
policy. Demonstrate understanding of ethical principles required for provision of the
highest caliber clinical practice as well as those that must accompany research involving
human participants. Demonstrate adherence to ethical principles. Identify alternatives in
difficult ethical choices, analyze conflicting considerations, and execute a course of
action that takes into account the ethical complexities.
Neurology Clerkship
Describe the practical applications of the major ethical principles (i.e. justice,
beneficence, non-malfeasance and respect for autonomy)
Identify alternatives in difficult ethical choices and analyze conflicting
considerations, particularly in the setting of coma and brain death

*Professionalism: Demonstrate a commitment to excellence in carrying out professional


responsibilities. Act with altruism, honor and integrity in professional and personal life.
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Respect patients rights and wishes. Act in a respectful manner toward patients, faculty,
colleagues and staff. Model good leadership in interactions with others, and foster the
development of others.
Neurology Clerkship
Describe and demonstrate behaviors that respect the patient's modesty, privacy,
and confidentiality;
Demonstrate a commitment to the highest standards of patient advocacy and care;
Demonstrate professional interaction with a patient in the setting of the OSCE
examination;
Demonstrate collegiality and respect for all members of the health care team as
well as to the broader community

*Lifelong Learning and Experience-Based Improvement: Identify and perform


appropriate learning activities. Identify strengths, deficiencies, and limits in his/her
knowledge and expertise. Set learning and improvement goals. Incorporate formative
feedback and evaluation into daily practice. Continuously improve his/her academic
performance and patient care based on constant self-evaluation and life-long learning.
Neurology Clerkship
Demonstrate a positive attitude and regard for the educational experience by
demonstrating intellectual curiosity, initiative, honesty, and personal
responsibility;
Demonstrate maturity in soliciting, accepting, and acting on feedback.

*Community and Systems-Based Practice: Demonstrate knowledge of the social and


community contexts of health care and respond effectively to the many factors that
influence health, disease, and disability. Discuss issues in the health care system
including health disparities, population-based care, advocacy, health policy, health care
quality, and patient safety. Effectively develop, implement, and present a communitybased project.
Neurology Clerkship
Demonstrate respect for patient and family attitudes, behaviors and lifestyles,
paying particular attention to cultural, ethnic, and socioeconomic influences;
Actively seek to elicit and incorporate the patient's and family's attitudes into the
health care plan;
Demonstrate behaviors and attitudes that promote the best interest of patients and
families and show flexibility in meeting the needs of the patient and family;
Articulate and demonstrate an understanding of the influence of family,
community and society on the patient in health and disease
Discuss, in presentations and write-ups, issues in the health care system including
lifestyle issues as well as those issues enumerated in the KSOM objectives

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*Scholarship: Conduct a focused literature search, critically appraise the medical


literature and apply best evidence to patient health problems. Describe how clinical
research studies and clinical translational research are applied to patient care. Develop
appropriate research questions for a scholarly project. Conduct and present a research
project. Effectively communicate research findings with colleagues, as well as with
patients and their families.
Neurology Clerkship
Write and submit a case-based patient write up that demonstrates an ability to
acquire and organize data, and to frame the assessment and plan with reference to
the most pertinent literature;
Document resources appropriately
Attend Grand Rounds and participate in formal case discussion sessions
.
You are training for a future in which you will be responsible for keeping up to date. This
takes discipline and planning. It also requires an awareness of personal values and
priorities, the ability to seek assistance when necessary, and to adapt to changing
situations. The Neurology rotation is designed with relatively little call or weekend work
in order to allow you to read.
III. CLERKSHIP STRUCTURE:
Schedule: Each student receives a personal schedule.
Depending on your location, the schedule assigned to you will include most or all of the
following:
Morning report
Inpatient activity time
Attending rounds
Grand rounds
Faculty didactic lectures (both live and via the internet)
Outpatient clinic time
Evening and weekend call
It is important to remember that an attending or resident must countersign all histories
and physicals, orders, progress notes, and discharge summaries.
There is a monthly schedule of optional conferences on the department site:
http://www.usc.edu/schools/medicine/departments/neurology. Click on Grand Rounds
and Conferences on the first screen

IV. LEARNING ACTIVITIES:


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A. Inpatient Neurology Overview Students are assigned to a primary location,


which is determined via student preference whenever possible. We use a lottery if
there is a mismatch between requests and available placements.
Depending on the number of students in the rotation, students are assigned to the
following locations:
LAC+USC Medical Center
USC University Hospital
Rancho Los Amigos Hospital
Childrens Hospital of Los Angeles
Kaiser Sunset or Baldwin Park locations
Huntington Memorial Hospital in Pasadena
Private neurology practice settings
Site-specific information will be provided to students who will be off campus.
B. Work Rounds - Work Rounds - The entire team will see the teams established
patients. You should present your patients and discuss your findings with your
resident and/or attending. Work rounds provide an opportunity to determine and
implement the plans you wish to carry out for the day:
C. Teaching Sessions - All new admissions and established patients with new
problems will be reviewed at the bedside by your attending faculty. Attendings,
house officers, or medical students may give didactic presentations of medical
topics relevant to the teams activities.
D. Faculty Mentor Sessions Clinical cases are discussed with the medical students
during regularly scheduled Tuesday morning sessions. Please refer to the schedule
for topics and times.
E. Neurology Grand Rounds Tuesdays at 9:00 a.m., Zilkha auditorium. A
clinically based conference where local experts or guest experts or senior residents-under the guidance of faculty mentors--present interesting cases and didactic
overviews.
F. Sign Outs - It is imperative that you sign out your patients to the physician
responsible for the care of your patients when you are outside the hospital. You
should communicate directly with this physician whether in person or by phone. A
sign out consists of the name and P.F. number of your patient, a brief summary of
the medical problems and present therapy, and an explanation of any procedures or
diagnostic studies you wish to be performed in your absence. Please do your sign
outs in conjunction with your residents.
G. Procedures - Anyone who does not feel comfortable with a procedure should
express their discomfort. Your resident is expected to instruct and supervise you in
any and all procedures you may need to learn.

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H. Outpatient Clinic Overview - Exposure to outpatient neurology and to the


departments list of must see cases is essential for all students. Students at the
LAC+USC Medical Center are assigned to specific faculty members on specific
days at the USC Health Care Consultation Center and at the LAC+USC Outpatient
Clinic. Refer to your schedule to find out which days you are scheduled for clinic as
well as the time and location. Students at Rancho Los Amigos Medical Center, at
Childrens Hospital and at the Huntington and Kaiser hospitals will go to the
outpatient clinics at these facilities (refer to your schedule).
I. Inpatient Call
Students are assigned to inpatient call. It is expected that you will assume care of
one to two patients each time you are on call. You are expected to remain on duty
from 5 p.m. to 10 p.m. when you are on weekday call, and from 8 a.m. until 1 p.m.
when you have weekend call. The call schedule for students at CHLA will be
determined in collaboration with the attending physician. Remember that your
supervising resident must countersign all of your work. If there are no new
admissions, the student should consult with the resident on call to choose patients to
examine. Be sure to remember to ask the patient if you may examine him/her. This
experience will help you to see cases on your must see list that you might
otherwise not encounter.

VI. CURRICULUM and READING MATERIALS:


Faculty Didactic Sessions - All students, regardless of location assignment, must attend
all required lectures, Grand Rounds, and case discussions. Please check your lecture
schedule. Sessions are designed to invite student participation in a problem-solving
approach. Questions and comments are expected.

The required textbook is available at USC Medical Bookstore and online.


Simon RP, Greenberg DA, Aminoff MJ. Clinical Neurology, 7e:
http://www.accessmedicine.com/content.aspx?aID=5147390
This is an excellent, system-oriented, concise textbook.

The clerkship has videotapes of our faculty and/or PowerPoint presentations for all
required and some additional topics. These are on the MedWeb site under Education
Resources for Neurology. Please see your schedule handout for a complete list of topics.
Not required but highly recommended is "Neuroanatomy through Clinical Cases" by Hal
Blumenfeld, MD, PhD. This book is unsurpassed in clarity. It is an excellent reference for
anatomy, localization and the neurologic exam and is on reserve at Norris library.
Also on reserve: Practical Neurology DVD Review, Jose Biller: video clips of actual
patients with various diagnoses.
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You are encouraged to use various other resources available on line (see list of sites
below) and at Norris Library.
Web Sites:
The AAN has issued practice parameters for a number of common neurologic entities.
These can be found at www.aan.com or at www.guidelines.gov. Additional web sites
with a great deal of helpful information are listed below:
http://www.neurophys.wisc.edu/brain/
One of the world's largest collections of well-preserved, sectioned and stained brains of
mammals - over 100 different species (including humans) representing 17 mammalian
orders. Links to many other web sites
http://www9.biostr.washington.edu/da.html
Interactive atlases of the human brain, including gross views, histological sections,
computer-aided reconstructions, and movies that show complex structural relationships

http://www.med.Harvard.edu/AANLIB/cases/caseM/case.html
MRI atlas of the human brain, with your choice labeled or unlabelled. Includes MRIs of
normal human brains and of patients with a variety of different types of pathology,
correlated with single photon emission computed tomography (SPECT) images
http://www.neuropat.dote.hu/
The website of neuroscience/neuropathology websites
http://www.meddean.luc.edu/lumen/MedEd/Neuro/Neuro.html
A particularly well done atlas of brainstem, thalamus, basal ganglia and immediately
adjacent structures pairing unadorned histological sections with color labeled sections
demonstration the location and extent of various structures and pathways. Also contains a
tutorial on vasculature
http://www.medinfo.ufl.edu/year1/neurosci/
Pictorial tours of selected topics (most anatomical; some functional systems), some
correlated with figures from this text; movies of selected anatomic structures, particularly
helpful in gaining 3D conceptualizations; name the lesion labs; a limited MRI based atlas
http://www.urmc.rochester.edu/neuroslides
The University of Rochester's Neuropathology and Neuroimaging Laboratory, which is a
web-based collection of 202 images for the Mind, Brain and Behavior Course at the
University of Rochester School of Medicine. This laboratory exercise includes 12 gross
and microscopic neuropathological specimens that are correlated with 74 CT or MR

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images. Each of these images is accompanied by a description, and the neuroimages also
include a clinical vignette

http://www.neuroexam.com/
A collection of video clips demonstrating how to do each componet of the neurologic
examination
http://cnsnewsonline.com
Clinical reviews and updates in Neurology and Psychiatry
VIII. ADDITIONAL REQUIREMENTS:
A. Faculty Mentor Sessions - Faculty serve as the preceptors and mentors for the
medical students. The preceptor/mentor reviews clinical cases, special topics in
Neurology, and the students history taking, physical examination, presentation and
charting skills. It is the medical students responsibility to solicit an evaluation of
his/her patient write-up (see C below) during the rotation.
B. Observed Neuro Exam - The faculty attending will observe each student
performing neurologic examinations during the clinical experience
.
C. Patient Write Up - During the clerkship, each student will submit a patient writeup for review by the faculty attending. The write-up is due on the third Friday of
the rotation. An excerpt should be entered into the Clinical Experience Portfolio
(see D., below), and the full write-up should be emailed to the Medical Student
Educator. Please also submit a copy directly to your attending. Each write up
should include the following elements: 1) history of present illness organized
chronologically, without repetition, omission, or extraneous information; 2) other
relevant historical information (i.e. Meds, SH, FH, ROS) without repetition,
omission, or extraneous information; 3) a comprehensive physical examination
with detail pertinent to the patients problem; 4) a listing of relevant laboratory
information and diagnostic studies; (5) a discussion of the likely location of the
lesion causing the patients complaint, differential diagnosis, assessment and
management. Discussion of the diagnosis and management should reflect your use
of Ovid or other resources and reflect a systematic review of current literature. Be
sure to list references.
Specifically with regard to the typed write-ups, Third year students should focus
their efforts on demonstrating their ability to acquire and organize data. The
historical, physical, and laboratory information should be detailed and
comprehensive. The problem list should also be detailed and comprehensive and
include concise assessments and plans for each problem identified. Fourth year
students should focus their efforts on providing a detailed and sophisticated
assessment and plan. Your analysis of the data and justification for your

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conclusions and plans should be clearly evident. You can focus your search on any
aspect of the case that is of interest to you. Examples may be: review articles,
current trends, basic science-related issues (e.g., physiology), diagnostic evaluation,
etc. Note: In addition, please limit the identifiable patient information to initials and
the last four digits of the PF number.
D. Medical Student Documentation of Patient Encounters using the Clinical
Experience Portfolio on MyMedWeb.usc.edu: "MyMedWeb" is a highly
specialized information system used throughout the medical school curriculum. In
addition to course materials, class schedules, web-based educational programs and
interactive links, patient encounters and clerkship evaluations are accessed through
the system.

Patient Encounters are brief summaries of the student's interaction with assigned
patients. The rationale for the timely completion of patient encounters is twofold. In
addition to providing the student with a readily accessible patient profile, it enables
the faculty to review the number, complexity and breadth of clinical experiences the
student is afforded during the clerkship. The patient encounter format is concise and
allows the student to describe relevant patient findings reflected through the history,
physical examination, assessment and plan.
The data that are collected and aggregated through the Clinical Experience
Portfolio provide a representation of the patient population and clinical sites, and
allows the faculty to evaluate and revise the clinical experience as it relates to the
core curriculum objectives and competencies. In addition, the Clinical Experience
Portfolio allows students and faculty to track learners experiences with the cases of
the Student Practice Profile, and to assure that patient encounters are equivalent
across sites.
During the clerkship, you will be required to enter an encounter for at least one each
of the Student Practice Profile (SPP) cases, also known as MUST SEE cases. The
MUST SEE cases for the Neurology Clerkship are:
1. Dementia
2. Headache
3. Demyelinating disease: MS or GBS
4. Movement Disorders: PD or other
5. Seizure
6. Stroke
7. Disorders of Sleep
8. Myasthenia gravis (DVD case)
9. ALS (DVD case)
We hope that you will have an actual patient experience for each of the MUST SEE
cases. If you do not encounter an actual patient with a particular diagnosis or
symptom, the clerkship will provide an alternative experience. It may be that you
are provided with an actual patient encounter at another site, or you may be asked to
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complete a simulated or alternative experience, e.g., a virtual (paper or webbased) case, a lecture or case discussion, a problem-based learning case, etc. You
will then document this alternative encounter in the Clinical Experience Portfolio
according to the instructions given to you by the MSE or Clerkship Director.
For complete instructions on entering patient encounters in the Clinical Experience
Portfolio, please refer to the document entitled Clinical Experience Portfolio User
Instructions on myMedWeb, listed under Clerkship Learning Resources. You may
also wish to view the Introduction to Clinical Experience Portfolio Instructional
Video located at the same site. Please use the following formula to enter the
patients alias:
Patients last name is Johnson
Patients pf# is 1234567
Patientss alias is son567
Note: Students must have all of their patient encounters completed on myMedWeb no
later than 5pm the 3rd Friday of the rotation. The Clerkship Director or Medical Student
Educator will review the patient encounters and determine if the submissions are
adequate. All clerkship evaluations (program, attendings, residents) must be entered into
myMedWeb no later than 5pm the final Thursday of the rotation. To verify completion of
your evaluations, print the myMedWeb page stating, no uncompleted evaluations.
F. Practice Neuro Exam:
On two occasions each student will be evaluated performing a neurologic exam. The first
evaluation will take place by the second week of the rotation. Feedback will be recorded
on the Mid-rotation Feedback Form, which must be submitted to the Medical Student
Educator no later than the third Tuesday of the rotation.
G. OSCE
An OSCE session is scheduled for each student during the third week of the rotation. It
includes a standardized patient experience as well as a cognitive component. The OSCE
follows Kecks established protocol for an OSCE session.
VII. FINAL EXAMINATIONS:
A. Subject Exam. 25% of the grade The written final examination is the nationally
standardized Subject Exam covering neurology and developed by the National Board
of Medical Examiners (NBME). This will be given on the last Friday of the rotation.
Missing this exam means that you must explain your absence not only to the clerkship,
but also to the Associate Dean of Student Affairs or the Assistant Dean of Curriculum
and Student Affairs, Clinical Sciences.

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B. Practical Exam: You will be evaluated performing a neurologic exam by your


attending. This evaluation will take place during the last week of the rotation at a time to
be arranged with your attending. This will test your ability to perform an exam correctly,
and to localize and present your results with a differential diagnosis. The grade will be
reflected in your attendings myMedWeb evaluation of your clinical performance.

X. EVALUATION AND GRADING: Please see the KSOM Grading Policy that is
posted on MyMedWeb
Mid-rotation evaluations and feedback:
A. Each student will perform a practice neurologic examination for his/her resident or
attending; feedback is reflected in the mid-rotation feedback.
B. The mid-rotation evaluation, which is in use across the clerkships, will be filled out by
the students attending and discussed with the student no later than day 11 of the
clerkship.
Final evaluations:
In addition to the final exams (see above) there are 6 components to each individuals
grade:
A. Student-Patient Interaction: This is an all or none grade (i.e. students with marginal
performance may pass or fail the clerkship depending on their interaction with patients,
paramedical staff, colleagues and their supervisors). See general objectives.
B. Overall clinical skills and attitudes as reflected in performance on the clinical
evaluation, 50%
1. Medical Knowledge
2. Interpersonal and Communication Skills
3. Using Basic Science in the Practice of Medicine
4. Patient Care
5. Diagnosis, Management, and Prevention
6. Problem Solving
7. Professionalism
8. Initiative and Interest
Skill at performing a neurologic exam
C. Clinical Experience Portfolio and Patient Write-up: 10%
Each student is expected to enter an encounter for each must see diagnosis. These
entries will be reviewed for completeness. The write-up is a much more detailed
encounter that is also entered into the CEP and should include history, physical exam
with emphasis on neurological examination, localization of the lesion, differential
diagnosis, assessment, and management. Discussion of the diagnosis and management
should reflect your use of resources, so be sure to include a list references. The CEP
write-up is due by Friday afternoon of the third week of your clerkship and should be

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submitted to your attending, either electronically or in hard copy, and copied


electronically to the Medical Student Educator. It will serve as part of your clinical
portfolio evaluation.

D. Attendance and participation in lectures, discussions. 5%


Attendance at lecture and discussion sessions is mandatory for all students. A sign in
sheet will be available at each session. The case discussion sessions are designed to invite
student participation in a problem-solving approach. Questions and comments are
expected.
E. OSCE 10%
Students will be evaluated during a standardized patient encounter and will complete a
cognitive assessment that relates to the patient situation as well as other SPP cases.
F. Pass/Fail Exercises:
Supplemental exercises, as assigned

In summary, your grade will be based on:

Clinical skills and performance


(including the neuro exam)

50%

Subject exam (4th Friday)

25%

OSCE (3rd Wednesday)

10%

Clinical Experience Portfolio


& write-up (due 3rd Friday)

10%

Case Sessions: attendance

5%

Mid rotation feedback

required

IMPORTANT REMINDER: YOU MUST COMPLETE YOUR EVALUATION OF


THE CLERKSHIP BEFORE YOU SIT FOR THE FINAL EXAM.

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FINAL GRADE DISTRIBUTION AND POLICY:


Unexcused absences from a clerkship may be grounds for failing and/or disciplinary
action. Any unexcused absence makes the student ineligible to earn a final grade of
Honors, and may be grounds for failure regardless of final exam or clinical
performance evaluations. Additionally, if a student fails to notify staff or faculty in the
clerkship office if they are unable to attend lecture may preclude them from earning a
final grade of Honors.
Note: The narrative portion of the final clerkship evaluation will indicate any of the
above requirements not met.
The grading is based on a compensatory method:
The following grades are possible:
A. Honors: For those students whose final composite score is greater than or equal to
92%
B. High Pass: For those students whose final composite score is greater than or equal to
80-92%.
C. Pass: For those students whose final composite score is greater than or equal to 7079%.
D. Fail: Students who have a cumulative score less than 69.5%. In addition, any
unprofessional behavior as outlined in the Student Handbook may result in a grade of
Fail.
E. Incomplete: Not a final grade, but a designation that is used if a student has been
excused from meeting a clerkship deadline.
F. Remediation of Fail Grades: All or part of the clerkship must be repeated at the
discretion of the clerkship director and depending upon which components of the
clerkship was/were failed.
Please note: A grade of Fail will remain on the students transcript and become a part
of the students permanent record.

XI. DUTY HOURS, DAYS OFF, ILLNESSES AND ABSENCES


A. Attendance: Each student is required to attend all classroom sessions and to be at
his/her assigned clinical site on designated days for approximately 8 hours, Monday
Friday, for a minimum of 40 hours over five days per week. In the event that the schedule
at a clinical site must be changed because of unusual circumstances, the medical student
educator should be notified and an alternate clinic experience will be arranged.
Preceptors are not allowed to give students a day off for study or for other reasons; please
do not ask them to do so. All absences MUST be arranged through the clerkship office.

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KSOM policy states that:


Duty hours are defined as all clinical + academic activities, i.e. patient care,
administrative duties related to patient care, the provision for transfer of care, time spent
in-house during call, and scheduled academic activities such as conferences. Duty hours
do not include reading/preparation time spent away from the duty site.
Duty hours must be limited to 80 hours/week averaged over a four week period.
Students must be provided with one day in seven free from all educational and clinical
responsibilities averaged over the course of the clerkship. One day is defined as one
continuous 24 hour period.
At least two call experiences are required, as described in Section V.

B. Absence: Neurology is a core clerkship. In order to insure adequate clinical exposure,


no more than 3 days of excused absences (to include official holidays) can be anticipated
during the rotation. Anticipated absences must be approved in advance by the Clerkship
Director or Medical Student Educator and the required Student Absence Request Form
must be submitted along with supportive documentation. All absences, excused or
unexcused, must be made up before a passing grade can be assigned. . Given the time
constraints, you will have very limited time off for residency interviews so please plan
accordingly.

XII. PROFESSIONAL RESPONSIBILITIES AND BEHAVIOR:


Also see MedWeb for information about
Dress Code
Appeal Process
Absence Request Form
ICM Checklist/ Neuro Exam

The medical student plays an important role in patient care. Your diligence will make an
important contribution to your patient's well being. Please take this opportunity not only
to provide a work-up and treatment, but to explore and provide for the psychological and
social needs of your patients. Your patients will have diverse ethnic and socioeconomic
backgrounds. Please remember that all patients are equally deserving of your respect and
empathy. The patients in teaching hospitals provide us with remarkable learning
opportunities. It is essential that we reward their trust by doing our utmost to provide the
best care.

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Appendix
For read-ahead, and for reference throughout the rotation, please visit the clerkship's
Video Library where you'll find all of the lectures. PowerPoint slides are also available
online under clerkship resources.
1. Log on to myMedWeb in the usual manner.
2. At the Clerkship General Learning Resources screen, click on Neurology
3. Select Educational Resources from the drop-down menu
Then Lecture Webcasts
4. That brings you to the mediasite login page
log in:
a. neurology
b. medicine
5. Then you can select from the library.

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