Department of Neurology

Neurology Clerkship
4th Year Student

The American Academy of Neurology is encouraging lay people to discuss with their physicians the following twelve neurological symptoms.  Every doctor should know serious implications of these symptoms.  Do you?  No matter what type of doctor you become, family members and patients will confront you with these symptoms, and now is the time to prepare yourselves to help.

In this clerkship, special emphasis is given to the neurologic emergencies because the conditions are usually very treatable and must be recognized quickly.  Like myocardial infarction, ruptured viscus, and pulmonary embolism, you must be able to recognize neurologic emergencies such as subarachnoid hemorrhage, acute spinal cord compression, stroke and meningitis, to name a few.

Introduction and Requirements of Neurology Clerkship

The structure of the year 4 neurology clerkship will consist of one week on the in-patient service and three weeks in the outpatient clinic.  In addition to the adult neurology clinics those who are interested may request a rotation in pediatric neurology clinic and neurosurgery clinic. You will be required to take one night of call when you are on the inpatient service. Call is taken from home and you will be on call from 4pm until 10pm.

Case-based discussions and lectures will occur with faculty between 8-9am.  The schedule will be sent to you before you begin clerkship.

You will need to see a certain number of patients with specific symptoms and diagnoses that must be documented in your log book.  Also you will need to know about certain other problems.  Please make an appointment with Carolyn Holmes mid-clerkship to review your cases with her.

You must submit at least ONE History and Physical Examinations including differential diagnosis, localization of lesion, final diagnosis, and management plan. This will be reviewed by the clerkship director and he will give you feed back.

Requests for clerkship absences must be made one month prior to the start of the clerkship.  Please make these requests to Carolyn Holmes.  Urgent requests will be at the discretion of Dr. Harirama K. Acharya.  All clerkship absences will be reported to the Office of Student Affairs.

Nearly 10% of patients seen by family practitioners have neurologic symptoms.  Only 16% of the 45 million Americans who visit a physician for neurologic complaints are ever evaluated by a neurologist.  Primary care physicians are routinely called upon to evaluate and manage patients with neurologic disease.  Therefore, nearly all physicians require a good understanding of the general principles of clinical neurology.  The most suitable setting in which to lay the foundation for that understanding is a neurology clerkship in the clinical phase of medical school.