Neurology Student Clerkship

Director:  Brad Cole, MD
Clerkship Coordinator:  Monika Johnson
Office:  11175 Campus Street, Coleman Pavilion 11108, Loma Linda CA 92354
Phone:  558-4907 (ext. 44907)
Fax:  558-0207 (ext. 80207)

Educational Goals and Objectives

1. Clinical Skills

  • Develop sufficient clinical and basic science knowledge of the pathophysiology, clinical course, and management of patients with common neurologic conditions. This includes both in-patient and out-patient settings
  • Identify and accurately describe the significance of key findings on the neurologic examination
  • Analyze which laboratory tests, radiographic (CT and MRI) and neurodiagnostic procedures (electroencephalography and electromyography) are indicated for diagnosing common neurological problems and how the appropriate and inappropriate use of these tests impact the quality and cost of medical care
  • Distinguish normal and abnormal CT and MRI scans of the brain
  • Distinguish normal and abnormal cerebrospinal fluid (CSF) findings
  • Demonstrate the ability to obtain an accurate and comprehensive patient-centered neurology history from patients and their families that contains all aspects of the history, including issues related to age, gender, cultural and social setting, emotional concerns and spirituality
  • Perform an organized, accurate and thorough neurologic examination in both the in-patient and out-patient setting. This includes an appropriate screening neurologic examination in cases of neurologic emergency
  • Demonstrate the ability to retrieve, filter, analyze, manage, utilize diagnostic information and other patient specific information to solve problems and make patient-care decisions
  • Communicate effectively about neurologic patients in order to concisely summarize a case to a colleague
  • Apply the scientific method in establishing the causation of disease and efficacy or traditional and non-traditional (alternative) therapies
  • Create a thorough and accurate written evaluation of a patient with neurologic disease that includes a history, physical examination, laboratory, impression and plan
  • Present a thorough and accurate oral evaluation of a patient with neurologic disease that includes a history, physical examination, laboratories, impression and plan

2. Whole Person Care

  • Students will be able to integrate basic science knowledge, clinical skills, values and professional behaviors within the context of providing whole person care for patients
  • Demonstrate ability to integrate psycho-social and spiritual care with the physical care of patients

3. Interpersonal and Communication Skills

  • Students will develop effective interpersonal and communication skills, including sensitivity to those from diverse backgrounds (e.g., cultural, ethnicity, gender, generational, socioeconomic and religious)
  • Demonstrate oral, written and technological communication skills necessary for effective interactions with peers, faculty, patients and their families and other health care providers
  • Demonstrate the ability to incorporate cultural and religious beliefs and practices when addressing medical problems, concerns and anxieties of patients from diverse cultures and socioeconomic backgrounds, including differing approaches to health, wellness and human suffering
  • Demonstrate willingness to serve as a member of the health care team and effectively use the contribution that each member of the team can make to a patient’s recovery
  • Respect differing values, cultures and beliefs, including diversity in sexual orientation, gender, age, race, ethnicity and spirituality of patients, peers, faculty and other health care providers

4. Medical Professionalism

  • Students will develop professionalism in excellence and scholarship, accountability and responsibility and altruistic behaviors
  • Demonstrate accountability and responsibility by acknowledging one’s limits in knowledge or ability, demonstrating initiative for own learning and responding to feedback appropriately

Assessment

  • Observed neurologic examination
  • Verbal presentation of patients
  • Attendance at lecture and rotation sites
  • Preceptor Progress Report
  • NBME subject examination

Rotation Sites

Loma Linda University Medical Center/Faculty Medical Offices
Jerry L Pettis Memorial Veterans Affairs Medical Center
Riverside University Medical Center

External Student Rotation Requests

See the VSAS Quick Start Card for student users (pdf).