Neurology Clerkship Rotations |
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During the four weeks that students rotate on neurology, they are assigned to two rotations, each for two weeks. Inpatient Neurology (usually available to 3-5 students at a time) The two inpatient neurology teams each consist of an attending, two PGY2 neurology residents, and two interns. A PGY4 senior neurology resident supervises both teams.
Inpatient Adult Consults (usually available to 2-4 students at a time) This service has a neurology attending, a PGY3 neurology resident, and sometimes one or more interns. The team provides consultation on neurological issues for inpatients admitted to other services. This is a fast-paced and busy service, typically with 2-7 new consults daily. The student will be given patients to see and present to the resident, with a chart note and oral presentations on attending rounds. The team rounds on a given patient for only a day or two in many cases, depending on the neurological issues involved. The student may be required to round with the team on one weekend day during the two-week rotation.
Neurological Intensive Care (usually available to 1-2 students at a time) The UVA Nerancy Neurological Intensive Care Unit (NNICU) is an 11-bed unit that offers comprehensive critical care for patients who are seriously ill due to nervous system problems. Patients include neurological and neurosurgical cases. A team of a neuro-intensivist attending, a neuro-intensivist fellow, a PGY2 or PGY3 neurology resident, an anesthesia resident, and a neurosurgery resident performs detailed bedside rounds twice daily. The student will have patients to follow, pre-round on, write admitting H&Ps and daily progress notes on, and present during rounds. This rotation may offer some opportunity to learn and practice critical care procedures such as line placement and lumbar puncture. After the 4:00-5:00 daily rounds are concluded, the student is released for the day. The student is expected to round with the team on one of the weekend days while on this service.
Neurology Outpatient Unit (NOPU) (usually available to 1-3 students at a time) This rotation offers outpatient experiences with variable levels of participation or observation. Students will shadow neurology residents as they see patients in their continuity clinics, or attending neurologists as they see their private patients in their subspecialty clinics. On a patient volume basis, students will perform history and or examination of patients and then present to residents and/or attendings. Since the patient volume ebbs and flows widely, students on this rotation are expected to show self-direction and initiative in involving themselves in patient evaluation and care. Students should expect to see a large number of patients presenting with common non-emergent neurological complaints.
Pediatric Neurology (usually available to 1-3 students at a time) This is a consultative service to pediatric patients seen in a variety of settings. The team follows a usually small census of pediatric and neonatal inpatients on daily attending rounds. The team performs new consultations on neurological issues to pediatric and neonatal patients in the inpatient and Emergency Department settings. Where possible, the student will be given patients to follow, pre-round upon, present in rounds, and write admitting H&P as well as daily notes on. The team also provides weekly consultative evaluations of pediatric cases at the Kluge Rehabilitation facility on Ivy Road. The student will also attend weekly outpatient pediatric clinics. The student may be required to round with the team on one weekend day during the two-week rotation. For reasons of personnel and patient volume, this rotation is generally limited to students planning to enter pediatrics or a related field.
Inpatient Monitoring and Epilepsy (usually available to 1 student) The student will join a neurology resident, epilepsy fellow, and neurology attending on the inpatient epilepsy monitoring unit. This is a 6 bed inpatient unit that performs comprehensive evaluation of people with intractable spells (which may or may not be epileptic in nature). This is a data-intensive service in which patients commonly receive multiple medication adjustments, laboratory studies, brain MRI, brain SPECT, 24-hour continuous video and EEG monitoring, and neuropsychological testing. The student will be assigned patients to follow, do admitting H&P and daily notes on, pre-round on, and present during daily rounds. The student will also accompany the neurology resident on outpatient clinic ½ days. The student will be on service for one weekend day of this rotation.
Outpatient Community Neurology (NOT YET AVAILABLE) The student will work with a Charlottesville area neurologist in private practice. The student will see patients directly with the attending while still participating in scheduled didactic activities on the UVA campus
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