R501 Pediatric Neurology
(Children’s Hospital at Montefiore/Jacobi Medical Center)
The student in this elective will work under the supervision of the Pediatric Neurology attending and fellow in both the inpatient and outpatient setting at the Children’s Hospital at Montefiore, Jacobi Medical Center and will consist of inpatient evaluations, ward rounds, conferences, attendance at consultation, work in neurology clinic and attendance at teaching sessions and seminars.
-To learn to perform the neurological examination in infants and children.
-To become familiar with the evaluation of pediatric patients with actual or suspected acute neurologic problems, including emergencies, in the pediatric emergency room and in-patient setting.
-To become familiar with evaluating and treating sub-acute and chronic neurological problems presenting on the inpatient/outpatient pediatric service.
-To become familiar with neurologic manifestations of general pediatric illnesses.
-To become familiar with diagnosis and management of pediatric neurologic emergencies, such as status epilepticus, coma, raised intracranial pressure and herniation syndromes, spinal cord compression, meningitis/encephalitis and severe neuromuscular weakness from acute neuropathies and neuromuscular junction disorders.
-Approach/Management to hypotonia, febrile seizures, epilepsy, headaches, neurocutaneous syndromes, neuromuscular disorders, etc. (bread and butter pediatric neurology).
-To learn to present a pediatric neurological history and examination precisely and succinctly.
-Participate in consultations from the emergency room, pediatric intensive care unit, neonatal intensive care unit and pediatric and other services, as directed by the senior Child Neurology Resident.
-Become familiar with the initial evaluation of patients to be admitted to the Child Neurology and Epilepsy Services.
-Participate in daily Child Neurology and Epilepsy service rounds, including presenting new patients and discussing active issues on follow-up patients.
-Become familiar with how to write consultation and follow-up notes.
-Participate in discussions for each patient consulted on with the primary care team to ensure appropriate coordination of the diagnostic evaluation and treatment plan.
-Attend all scheduled conferences and clinics.
Method of student feedback and evaluation: students will receive formal feedback at the end of the rotation. Evaluation will be compiled by the supervising physician.
Textbook information: Fenichel: Clinical Pediatric Neurology
Koshi Cherian, MD
On first day students report to: Children’s Hospital at Montefiore 10th
floor at Welcome Center at 9am and page pediatric neurology at 917-457-7461.R502 Outpatient Neurology
(Montefiore Medical Center/Jacobi Medical Center)**Not available to International Exchange Students**
This elective is offered to fourth-year medical students seeking a more extensive exposure to outpatient Neurology. The experience will be individualized by the course director to suit the particular interests of each student. The student may choose from a wide variety of neurologic subspecialty experiences including: dementia, movement disorders, neuro-geriatrics, epilepsy, headache, EMG, neuromuscular disease, and others.
-Expand knowledge of the art of neurological diagnosis.
-Have up-to-date understanding of the manifestations and treatments of common neurological disorders.
-Be able to perform a competent neurological examination in a reasonable period of time.
-Develop skills in selecting diagnostic tests in an efficient and cost-effective manner.
Learning experience: Students will evaluate and examine neurologic patients under the supervision of residents and attendings, and will gain exposure to diagnosis and treatment of neurologic disorders.
Method of student feedback and evaluation:
-Observation by Neurology attendings and residents
-Oral presentation (optional, but required for Honors)
Howard Geyer, MD, PhD
Maximum: 1 student
On the first day students report to: 1515 Blondell Ave, Suite 220 at 9am