R501 Pediatric Neurology (Children’s Hospital at Montefiore/Jacobi Medical Center)
**Not available to International Exchange Students**
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.
Learning objectives: 1. To learn to perform the neurological examination in infants and children. 2. 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. 3. To become familiar with evaluating and treating sub-acute and chronic neurological problems presenting on the inpatient/outpatient pediatric service. 4. To become familiar with neurologic manifestations of general pediatric illnesses. 5. 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.
6. Approach/Management to hypotonia, febrile seizures, epilepsy, headaches, neurocutaneous syndromes, neuromuscular disorders, etc. (bread and butter pediatric neurology). 7. To learn to present a pediatric neurological history and examination precisely and succinctly.
Learning experience: 1.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. 2. Become familiar with the initial evaluation of patients to be admitted to the Child Neurology and Epilepsy Services.3. Participate in daily Child Neurology and Epilepsy service rounds, including presenting new patients and discussing active issues on follow-up patients. 4. Become familiar with how to write consultation and follow-up notes. 5. Participate in discussions for each patient consulted on with the primary care team to ensure appropriate coordination of the diagnostic evaluation and treatment plan. 6. 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.
Learning objectives: 1. Expand knowledge of the art of neurological diagnosis Have up-to-date understanding of the manifestations and treatments of common neurological disorders. 2. Be able to perform a competent neurological examination in a reasonable period of time. 3. 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 Feeadback and Evaluation: 1. Observation by Neurology attendings and residents 2. 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
P539 Mouse Models of Neuropsychiatric Disorders
**This elective is part of the Psychiatry Department**
**Einstein students must receive approval from Dr. Audrey Walker, firstname.lastname@example.org, and Dr. Hiroi prior to registration**
The human genome includes many variations, ranging from duplications and deletions of full chromosomes to single nucleotide polymorphisms. Moreover, a large number of kilo- to mega-base copy number variations (CNVs) are associated with autism spectrum disorders, intellectual disability and schizophrenia. Human chromosome 22q11.2 is one of those CNVs. Children and adolescents with 22q11.2 duplications and deletions consistently exhibit these neuropsychiatric disorders, along with associated cognitive and intellectual impairments during development. However, because duplications and deletions of 22q11.2 encompass 1.5 Mb or larger regions, it is not possible to determine whether segments or single genes are responsible for specific phenotypes in humans. To circumvent these obstacles, our laboratory examines the role of individual 22q11 genes in distinct aspects of cellular and behavioral phenotypes in genetically engineered mice.
Dr. Noboru Hiroi
Please contact Dr. Hiroi 2 weeks prior to the start of the rotation for the first day meeting location and time.