Child Neurology

Sites: CHMC
Director(s): Alan Leichtner, Arnold Sansevere
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: Yes (may be restricted for international students)
Description: This advanced clerkship is structured to expose the clerk to a wide variety of experiences in child neurology, and can be tailored to meet interests or needs of individual clerks. Clerks will spend week-long rotations on four of the following: inpatient neurology service with step-up unit, ward and emergency department consult service, critical care neurology service (covering 5 intensive care units in Longwood Medical area), epilepsy inpatient service, and outpatient clinics. There are daily seminars/lectures/formal teaching rounds which the clerk is expected to attend; these include a core curriculum in child neurology, a multicultural ethics curriculum, a neurophysiology curriculum, and a neuropharmacology curriculum. Chief of service rounds, a more academic teaching conference, is held weekly, as are neuroradiology rounds, neuropathology rounds, Longwood Area Neurology Grand Rounds, and senior resident rounds. The clerk is not required to take night call, but may elect to do so by arrangement with the senior resident to broaden their experience of the field. A case presentation or talk on a particular topic of interest is expected during the clerkship.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic neuroscience is teh foundation of daily patient rounds, care decisions, and conference topics. The basis for decisions and treament plans in evidence is central to our model of care on a daily basis.
Grade Criteria:
Honors with Distinction: A clerk who functions at the level of a house officer, in terms of knowledge base, attitude devotion to patient care, and desire as shown by extending their efforts beyond basic reading and delving deeply into subject. An understanding of team care dynamics, and willingness to engage as a team member. Honors: A clerk who functions above the basic level described below, and shows some initiative in independent reading, but still requires significant guidance from team in terms of direction of inquiry and role on the team. Satisfactory: Basic knowledge of the neuroanatomy and neurodevelopmental principles needed to perform a basic exam and construct a primary differential diagnosis and care plan. A basic reading of the essential literature. Unsatisfactory: Poor execution of an observed neurologic exam near the end of the rotation; poor mastery of the essentials of neuroanatomy and neurodevelopmental necessary for care of patients. Lack of interest in expanding knowledge base and adopting the attitudes necessary for care of neurologically ill patients.