NEUR 4006: MOVEMENT DISORDERS AND NEURODEGENERATIVE DISEASES 2011-2012 Students need to see elective director immediately after receiving computer-generated schedule and at least 30 days prior to beginning of elective.
Faculty In Charge Of Course:
Dr. Mya Schiess and Dr. Erin Furr Stimming
Dr. Mya Schiess, Dr. Gage Van Horn, and Dr. Erin Furr Stimming
UT Professional Building – Neurology Clinic Ste. 1014 and HH
Offered: Max. # Students/Period: Course Objective
The students will be involved in direct patient care within a primarily ambulatory setting. The students will be invited to attend our neurology conferences including the residents didactic lecture series, our weekly adult grand rounds presentation as well as pediatric grand rounds. In addition, the patients will receive informal didactics while working with the attendings in the clinic. The students will accompany the movement disorder group to deep brain stimulation (DBS) implantations where microelectrode recording is performed. The students will be exposed to the detailed preoperative selection of DBS candidates. In addition, the students will be involved with the preoperative selection of appropriate intrathecal baclofen pump patients and will accompany the movement disorders group to perform baclofen trials. Performance Goals and/or Objectives
1.) To be able to perform a competent neurological examination 2.) To be able to interpret and recognize common neurological signs 3.) To be able to evaluate and treat patients with common neurological disorders.
To be familiar with the utilization, advantages, and limitation of common neurological investigative methods.
iv. Mini-mental state examination (MMSE)
Botulinum toxin injections for focal dystonia/abnormal tone
Material Covered: The students will be exposed to a multitude of movement disorders and neurodegenerative diseases such as Parkinson’s disease, Huntington’s disease, Essential tremor, Spinocerebellar ataxia, Progressive Supranuclear Palsy, Multiple System Atrophy, Wilson’s diseae, dystonia (focal and generalized), Alzheimer’s disease, Frontotemporal dementia, Lewy body dementia, and multi-infarct dementia to name a few. The students will be able to observe deep brain stimulation programming, intrathecal baclofen pump refills and botulinum toxin injections. Skills Acquired: The student should master the following: a thorough and focused neurologic exam and history, a broad differential diagnosis for the neurological cases encountered, and a familiarity with the medications prescribed. Activities Of Elective
The elective involves significant teaching by faculty.
At least five (5) hours per week are aimed at the MS IV level.
The students are evaluated based on the demonstration of their accomplishment of the objectives.
Number Of New Patients/Student/Week: Responsibilities Of Student For Assigned Patients: The student should present the neurological history and physical exam findings succinctly to the attending physician. The student should select 1-2 interesting patients/diagnoses/week and give a short oral presentation on the topic to the faculty involved in the clinic.
The attending physician with whom the student is working
Follows patients, with appropriate notes as needed:
NEUR 4006: MOVEMENT DISORDERS AND NEURODEGENERATIVE DISEASES 2011-2012
Procedures Neurological exam Lumbar puncture Botulinum toxin injections Deep Brain Stimulation Programming Intrathecal Baclofen pump refills Scheduled Duties of Student:
Presents patients to preceptor or attending physician
Weekly schedule of required teaching sessions
Daily resident lectures, daily informal “bedside” teaching, weekly grand rounds, formal didactics, in addition students will be involved with journal club and patient conference/presentations.
Describe Optional Rounds And Activities, If Any: Other Required Activities: How Is Student Evaluated:
- Students are observed closely enough by faculty to evaluate their performance meaningfully. - Mid-rotation feedback is encouraged for all students, but feedback in writing is required for any students identified as having deficiencies, as soon as the deficiency is identified. - Verbally and electronically (on ONE45).
Who Evaluates Students:
Student is evaluated by clinic attendings
Unique Features Of This Elective:
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