NEU 4121 Neurology Sub-Internship
The Neurology sub-internship experience is offered for those students who want additional exposure to neurology in preparation for residency application. The sub- internship is designed to offer students increased responsibility in the care and management of patients, beyond what the required clerkship offers. This will be a predominantly inpatient experience with the following objectives: Specify common neurologic complications of patients admitted with medical/surgical illness. Review the responsibilities of a PGY1 on a neurology service (patient assessments, writing orders for common neurologic tests, discharge planning). Demonstrate oral communication skills necessary to present patient data to the attending physician and consulting providers in a logical manner. Illustrate the ability to work in interdisciplinary teams (awareness of roles and responsibilities of ancillary providers in care of neurology in-patients, engage PT/OT/SLP, and SWS when appropriate, incorporate recommendations from other services).
The sub-internship student is required to: Attend daily rounds (ward or consult service). Present all data to include History and Physicals, labs, imaging, and consult results to the attending on rounds. Independently perform the initial evaluation on at least six NEW patients over the course of the 4 four weeks (this can be done via ER consults, ward admissions, or consult service patients). Maintain an average daily census of three patients (i.e., the sub-intern must be actively following (seeing daily, writing notes, oral presentations) at least three patients per day averaged over the course of the 4 four weeks. Attend discharge planning meetings for the patients they are actively following. Write orders and enter consults requests in the electronic health record (after discussion with house staff) for patients they are actively following. Present a patient at morning report over the course of the 4 four weeks. This must include presentation of the history and physical, localization, differential diagnosis, and evaluation/management plan. Take call at least three times over the course of the 4 four weeks. The Site Director can determine how best to implement for their location. For example, at those sites where call is from home the student could stay in hospital from 0700-1900 on a Saturday or Sunday. When the resident gets a call, (s)he can call/text the student who can get started on the evaluation prior to the resident arriving. The sub-internship student will be evaluated on: The ability to take a history and perform a neurologic exam. Oral communication skills in patient presentations. Ability to document information in the electronic health record. The ability to work in interprofessional/interdisciplinary teams.
Offered
Walter Reed National Military Medical Center (WRNMMC) - MD; Madigan Army Medical Center, Joint Base Lewis-McChord (TCM) - WA; Brooke Army Medical Center, Joint Base San Antonio-Fort Sam Houston (JBSA) - TX