The Neurology Clerkship at the University of Michigan Medical School is a required 4-week experience in the second year. The goal is to teach students the principles and skills underlying the recognition and management of the neurological diseases that a general medical practitioner is most likely to encounter in practice. Further discussion of the core curriculum for the Neurology Clerkship is available on the American Academy of Neurology website.
- Recognition of which symptoms and signs suggest neurologic disease.*
- Ability to localize the region (or regions) in the nervous system where malfunction could produce a given constellation of symptoms and signs.*
- Ability to generate a differential diagnosis for a given constellation of symptoms and signs.
- Ability to decide which diagnostic tests will narrow the differential.
- Familiarity with clinical features of the most commonly encountered neurologic conditions: cerebrovascular disease, seizures, headaches, back pain, incontinence, visual symptoms, disequilibrium, dementia, movement disorders, neuromuscular disease, and acute mental status changes.*
- Ability to elicit historical information relevant to a patient’s symptoms to identify and characterize neurologic disease.
- Ability to perform a neurologic examination, and to identify significant abnormalities.*
- Ability to deliver a concise, logically organized and complete presentation (both oral and written) of a patient’s history and physical, with a discussion of localization, differential diagnosis, diagnostic plan, and treatment plan.
- Learn to perform a lumbar puncture and interpret the results. Note: The ability to interpret LP results is a primary goal of the clerkship. The ability to perform an LP is a secondary goal, to be accomplished if possible, but it is not a requirement.
How students will be evaluated to ensure that each objective is met:
- Performance in informal ward setting (evaluation forms to be completed by residents and faculty).
- Performance in formal teaching sessions (evaluation form to be completed by faculty).
- Faculty rating of oral and written presentations (evaluation forms to be completed by residents and faculty).
- Performance on written exam.
Methods to be used in student evaluation:
- Observation of performance by faculty
- Observation of performance by house officers
- RCE entries
- Assessment of write-ups/reports
- Written/oral tests
Where to report first day of clerkship:
1912 Taubman Center; 8:00 a.m.
Directions: Go to the 1st floor of the Taubman Center building, and enter Neurology Clinic “C”. Go through the waiting area and through the long hallway lined with department photos until it dead-ends at a hallway where there is a sign that says “Department of Neurology” and lists faculty names. Turning right; go past the hallway on your left. The department library is Room 1912, the third door down on your left; there is a sign next to the door.
Questions regarding the clerkship can be addressed to Sheryll Marshall at firstname.lastname@example.org or (734) 936-4549.