As the new academic year begins, it is appropriate to provide the faculty with a guide to the structure and requirements of the third-year medical student clerkship in neurology. There are some changes that have been made to the clerkship, and it is anticipated that refinements will continue to be made throughout the year. As always, faculty participation and input are the critical factors in making this a successful educational experience for our students.
At the completion of the third-year clerkship, the student should have acquired the ability to:
Students spend four weeks on their clinical neurology rotation at one of five sites: Ronald Reagan University Medical Center (Westwood), West Los Angeles VA, Olive View-UCLA Medical Center, Cedars-Sinai Medical Center or Harbor-UCLA Medical Center. During that time, they are expected to participate fully as a member of their assigned team in both inpatient and outpatient settings, performing neurologic examinations and assessments on patients, presenting the patients to their residents and attendings, discussing diagnosis and management principles, and writing daily progress notes.
In addition, students enrich their participation in other aspects of clinical neurology by attending site specific lectures and seminars, performing two nights of long call and two weekend days on service over the course of the four week rotation. Didactics include case-based small group discussions interspersed through the clerkship. The NBME Neurology Shelf Exam must be completed at the end of the rotation.
For UCLA Neurology attendings working with third-year medical students
Our student satisfaction ratings of the clerkship have risen noticeably, more students are entering neurology residencies, and now roughly 805 of students report having been observed by an attending performing the neurological exam (up from 55% last year). Here are some tips for this coming academic year 2006-2007:
(Above adapted by Dr. William Campbell, "Teaching the Neurologic Examination in the 21st Century" from Unformed Services University of Health Sciences, Bethesda, MD)
Example: "In patients with [relapsing-remitting muliple sclerosis] are [high dose interferons or low-dose interferons] better at [relapse rate reduction]? All UCLA students are trained in this form of analysis and it takes 2-3 hours to compile. This can also be used for the inpatient services. Check out bestbets.org for examble.