Neurology Elective at North Shore-LIJ Health System
Course Director: Noah Rosen, MD
The Neurology Clerkship is a four-week introduction to Clinical Neurology for 3rd and 4th year medical students. This rotation provides experience on an active clinical neurology service at North Shore University Hospital in Manhasset and Long Island Jewish Medical Center in New Hyde Park.
Students see in-patients and out-patients, perform clinical evaluations including detailed neurological examinations and review medical findings with senior residents and attending physicians. For out-patient experience, the students attend the Neurology Clinic at North Shore University Hospital at Manhasset and Long Island Jewish Medical Center, and the Epilepsy Clinic at Long Island Jewish Medical Center. There is a regular schedule of clinical and didactic conferences in addition to teaching rounds on the in-patient service. Students are provided with a faculty tutor and resident mentor for the duration of the rotation and together they review a structured series of clinical problems designed to provide an overview of the most important disorders affecting the nervous system (e.g., coma, seizures, cerebrovascular disease and dementia).
Neurology Clerkship Objectives:
1. To elicit an accurate neurological history, and to perform and interpret a neurological examination.
2. To appropriately order laboratory studies in neurology: EEG, EMG, nerve conduction studies, evoked potentials, lumbar puncture, CT and MR imaging of the brain and spinal cord.
3. To appropriately evaluate and treat common neurological problems:
a. Neurological Emergencies: Coma and mental status changes, stroke, seizures.
b. Common outpatient neurological problems: Headache, dizziness, back and neck pain, peripheral neuropathies.
4. To appropriately evaluate less common neurological problems, including multiple sclerosis, Parkinson's disease and other movement disorders, neuromuscular diseases, dementia, central nervous system infections, and tumors of the nervous system.
5. To acquire the many personal attributes necessary for becoming an effective physician, including honesty, compassion, reliability, and effective communication skills.
Please note that a minimum of four weeks attendance is required for this rotation.