Curriculum

NEUROLOGY  CURRICULUM 

	
	
Goals
-	to train medical residents in the basics of neurology diagnosis and 
               treatment
-              so that they may recognize neurologic problems in their 
               patients
-              to be able to localize the region on the nervous system 
               where the problem is
-              so that a work-up can be initiated
	
Objectives
to teach: 	residents how to recognize neurologic problems
-	how to localize neurologic dysfunction to the major areas of  the 
                 nervous system
-	what work-up would be appropriate
-	what treatment modalities are available
-	what the prognosis is in various neurologic disease
-	to understand some of the ethical issues involved in neurology
	
Methods
-	one month rotation on the neurology inpatient service - 2nd year
-	elective rotation on the neurology consult service - 3rd year
-	rotation in the neurology clinic as part of the outpatient rotation
-	introductory lecture series
-	lecture series on neurologic disease
-	lecture series handout materials
-	reading list
	
Evaluation
-	attending evaluation on the inpatient service - clinical skills, 
                 write-ups
-	attending evaluation on the outpatient service - clinical skills, 
                 clinic notes
-	written exam



 

NEUROLOGY CURRICULUM


MENTAL STATUS	       level of consciousness
			dominant hemisphere
			nondominant hemisphere

CRANIAL NERVES               midbrain - cn I, II, III, IV & VI
			pons - cn V, VII & VIII
			medulla - cn IX, X, XI & XII

MOTOR - strength, tone, DTRs, cutaneous reflexes, abnormal movements
SENSORY - pain, temp, touch, vibration, joint position, graphesthesia 
& stereognosis
COORDINATION & GAIT finger-to-nose/heel-to-shin, rapid alternating 
movements, station and gait

GROSS ANATOMY
	CIRCULATION - carotid and vertebral basilar
	CSF  &  ventricular system, LP 
ELECTROPHYSIOLOGY - EEG, EMG, EP


DISEASES OF NERVOUS SYSTEM
	
	STROKE  thrombotic, embolic, lacunar
	HEMORRHAGE  hypertensive,  lobar, subarachnoid
	EPILEPSY
	DEMENTIA 
	NEURO-ONCOLOGY
	INFECTIONS of the NERVOUS SYSTEM
	MUSCLE DISEASE  myopathy, muscular dystrophy¡¦s, myasthenia
	TRAUMA
	DEMYELINATING DISEASE
	NEUROPATHY
	PARKINSON'S DISEASE and MOVEMENT DISORDERS
	HEADACHE, MIGRAINE
	MOTOR NEURON DISEASE
	ETHICAL ISSUES in NEUROLOGY
	NEUROLOGIC EMERGENCIES
	NEUROLOGY OF DRUG AND ALCOHOL ABUSE
	NEUROLOGY OF MEDICAL DISEASES
	

	
	Suggested Reading
		
	the following are available in the St. Barnanbas Hospital library:
	
	
Adams RD, Victor M. Principles of Neurology, 5th edition. McGraw-
Hill Inc. , New York 1993.
	
Walton J (ed.). Brain¡¦s Diseases of the Nervous System, 10th 
edition. Oxford University Press, Oxford 1993.
	
Barnett HJM, Morh JP, Stein BM, Yatsu F. Stroke:  pathophysiology, 
diagnosis and management, 2nd edition. Churchill Livingstone, New York 1992.


Extensive material is available on the World Wide 
Web

See our list of 
Neurology Links for further resources

Handouts and other goodies are available at

SBH Neuro MedEd 
site, open or download handouts and other goodies