Advanced Neurology

Sites: MGH
Director(s): Isabel Arrillaga-Romany, Alberto Puig, Haatem Reda
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: Yes (may be restricted for international students)
Description: The Neurology Consultation Rotation at the Massachusetts General Hospital is available to students with prior exposure to Internal Medicine and Neurology. The students spend two weeks each on the general consult service and the stroke/intensive care unit consult service. The student works closely with a senior resident and an attending physician in the evaluation and management of patients with neurologic complications of systemic illness, and those with cerbrovascular disease. The student consults on new patients on the medical services, discusses them with the consultation team, and follows the clinical course. In addition, advanced clerkship students contribute to discussion in brain cutting conferences, and attend the clerkship director's weekly tutorial. Students are also assigned to a weekly outpatient clinic session with general or subspecialty attendings, and these clinics can be tailored to the student's particular interest. As their schedule permits, advanced neurology students attend tutorials by our residents and fellows on a variety of neuroimaging and clinical topics in neurology. A clinical examination is offered in mid-rotation which provides direct one-on-one clinical teaching for the student, and an opportunity for the student to assess his or her own performance. The advanced student also takes the shelf exam on the final Friday of the rotation. This rotation is particularly well suited to students who wish to explore the discipline of neurology and clinical neuroscience in greater depth.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science issues and discussions of evidence-based medicine are incorporated into the assessment and management of every patient and in conferences held through the month. In addition, a range of clinical and basic neuroscience lectures and conferences are held daily in the department, and students are invited to attend all these teaching sessions.
Grade Criteria:
Honors with Distinction: 90% - 100% Honors with Distinction/First/Summa Cum Laude. Honors: 75% - 84% Lower Honors (H2)/Lower Second/Cum Laude. 85% - 89% Upper Honors (H1)/Upper Second/Magna Cum Laude. Satisfactory: 60% - 74% Satisfactory/Third/Pass Unsatisfactory: A score lower than 60%.