Lurie Ctr:Multidisciplinary Clinic for Children, Adolescents & A

Sites: MGH
Director(s): Yamini Howe, Christopher Keary, Christopher McDougle, Alberto Puig
Offered: Full time every month
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: No (HMS only)
Description: The Lurie Center is a multidisciplinary clinic that provides initial diagnosis and ongoing care for children, adolescents and adults with autism spectrum and other neurodevelopmental disorders. The Center includes child and adult neurologists and psychiatrists, developmental and gastrointestinal pediatricians, an adult internist, neuropsychologists, and speech, occupational and physical therapists. Students spend one week with neurologists, psychiatrists, pediatricians and among the remaining disciplines, respectively. They will become familiar with the presentation, diagnosis and treatment of autism and related disorders. Students will be provided with a reading list of seminal papers in autism that will be discussed with faculty over the course of the rotation. Students will attend weekly clinical case conferences and weekly presentations by various providers within and outside of the Lurie Center. Students will spend one day each week off-site observing and learning from our primary research collaborating sites, including the Martinos Center for Biomedical Imaging (J Hooker PhD et al), the Center for Human Genetic Research (J Gusella PhD et al) and the Behavioral Genetics Laboratory at McLean Hospital (W Carlezon PhD et al). Residents/fellows rotate through the Center on a limited basis. There are no "on-call" responsibilities. Mentorship for writing/publishing a case report pertaining to a patient seen during the month is available.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The assigned readings for students will include papers on the neurobiology and pathophysiology of autism spectrum disorders. Students will spend one day each week visiting and learning about neuroimaging, genetics and neuroscience/animal models as research modalities in autism spectrum disorders. Practice parameters from neurology, psychiatry and pediatrics will be read and discussed.
Grade Criteria:
Honors with Distinction: The student will receive a grade of Honors with Distinction if the average score from their 4 weeks of clinical rotation plus the score on their final presentation/2 = 3.5 or higher (HH=4, H=3, S=2, U=0). The factors that go into assigning a grade for each of the 4 weeks of the clinical rotation are described above and include: punctuality, professionalism, degree of interest/enthusiasm, ability to relate to patients and family members, and mastery of content - both clinical and of assigned readings. For the final presentation, the grade will be determined by the background information included in the Introductory portion of the presentation (from the literature search); the description of the clinical case itself; and the discussion of the case (also from the literature search). Honors: A final score of 2.5 to 3.4 using the same criteria/formula as above under Honors with Distinction. Satisfactory: A final score of 1.5 to 2.4 using the same criteria/formula as above under Honors with Distinction. Unsatisfactory: A final score of 1.4 or lower using the same criteria/formula as above under Honors with Distinction.