Course ID: MED 797/997BO
Discipline:  Medicine
Prerequisites:  8 or more weeks of core clerkships
Available Sites:  Bay City
Duration: 4 weeks

Description

The purpose of the pediatric neurology elective rotation is to educate the student regarding the principles and skills underlying the recognition and management of common neurologic disorders in children and adolescents and to practice and develop neurologic exam skills.  The student will participate as part of the multidisciplinary team in the evaluation and treatment of children, adolescents and their families.

Key Objectives

  • To understand the difference in symptomatology between children, adolescents and adults. 
  • Gain familiarity with the following topics:
    • Paroxysmal disorders- 
      • Seizures
      • Infantile spasms
      • Syncope
      • Breath holding spells
    • Developmental disorders-
      • Developmental delay
      • Autism
      • Cerebral Palsy
      • Learning and language disabilities
    • Neuromuscular disorders-
      • Guillain Barre syndrome
      • Muscular Dystrophy
      • Acquired/congenital myopathies
      • Acquired/congenital neuropathies
      • Myotonic dystrophy
      • Myasthenia gravis
    • CNS tumors
    • Neurologic emergencies
      • Status epilepticus
      • Altered mental status
      • Encephalitis/meningitis
      • Acute ataxia
      • Shaken baby syndrome
    • Movement disorders
      • Tics 
      • Tourette syndrome
      • Dystonia
    • Headache and migraine
  • Describe evidence-based diagnostic approach to pediatric patients presenting with new onset seizure.
  • Describe clinical presentation of generalized, partial, complex-partial, absence and febrile seizures
  • Outline neurologic developmental milestones in pediatric patients
  • Describe current therapeutic approach to pediatric seizure disorders
  • Students will contribute and assist with the direct care of children and adolescents with common and uncommon neurologic disorders.
  • Practice detailed neurologic examination of children
  • Develop appropriate differential diagnoses in children presenting with neurological complaints
  • Understand the contribution and impact of family dynamics on child and adolescent patient presentations
  • Understand and describe the classifications of anticonvulsant medications and appropriate uses in child and adolescent patients.
  • Awareness of community resources available to neurologically handicapped children 
  • Awareness of known identified health care disparities, and possible solutions.
  • Awareness of demographic influences on the delivery of quality and effective health care services.
  • Awareness of ways in which a physician could assist in meeting the healthcare needs of the medically underserved populations.
  • To improve skills in interviewing, diagnosis and interaction with children and their families 
  • Students are expected to review the clinical literature throughout this rotation and incorporate concepts into their clinical practice. 
  • Recognize ancillary services available to children with neurologic disability, including physical therapy, occupational therapy, neurorehabilitation.
  • Students will work with outside systems and interprofessional entities pertaining to the care of the patients they follow. 
  • To gain experience in the concept of working collaboratively with Psychologists, Social Workers, Nurses and volunteers in the evaluation and management of patients and their families.
  • Communicate and collaborate effectively and respectfully with patients, families, physicians, other healthcare professionals, and colleagues in the medical team environment and across the continuum of care
  • Demonstrate skilled listening and responding in communicating with diverse patients, their families or other caregivers, and colleagues
  • Identify the complexity of emotions (patient and physician) in the medical interview and communicate empathetically with patients experiencing strong emotions such a sadness, fear, frustration and/or anger
  • Demonstrate the ability to elicit a complete medical history within the psychosocial and cultural context of each patient
  • See and respect the patient and their families as equal partners with all members of the healthcare team in the management of their health
  • Students will be expected to demonstrate appropriate professional demeanor ethics and respect for patients’ confidentiality Acknowledge his/her learning deficits
  • Acknowledge the contribution of all health care professionals for the provision of healthcare
  • Advocate for the interest of the patient over his/her own interests and/or beliefs
  • Advocate for access to health care for underserved populations
  • Treat all patients with compassion
  • Respect the privacy and dignity of all patients and families
  • Uphold honesty and integrity in all professional interactions
  • Make ethical decision for patient care
  • Present his/herself in a manner which inspires patient and team confidence – to include appropriate dress, appearance, behavior and attitude

Assessment Method

College of Medicine standard elective assessment will be completed by supervising faculty at conclusion of elective clerkship.

Scheduling Information

Interested students should contact CMU College of Medicine Department of Distributed Clinical Education at CMEDDCE@cmich.edu.