Neuro-Oncology (Clinical Elective)

M35 Neurol 830

This elective provides an outpatient-oriented pediatric and adult neuro-oncology experience for fourth-year medical students. Students will:

Attend multidisciplinary adult and pediatric neuro-oncology clinics and case conferences (tumor boards)
attend adult and pediatric radiation oncology clinics
attend neuropathology brain tumor review
participate in subspecialty brain tumor clinics
attend monthly brain tumor research conferences.

A detailed syllabus with a list of outpatient clinics is available upon request.

Student time distribution: Outpatient 90%; Conferences/Lectures 10%; Subspecialty Care 100%
Patients seen weekly: 50
On-call/weekend responsibility: None

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Gutmann

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Location: Barnes-Jewish Hospital, Center for Advanced Medicine, St. Louis Children's Hospital
Elective contact: Drusilla Nelson, nelson_d@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1

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Neonatal Neurology (Clinical Elective)

M35 Neurol 859

The Neonatal Neurology elective will consist of a combination of inpatient and outpatient experiences designed to provide medical students with comprehensive exposure to the field. Through the rotation, students will actively participate in all aspects of patient care, acquiring the knowledge and skill necessary to effectively evaluate infants with a wide range of neurological disorders including encephalopathy, stroke, seizures, hypotonia, intraventricular hemorrhage, periventricular leukomalacia, and genetic disorders, among others.

Clinical activities will be tailored to fit the interests and goals of the individual student and include a combination of inpatient and outpatient exposures. Inpatient activities will occur in the St. Louis Children's Hospital Neonatal Intensive Unit as part of the Neonatal Neurology Consultation service. Outpatient activities will occur in the St. Louis Children's Hospital Outpatient Clinics. Students will also attend educational conferences specific to the field during the rotation, including Neonatal Neurology Clinical Conference and Neonatal Neuroradiology Conference.

Student time distribution: Inpatient 60%; Outpatient 30%; Conferences/Lectures 10%; Subspecialty Care 100%
Patients seen weekly: 25-30
On-call/weekend responsibility: None

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Peglar Marsala

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Location: Northwest Tower (Twelfth Floor, Suite 1260)
Elective contact: Lindsay Peglar Marsala, MD, lindsay.peglar@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 1

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Pediatric Neurology (Clinical Elective)

M35 Neurol 860

The Phase III elective experience in child neurology is designed to adapt to the individual goals and objectives of students. The elective takes place in one or two 2-week blocks that occur among five possible venues as chosen by the student after discussion with the course director:
1. Outpatient clinics,
2. Inpatient ward service,
3. Inpatient general consult service,
4. NICU consult service, and
5. Video EEG (VEEG) monitoring service.
The combination of services and experiences will be arranged directly between the student and the Course Director prior to beginning the rotation.

In the outpatient clinics, students will rotate between a variety of subspecialty clinics and work with a variety of attendings in order to experience the breadth of outpatient pediatric neurology. Students rotating on the inpatient ward service will work closely with the pediatric neurology resident to develop neurology-specific care plans and will function above a clerkship level. No call or weekend duties will be expected on this rotation. On the general consult services, students will work with the consult attending and pediatric neurology residents on that team to see consults in the PICU, CICU, ER, and other hospital floors. The NICU consult team focuses on infants in the NICU. Student rotating on the VEEG monitoring service will focus on learning the indications and uses of VEEG and basic EEG reading skills.

Student time distribution: Conferences/Lectures 10%; Inpatient or Outpatient 90%, depending upon student selection
Patients seen weekly:
Outpatient Service: 20-25
Inpatient Service: 15-20

Students on the wait list or with scheduling conflicts/issues should immediately contact the course director to discuss possible solutions and alternative plans.

Med: WUSMEC

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Larsen

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Location: St. Louis Children's Hospital, Northwest Tower (Twelfth Floor, Suite 1260)
Elective contact: Chrissy McIntosh, c.mcintosh@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2
Other information: Contact the course director at least eight weeks prior to the start of the elective to discuss the exact schedule of services the student will participate in.

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Neurointensive Care Unit (Clinical Elective)

M35 Neurol 861

The student will be integrated into the Critical Care Team that provides care in the Neurology/Neurosurgery ICU. Diseases frequently encountered include intracerebral hemorrhage, head trauma, subarachnoid hemorrhage, stroke, spinal cord disease, and neuromuscular disease.. The student will follow patients, participate in rounds and pay participate in some procedures under supervision. Didactic sessions will be provided as conferences or lectures from the ICU attending and fellow.

Student time distribution: Inpatient 90%; Conferences/Lectures 10%; Subspecialty Care 100%
Patients seen weekly: 25
On call/weekend responsibility: Variable

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Keyrouz

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Location: Barnes-Jewish Hospital (10400)
Elective contact: Liz Vansickle, mvansickle@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2
Prerequisite: Neurology Clerkship

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Adult Epilepsy (Clinical Elective)

M35 Neurol 865

Students will learn how epileptologists diagnose and manage epilepsy in adults. They will learn how to use the history and physical exam and ancillary studies such as EEG, MRI, PET, and SPECT to diagnose and manage patients with new onset epilepsy, established epilepsy, and medically intractable epilepsy. They will become familiar with the medical management of epilepsy as well as the treatment options for medically intractable epilepsy including epilepsy surgery. They will also learn how to manage the co-morbid conditions that accompany epilepsy such as depression, behavioral problems, cognitive impairment, sleep disturbance, and non-epileptic events. Students will accomplish these goals by rounding on the inpatient epilepsy service (Epilepsy Monitiring Unit and Critical Care EEG Monitoring) with the epilepsy team at Barnes-Jewish Hospital. Students will attend outpatient epilepsy clinic one half-day per week. They will attend the Adult Epilepsy Conference, EEG Review Conference, EEG/Epilepsy Didactics, and Neurology Grand Rounds.

Student time distribution: Inpatient (Epilepsy Monitoring Unit and Critical Care EEG Monitoring) 70%; Outpatient EEG Lab 20%; Outpatient (Epilepsy Clinic) 5%; Conferences/Lectures 5%; Subspecialty Care 100%
Patients seen weekly: 40
On call/weekend responsibility: Students will work 50% of weekends during the rotation.

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Nascimento

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Location: Barnes-Jewish Hospital (Epilepsy Monitoring Unit, 11400)
Elective contacts: Victoria Taylor, v.taylor@wustl.edu; Karla Bryant, k.bryant@wustl.edu
Rotation length: 2 or 4 weeks
Enrollment limit per block: 2
Reporting information: Meet at the Epilepsy Monitoring Unit, 11400, at 8:00 am on the first day.

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Neurology Advanced Clinical Rotation (ACR)

M35 Neurol 910

The Neurology Advanced Clinical Rotation (ACR) is a 4-week education experience for Phase III Gateway Medical Students offering graduated supervised responsibility for patient care in adult or pediatric Neurology. ACR Students can select a rotation on one of the following services:

Inpatient General Adult Neurology (at Barnes-Jewish Hospital)
Adult Stroke Neurology (at Barnes-Jewish Hospital)
Inpatient General Pediatric Neurology (at St. Louis Children's Hospital)

The ACR student will gain exposure to a wide variety of adult or pediatric neurologically affected patients. They will evaluate and treat patients with acute neurological disorders as well as those with acute/subacute presentations of chronic neurological disorders. The Neurology ACR rotation will give students increased exposure and autonomy in the care of Neurology patients and further increase their knowledge and experience in Neurological disorders.

Under the supervision of a senior resident, chief resident and attending physician, the student will have supervised responsibility for their patients. The ACR student will perform a complete history and neurological examination on their new and follow-up patients and will independently establish a differential diagnosis and plan for their patients. When possible, they will have the opportunity to write orders and write admission notes, daily progress notes and discharge summaries. The ACR student will carry a sufficient number of patients to ensure adequate learning and experience. The number of patients assigned to the ACR student is determined by the complexity of the case, the clinical skills of the student and the total number of patients on the service.

Students will typically spend all 4 weeks on one of the above services, exceptions to spend time on two different services (2 weeks on each) will be considered on a case-by-case basis by the ACR director.

The ACR student will also attend departmental rounds and clinical conferences.

Student time distribution: Inpatient 100%
Patients seen weekly: 8-12
On-call/weekend responsibility: Once per week

Students on the wait list or with scheduling conflicts/issues should contact the course director to discuss possible solutions and alternative plans.

Attributes:

Med: VSEC, WUSMAC, WUSMEC

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Chahin

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Location: Barnes-Jewish Hospital, St. Louis Children's Hospital
Elective contact: Chrissy McIntosh, c.mcintosh@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2

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