Course ID
038692
Course Description
The student rotating on University of Arizona College of Medicine (Tucson) Pediatric Neurology elective will gain experience in the care of infants and children with neurological problems.
Objectives:
- Acquire competence in neurological examination of infants and children.
- Obtain histories from parents and children in the following clinical settings: UMC, TMC and Children's Rehabilitation Services Clinic
Learn about appropriate diagnostic evaluations and subsequent therapy for children with serious neurological disorders including: epilepsy, cerebrovascular disease, neuromuscular disorders, central nervous system trauma, brain tumors, movement disorders, neurodegenerative diseases, and neurobehavioral disorders.
Learn about the diagnosis and management of neurological disorders in the pediatric intensive care setting, including: status epilepticus, coma, increased intracranial pressure, peripheral neuropathies, metabolic encephalopathies, and central nervous system infections.
Learn about the principles of neurological rehabilitation including: appropriate splinting and casting, pharmacological therapy for spasticity, timing of physical, occupational, and speech therapy, bladder/bowel care, and transition from hospital to home and school.
Medical Knowledge
Goal: The student rotating on the Pediatric Neurology service should be able to demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to care of patients with urgent and chronic medical problems.
Objectives:
- Develop competence in interpreting results of laboratory tests and imaging.
- Demonstrate an understanding of the basic and neurological science background of neurological medicine and apply this knowledge to the clinical care of patients.
- Be able to explain and examine the interaction of neurological diseases with other organ systems and with other medical illnesses.
- Have knowledge of the most current pathophysiological explanations for neurological disorders.
- Develop their localization and neurological examination skills.
Practice-based Learning and Improvement
Goal: The student rotating on Pediatric Neurology should learn to investigate and evaluate the care of medical patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.
Objectives:
- Recognize the utility and appropriate use of specialty procedures (MR, CT, EEG, evoked potentials, sleep studies, EMG/NCV and CSF evaluations.
- Prioritize clinical responsibilities, provide timely service, and seek appropriate consultation and support.
- Develop the ability to use information technology to improve the practitioner's fund of knowledge and technical skills to provide better care to patients.
Interpersonal and Communication Skills
Goal: The student must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.
Objectives:
- Communicate effectively with other health care professionals.
- Communicate with patients and their families in easily understood and culture-sensitive language.
- Work effectively as both a member of a professional group and as a group leader.
- Learn how to serve as a consultant to colleagues and health care professionals.
- Maintain comprehensive, timely and legible medical records.
Professionalism
Goal: The student must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.
Objectives:
- Demonstrate effective communications skills with professionals from other areas of medical practice including internal medicine, general surgery, and surgical subspecialties.
- Develop an awareness of good and bad communication behavior and leadership characteristics. Demonstrate appropriate nonverbal behavior.
- Have a commitment to carrying out professional responsibilities.
- Adhere to ethical principles.
- Develop sensitivity to a diverse patient population, with respect for colleagues and other health professionals.
- Function well as a team member
Systems-based Practice
Goal: The student should be able to demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.
Objectives:
- Recognize the responsibility of the individual physician to the patient, the practice and the overall health care system.
- Learn about the concepts of cost containment and cost-effectiveness and learn the relative cost to the patient and society of studies and treatments requested.
- Learn about methods for ensuring that the practitioner and the practice group use scarce resources in a sound, thoughtful and cost-effective manner.
- Understand necessary skills required for the independent practice of neurological care.
- Understand the role of the physicians order, appropriate history and the electronic medical record as they pertain to inpatient neurological care.
- Understand how to utilize available resources in the hospital and via electronic media to improve patient care and outcomes.
Evaluation: To be performed by the Pediatric Neurology attending physician and resident (written evaluation of performance).
Objectives:
- Acquire competence in neurological examination of infants and children.
- Obtain histories from parents and children in the following clinical settings: UMC, TMC and Children's Rehabilitation Services Clinic
Learn about appropriate diagnostic evaluations and subsequent therapy for children with serious neurological disorders including: epilepsy, cerebrovascular disease, neuromuscular disorders, central nervous system trauma, brain tumors, movement disorders, neurodegenerative diseases, and neurobehavioral disorders.
Learn about the diagnosis and management of neurological disorders in the pediatric intensive care setting, including: status epilepticus, coma, increased intracranial pressure, peripheral neuropathies, metabolic encephalopathies, and central nervous system infections.
Learn about the principles of neurological rehabilitation including: appropriate splinting and casting, pharmacological therapy for spasticity, timing of physical, occupational, and speech therapy, bladder/bowel care, and transition from hospital to home and school.
Medical Knowledge
Goal: The student rotating on the Pediatric Neurology service should be able to demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to care of patients with urgent and chronic medical problems.
Objectives:
- Develop competence in interpreting results of laboratory tests and imaging.
- Demonstrate an understanding of the basic and neurological science background of neurological medicine and apply this knowledge to the clinical care of patients.
- Be able to explain and examine the interaction of neurological diseases with other organ systems and with other medical illnesses.
- Have knowledge of the most current pathophysiological explanations for neurological disorders.
- Develop their localization and neurological examination skills.
Practice-based Learning and Improvement
Goal: The student rotating on Pediatric Neurology should learn to investigate and evaluate the care of medical patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.
Objectives:
- Recognize the utility and appropriate use of specialty procedures (MR, CT, EEG, evoked potentials, sleep studies, EMG/NCV and CSF evaluations.
- Prioritize clinical responsibilities, provide timely service, and seek appropriate consultation and support.
- Develop the ability to use information technology to improve the practitioner's fund of knowledge and technical skills to provide better care to patients.
Interpersonal and Communication Skills
Goal: The student must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.
Objectives:
- Communicate effectively with other health care professionals.
- Communicate with patients and their families in easily understood and culture-sensitive language.
- Work effectively as both a member of a professional group and as a group leader.
- Learn how to serve as a consultant to colleagues and health care professionals.
- Maintain comprehensive, timely and legible medical records.
Professionalism
Goal: The student must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.
Objectives:
- Demonstrate effective communications skills with professionals from other areas of medical practice including internal medicine, general surgery, and surgical subspecialties.
- Develop an awareness of good and bad communication behavior and leadership characteristics. Demonstrate appropriate nonverbal behavior.
- Have a commitment to carrying out professional responsibilities.
- Adhere to ethical principles.
- Develop sensitivity to a diverse patient population, with respect for colleagues and other health professionals.
- Function well as a team member
Systems-based Practice
Goal: The student should be able to demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.
Objectives:
- Recognize the responsibility of the individual physician to the patient, the practice and the overall health care system.
- Learn about the concepts of cost containment and cost-effectiveness and learn the relative cost to the patient and society of studies and treatments requested.
- Learn about methods for ensuring that the practitioner and the practice group use scarce resources in a sound, thoughtful and cost-effective manner.
- Understand necessary skills required for the independent practice of neurological care.
- Understand the role of the physicians order, appropriate history and the electronic medical record as they pertain to inpatient neurological care.
- Understand how to utilize available resources in the hospital and via electronic media to improve patient care and outcomes.
Evaluation: To be performed by the Pediatric Neurology attending physician and resident (written evaluation of performance).
Min Units
2
Max Units
8
Repeatable for Credit
No
Grading Basis
CLK - Clerkship H,HP,P,F
Career
Medicine
Course Requisites
May be convened with
Component
Clinical
Optional Component
No