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CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY
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CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY

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  • 1. CORE CURRICULUM FOR UAMS NEUROLOGY RESIDENCY PATIENT CARE Neurology Patient Care (PGY2) Objectives Teaching Methods Assessment Strategy Obtain a comprehensive medical history, including essential Supervised Direct Inpatient & Outpatient Faculty rotation rating & evaluation and accurate information about hospitalized patients with Care NEX live patient examinations acute neurological symptoms, including neurological Performance Feedback Program Director semi-yearly review emergencies. Conferences Obtain comprehensive medical history, including essential and Supervised Direct Patient Care Faculty rotation rating & evaluation accurate information about hospitalized patients & outpatients Performance Feedback NEX live patient examinations with chronic neurological disorders and common neurological Conferences Program Director semi-yearly review symptoms. Perform a comprehensive neurological examination and be Clinical Teaching Faculty rotation rating & evaluation able to summarize findings and localize the lesion in the Clinical Experience RITE central and/or peripheral nervous system, or determine another Performance Feedback NEX live patient examinations origin (e.g. systemic, psychiatric or psychogenic illness). Conferences Program Director semi-yearly review Formulate a differential diagnosis and management plan based Clinical Teaching Faculty rotation rating & evaluation upon your neurological assessment. Supervised Direct Patient Care RITE Conferences NEX live patient examinations Make informed decisions about diagnostic evaluations, Clinical Teaching Faculty rotation rating & evaluation including neuroimaging, neurophysiologic evaluation and Performance Feedback NEX live patient examinations laboratory investigation. Weekly Neuroradiology Conference Program Director semi-yearly review Weekly Clinical Neurophysiology Conference Identify and describe abnormalities seen in common Clinical Teaching Faculty evaluation of skills in neurological disorders on neuroimaging testing. Performance Feedback Neuroradiology conference Weekly Neuroradiology Conference Faculty observation & supervision RITE Demonstrate technical skills in performing lumbar punctures. Staff instruction /supervision Faculty observation & supervision Demonstrate technical and safe procedural skills in Clinical teaching Faculty observation & supervision performing such bedside testing as edrophonium test, caloric Recommended reading testing, and apnea test for brain death determination.
  • 2. PATIENT CARE (cont) Neurology Patient Care (PGY3 and 4) Objectives Teaching Methods Assessment Strategy Evaluate the application and relevance of investigative Clinical teaching Faculty rotation rating & evaluation procedures and interpretation in the diagnosis of neurological Weekly Neuroradiology conference RITE disease, including the following: Weekly Clinical Neurophysiology conference NEX live patient examinations 1. Electroencephalography Review and instruction in EEG with staff EMG end of course quiz 2. Motor and nerve conduction Observation and instruction in EMG by staff EEG end of course test studies Recommended reading 3. Electromyography 4. Evoked potentials 5. Polysomnography 6. Audiometry 7. Perimetry 8. Neuropsychological testing 9. Cerebrospinal fluid (CSF) analysis 10. Vascular imaging (Carotid Doppler/US, MRA, CTA) 11. Radiographic studies- X-ray, CT, MRI/MRA, nuclear imaging studies, myelography Identify and describe gross and microscopic specimens taken Clinical teaching Faculty rotation rating & evaluation from the normal nervous system and from patients with major Recommended readings RITE neurological disorders. Neuropathology lectures Based on a comprehensive neurological assessment, the Clinical teaching Faculty rotation rating & evaluation physician shall demonstrate the ability to recognize and treat Recommended reading RITE neurological disorders commonly encountered in the hospital Departmental Conferences NEX live patient examinations setting Didactics Program Director semi-yearly review Based on a comprehensive neurological assessment, the Clinical teaching Faculty rotation rating & evaluation physician shall demonstrate the ability to recognize and treat Recommended reading RITE neurological disorders commonly encountered in the Departmental Conferences NEX live patient examinations outpatient setting Didactics Program Director semi-yearly review
  • 3. MEDICAL KNOWLEDGE Neurology (PGY2) Medical Knowledge Objectives Teaching Methods Assessment Strategy The physician shall demonstrate knowledge of the pathophysiology Clinical teaching Faculty rotation rating & evaluation of major neurological disorders and familiarity with the scientific Review of evidence based guidelines RITE basis of neurological diseases. and practice parameters proposed by NEX live patient examinations the AAN Program Director semi-yearly review Departmental Conferences Reading list The physician shall demonstrate knowledge of patient evaluation and Clinical teaching Faculty rotation rating & evaluation treatment selection, including: Didactic lectures, including basic RITE • The nature of patients’ history and physical findings and the science lecture series NEX live patient examinations ability to correlate the findings with a likely localization for Grand Rounds Program Director semi-yearly review neurological dysfunction. Journal clubs • Likely diagnoses and differential diagnoses. Review of evidence based guidelines • Planning for evaluation and management. and practice parameters proposed by • Potential risks and benefits of potential therapies, including the AAN surgical procedures. Reading list Compare and contrast the medical and surgical approaches to Clinical teaching Faculty rotation rating & evaluation treatment of neurological disorders and explain the conditions under Didactic lectures, including basic RITE which each would be most efficacious. science lecture series NEX live patient examinations Grand Rounds Program Director semi-yearly review Journal clubs Review of evidence based guidelines and practice parameters proposed by the AAN Reading list Demonstrate the approach to assessing an acute change in mental Clinical teaching Faculty rotation rating & evaluation status/coma and distinguish between different etiologies such as Didactic lectures RITE metabolic, toxic, infections, or vascular. Journal clubs NEX live patient examinations Review of evidence based guidelines Program Director semi-yearly review and practice parameters of the AAN
  • 4. MEDICAL KNOWLEDGE (cont) Neurology (PGY2) Medical Knowledge (Cont.) Objectives Teaching Methods Assessment Strategy Demonstrate an analytical thinking approach to a patient presenting Clinical teaching Faculty rotation rating & evaluation with acute weakness in order to distinguish whether the lesion can be Didactic lectures RITE attributable to the central nervous system (brain or spinal cord) or NEX live patient examinations peripheral nervous system (nerve root, peripheral nerve, Program Director semi-yearly review neuromuscular junction or muscle) based upon assessment of upper or lower motor neuron signs. Demonstrate knowledge of relevant neuroanatomy and underlying Clinical teaching Faculty rotation rating & evaluation pathology found in neoplasms, multiple sclerosis, Alzheimer’s Didactic conferences, including basic RITE dementia, Parkinson’s disease and cerebrovascular disease science conferenc Program Director semi-yearly review Weekly Neuropathology conference The physician shall demonstrate the ability to reference and utilize Clinical teaching Faculty rotation rating & evaluation electronic systems to access medical, scientific, and patient Library services information. EMR training The physician shall demonstrate a knowledge of psychiatry, Psychiatry rotation in either PGY1 Faculty rotation rating & evaluation including: (or PGY2,3,4 years) on the consult RITE • Psychopathology, epidemiology, diagnostic criteria, and liaison service NEX live patient examinations clinical course for common psychiatric disorders. Psychiatry didactic lectures • Drug dependence and substance abuse. • Interplay between psychogenic and neurologic clinical manifestations, including somatization and conversion disorders • Management of uncomplicated psychiatric disorders and indications for consultation • Psychopharmacology including major drug categories and potential side effects • Nonpharmocologic treatment approaches
  • 5. MEDICAL KNOWLEDGE (cont) Neurology (PGY3 and 4) Medical Knowledge Objectives Teaching Methods Assessment Strategy The physician shall demonstrate progressive knowledge of patient Cinical teaching Faculty rotation rating & evaluation evaluation and treatment selection, including: Didactic lectures, including basic RITE • The nature of patients’ history and physical findings and science lecture series NEX live patient examinations the ability to correlate the findings with a likely Grand Rounds Program Director semi-yearly review localization for neurological dysfunction. Journal clubs • Likely diagnoses and differential diagnoses in adults and Reading list children • Planning for evaluation and management. • Potential risks and benefits of potential therapies, including surgical procedures. The physician shall demonstrate knowledge of the major Cinical teaching Faculty rotation rating & evaluation disorders, including considerations relating to age, gender, race Didactic lectures, including basic RITE and ethnicity, based on the literature and standards of practice. science lecture series NEX live patient examinations This knowledge shall include: Grand Rounds Program Director semi-yearly review • The epidemiology of the disorder. Journal clubs • The etiology of the disorder, including medical, genetic, and Reading list sociocultural factors. Review of evidence based guidelines • The phenomenology of the disorder. and practice parameters of the AAN • The experience, meaning, and explanation of the illness for the patient and family, including the influence of cultural factors and culture-bound syndromes. • Effective treatment strategies, course, and prognosis. Critically evaluate and judiciously apply the latest knowledge of Cinical teaching Faculty rotation rating & evaluation basic neuroscience that is critical to the practice of neurology Didactic lectures, including basic RITE science lecture series NEX live patient examinations Grand Rounds Program Director semi-yearly review Journal clubs Reading list Review of evidence based guidelines and practice parameters of the AAN
  • 6. Neurology (PGY3 and 4) Medical Knowledge (cont.) Objectives Teaching Methods Assessment Strategy Characterize the main features of neurological disorders and Cinical teaching Faculty rotation rating & evaluation diseases that span across a lifespan, and compare and contrast Didactic lectures, including basic RITE available treatment options for the following: science lecture series NEX live patient examinations • Dementia and behavioral neurology disorders Grand Rounds Program Director semi-yearly review • Epilepsy and related disorders Journal clubs • Neuromuscular disorders Reading list • Demyelinating disorders of the central & peripheral Review of evidence based guidelines nervous system and practice parameters of the AAN • Cerebrovascular disorders • Infectious diseases of the nervous system • Neoplastic disorders of the nervous system • Nervous system trauma • Toxic and metabolic disorders of the nervous system • Acute & chronic pain • Sleep disorders • Changes in mental status secondary to therapy • Critical care and emergency neurology • Coma and brain death • Headache and facial pain • Movement disorders The physician shall demonstrate knowledge of the Cinical teaching Faculty rotation rating & evaluation pathophysiology of major neurological disorders and familiarity Didactic lectures, including basic RITE with the scientific basis of neurological diseases. science lecture series Program Director semi-yearly review Weekly Neuropathology conference Grand Rounds Journal clubs Reading list Demonstrate the employment of principles of quality Cinical teaching Faculty rotation rating & evaluation improvement in practice Weekly Neuropathology conference Program Director semi-yearly review Monthly QA (M&M) conference
  • 7. INTERPERSONAL AND COMMUNICATION SKILLS Neurology (PGY 2) Interpersonal and Communication Skills Objectives Teaching Methods Assessment Strategy Demonstrate the ability to obtain, interpret and evaluate Clinical rounds & teaching Faculty rotation rating & evaluation consultations from other medical specialties and to communicate a Outpatient clinic teaching diagnostic and management plan. Provide patients and their families explanations of neurological Clinical rounds & teaching Faculty rotation rating & evaluation disorders and treatment that is geared to their educational level, as Outpatient clinic teaching NEX live patient examinations well as respecting the patient’s cultural, ethnic, religious and Evaluation by nursing staff economic backgrounds. Convey information to patients in a clear and meaningful fashion Clinical rounds & teaching Faculty rotation rating & evaluation and partner with patients to develop an agreed upon healthcare Outpatient clinic teaching NEX live patient examinations management plan. Evaluation by nursing staff Work collaboratively with the multidisciplinary team involved in Clinical rounds & teaching Faculty rotation rating & evaluation the inpatient care of neurological patients. Outpatient clinic teaching NEX live patient examinations Evaluation by nursing staff Develop and maintain a therapeutic alliance with patients by Clinical rounds & teaching Faculty rotation rating & evaluation instilling feelings of trust, honesty, openness, rapport, and comfort Outpatient clinic teaching NEX live patient examinations in the relationship with the physician. Online HIPAA training Evaluation by nursing staff
  • 8. INTERPERSONAL AND COMMUNICATION SKILLS (cont) Neurology (PGY 3 and 4) Interpersonal and Communication Skills Objectives Teaching Methods Assessment Strategy Provide leadership, direction and instruction to junior members of Clinical Rounds & teaching Faculty rotation rating & evaluation the team in a way that fosters their skills as a physician. Outpatient clinic teaching NEX live patient examinations Evaluation by nursing staff Demonstrate effective communication within the team, with Clinical Rounds & teaching Faculty rotation rating & evaluation regards to patients’ current or change in neurologic status, Outpatient clinic teaching NEX live patient examinations anticipated problem, therapeutic regimen and diagnostic tests to be Evaluation by nursing staff reviewed. To listen to and understand patients and to attend to nonverbal Clinical Rounds & teaching Faculty rotation rating & evaluation communication. Outpatient clinic teaching NEX live patient examinations Evaluation by nursing staff To educate patients and professionals about medical, Clinical Rounds & teaching Faculty rotation rating & evaluation psychosocial, and behavioral issues. Outpatient clinic teaching NEX live patient examinations Evaluation by nursing staff To partner with patients to develop an agreed upon healthcare Clinical Rounds & teaching Faculty rotation rating & evaluation management plan. Outpatient clinic teaching NEX live patient examinations Evaluation by nursing staff Recognize one’s own feelings and behaviors in dealing with Clinical Rounds & teaching Faculty rotation rating & evaluation difficult situations so that they do not interfere with appropriate Outpatient clinic teaching NEX live patient examinations treatment Ethics conferences Evaluation by nursing staff
  • 9. PRACTICE BASED LEARNING AND IMPROVEMENT Neurology (PGY 1) Practice Based Learning and Improvement Objectives Teaching Methods Assessment Strategy Physicians shall recognize limitations in their own knowledge Direct patient care & clinical teaching Faculty rotation rating & evaluation base & clinical skills, and understand & address the need for Q/A (M&M) conference Evaluation by nursing staff lifelong learning. Journal Clubs Program Director semi-yearly review The physician shall demonstrate appropriate skills for obtaining Internet medical information system, Faculty rotation rating & evaluation and evaluating up to date information from scientific and practice medical searches, national conference Evaluation by nursing staff literature and other sources to assist in the quality care of patients. attendance. Program Director semi-yearly review This should include educational courses, conferences The physician shall evaluate caseload and practice experience in a Direct patient care & clinical teaching Faculty rotation rating & evaluation systematic manner Review of evidence based guidelines Evaluation by nursing staff and practice parameters proposed by Personal portfolio (encouraged) the AAN Q/A (M&M) conference The physician shall demonstrate responsibility for his/her patients’ Direct patient care & clinical teaching Faculty rotation rating & evaluation care, including: Journal clubs Evaluation by nursing staff 1. Responding to communication from patients and health Review of evidence based guidelines Personal portfolio (encouraged) professionals in a timely manner. and practice parameters proposed by 2. Establishing and communicating back-up arrangements, the AAN including how to seek emergent and urgent care when Patient centered literature review necessary. Daily hand-off to on-call resident 3. Using medical records for appropriate documentation of the course of illness and its treatment. 4. Providing coverage if unavailable, e.g., out of town, on vacation. 5. Providing for continuity of care, including appropriate consultation, transfer, or referral if necessary.
  • 10. PRACTICE BASED LEARNING AND IMPROVEMENT (cont) Neurology (PGY 3 and 4) Practice Based Learning and Improvement Objectives Teaching Methods Assessment Strategy Evaluate the clinical literature applying knowledge of Teaching conferences including Grand Faculty rotation rating & evaluation epidemiology, biostatistics, and research study design Rounds Presentations at meetings Journal Clubs Publications Involvement in research Facilitate the learning of medical students Oral presentations Faculty rotation rating & evaluation Patient Centered instruction Personal portfolio (encouraged) Demonstrate the ability to: Grand Rounds Faculty rotation rating & evaluation 1. Review and critically assess scientific literature to Clinical teaching Evaluation by nursing staff determine how quality of care can be improved in Journal clubs Personal portfolio (encouraged) relation to one’s practice (e.g., reliable and valid Review of evidence based guidelines Program Director semi-yearly review and practice parameters of the AAN assessment techniques, treatment approaches with Patient centered literature review established effectiveness, practice parameter adherence). Within this aim, the physician shall be able to assess the generalizability or applicability of research findings to one’s patients in relation to their sociodemographic and clinical characteristics. 2. Develop and pursue effective remediation strategies that are based on critical review of scientific literature. 3. Learn from one’s own and other specialties.
  • 11. PROFESSIONALISM Neurology (PGY 2) Professionalism Objectives Teaching Methods Assessment Strategy Interact responsibly with patients, families and co-workers taking Direct patient care & clinical teaching Faculty rating & evaluation into consideration age, disability, culture and gender issues. Ethics case reviews Evaluation by nursing staff Online ethics training Demonstrate appropriate use of the EMR in regards to patient Direct patient care & clinical teaching Faculty rating & evaluation respect and confidentiality. Ethics case reviews Evaluation by nursing staff Online ethics training EMR training Online HIPAA training The physician shall review his/her professional conduct and Direct patient care & clinical teaching Faculty rating & evaluation remediate when appropriate. Ethics case reviews Evaluation by nursing staff Online ethics training Program Director semi-yearly review QA (M&M) conference The physician shall demonstrate ethical behavior, integrity, Direct patient care & clinical teaching Faculty rating & evaluation honesty, compassion, and confidentiality in the delivery of care, Ethics case reviews Evaluation by nursing staff including matters of informed consent/assent, professional Online ethics training conduct, and conflict of interest. The physician shall demonstrate understanding of and sensitivity Direct patient care & clinical teaching Faculty rating & evaluation to end of life care and issues regarding provision of care. Ethics conference Evaluation by nursing staff Online ethics training The physician shall participate in the review of the professional Direct patient care & clinical teaching Faculty rating & evaluation conduct of his/her colleagues. Ethics case reviews QA (M&M) conference The physician shall acknowledge and remediate medical errors, Direct patient care & clinical teaching Faculty rating & evaluation should they occur. Ethics case reviews Evaluation by nursing staff QA (M&M) conference Program Director semi-yearly review Neurology (PGY 3 and 4) Professionalism Objectives Teaching Methods Assessment Strategy Describe the differences of withdrawal of care, termination of Direct patient care & clinical teaching Faculty rating & evaluation care, and non-initiation of care and assist patients and their Ethics conference Evaluation by nursing staff
  • 12. families in choosing these options in the appropriate clinical setting. The physician shall participate in the review of the professional Teaching rounds Faculty rating & evaluation conduct of his/her colleagues. Back-up call Evaluation by nursing staff QA (M&M) conference The physician shall acknowledge and remediate medical errors, Teaching rounds Faculty rating & evaluation should they occur. Back-up call Evaluation by nursing staff QA (M&M) conference Program Director semi-yearly review
  • 13. SYSTEM BASED PRACTICE Neurology (PGY 2) System Based Practice Objectives Teaching Methods Assessment Strategy The physician shall have a working knowledge of the diverse Direct supervised patient care Faculty rating & evaluation systems involved in treating patients of all ages and understand Interaction with social service Evaluation by nursing staff how to use the systems as part of a comprehensive system of care Review of evidence based medicine in general, and as part of a comprehensive, individualized and guidelines of the AAN treatment plan. The physician shall be able to: Departmental conferences including 1. Use practice guidelines. QA (M&M) 2. Access community, national, and allied health professional resources, which may enhance the quality of life of patients with chronic psychiatric and neurological illnesses. 3. Demonstrate the ability to lead and delegate authority to healthcare teams needed to provide comprehensive care for patients with psychiatric and neurological disease. 4. Demonstrate skills for the practice of ambulatory medicine, including time management, clinic scheduling, and efficient communication with referring physicians. 5. Utilize appropriate consultation and referral mechanisms for the optimal clinical management of patients with complicated medical illnesses. Demonstrate awareness of the importance of adequate cross Direct supervised patient care Faculty rating & evaluation coverage. Use accurate medical data in the communication with Hand-off to on-call resident Evaluation by nursing staff and effective management of patients. Program Director semi-yearly review The physician shall demonstrate knowledge of and interact with Direct supervised patient care Faculty rating & evaluation managed health care systems and Medicare. Interaction with social service Evaluation by nursing staff Review of evidence based medicine Program Director semi-yearly review and guidelines of the AAN Departmental conferences including QA (M&M)
  • 14. SYSTEM BASED PRACTICE (cont) Neurology (PGY3 and 4) System Based Practice Objectives Teaching Methods Assessment Strategy In the community system, the physician shall: Direct supervised patient care Faculty rating & evaluation 1. Recognize the limitation of healthcare resources and Interaction with social service Evaluation by nursing staff demonstrate the ability to act as an advocate for patients Review of evidence based medicine within their sociocultural and financial constraints. and guidelines of the AAN 2. Demonstrate knowledge of the legal aspects of psychiatric and neurological diseases as they impact patients and their families. 3. Demonstrate an understanding of risk management. The physician shall demonstrate knowledge of and interact with Direct supervised patient care Faculty rating & evaluation managed health care systems and Medicare. Interaction with social service Evaluation by nursing staff Review of evidence based medicine Program Director semi-yearly review and guidelines of the AAN The physician shall demonstrate knowledge of community Direct supervised patient care Faculty rating & evaluation systems of care and assist patients to access appropriate care and Interaction with social service Evaluation by nursing staff other support services. Review of evidence based medicine Program Director semi-yearly review and guidelines of the AAN

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