Date Issued: 09/16/2002
Prior Revision Date:04/03/2007
Date Reviewed and Revised: 07/28/2010

Neurology Curriculum

Department: Internal Medicine

Faculty Coordinator: Duc Tran, MD

Hospital: Texas Health Presbyterian Hospital Dallas

Periods offered: All

Length: 4 weeks

Max no. of residents: 2

First Day Contact: Debra Clinard, RN (214-750-9977)

First Day Time: 8:00 a.m.

First Day Place: Contact faculty member one week prior to start of rotation

Requirements: 8:00 a.m. to 5:00 p.m., Monday through Friday

Weekends: 1 weekend/month

I. Course Description:

The residents will be assigned to work with a different neurology attending each week. He/she will be expected to round in the morning on that attending's patients in the hospital. Afterwards he/she will follow the attending in the clinic. He/she will also work up consults and new in-patients with the attending when on-call. The residents may be expected to take calls from home one weekend per month as well.

In general, the resident will be expected from 8:00 a.m. to 5:00 p.m. This may vary according to the attending's schedule somewhat, especially on days that the attending is on-call.

The resident is to leave a message for Dr. Duc Tran one week prior to the start of their rotation (214) 750-9977. The message should include any vacation plans and the resident's choice of weekend to take call. The resident's pager number would also be helpful.

II. Course Goals and Objectives: (based on ACGME competencies for resident education)

Patient Care:

Residents, together with supervising faculty, must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.


Medical Knowledge:

Residents are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and to apply their knowledge to patient care.


Practice-Based Learning and Improvement:

Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices:


Interpersonal and Communication Skills:

Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients and their families.



Residents must demonstrate a commitment to carrying out professional responsibilies, adherence to etchicial principals, and sensitivity to a diverse patient population.


Systems-Based Practice:

Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.


Methods of instruction:

A) Didactic (schedule, topic, faculty)

Daily residents conference 12:00-1:00 p.m. - IM Training Room

Wednesday mornings 7:30-8:00 a.m. - Clinical Grand Rounds - IM Training Room

Wednesday afternoons 12:15-1:00 p.m. - IM Update - Haggar Hall

B) Clinical

Residents are assigned to a neurologist. The resident is expected to work with the neurologists seeing primarily outpatients. Residents are expected to attend every noon conference. The attending will evaluate the resident at the conculsion of the rotation. Areas assessed will include the proficiency in evaluating patients with neurologic complains, performance of a detailed neurologic examination, presentation skills, fund of knowledge, participation during weekly informal lectures, interest and motivation, and performance on oral vignettes.

Knowledge objectives of the rotation include:

1) Evaluation of patients for thrombolytics in acute cerebrovascular accident

2) Evaluation of M.S. patients for interferon treatment

3) Discussion of end-of-life issues in a patient with Alzheimer's

4) Have basic understanding of electrodiagnostics used (EMG/NCV) in evaluating a patient with a neuromuscular condition

5) Grasp important issues and be able to discuss with competency to a family issues involving the care of an Alzheimer's patient (living situation, management of behaviors such as psychosis, restriction of activities such as driving, etc.

6) Discuss medical risks/benefits of thereaputic options available concerning Alzheimer's disease

7) Perform LP in the sitting/recumbent position

8) Neuroanatomic localization using elements of history and physical exam:

a) Cortical lesions

b) Sub-cortical lesions

c) Brainstem lesions

d) Myelopathies

e) Radiculopathies

f) Myoneural junction

g) Myopathies/Neuropathies

9) Basic differentiation between types of benign (common) headaches: migraine, tension, cluster

10) Management protocols of patients in status

11) Assamilate basic science issues within realm of Alzheimer 's Disease

12) Weigh different data types in management of back pain:

a) History

b) MRI/myelogram


13) Evaluation/prognosis of patients in a coma.

14) Have basic understanding of algorhithms for evaluating carotid stenosis.