PGY-1 Subspecialty Clinics

Introduction and Goals

During the PGY-1 year, neurology residents will complete one month of inpatient neurology and one month of outpatient. The goal of the outpatient month is to familiarize the resident with our outpatient clinics, provide the resident an introduction to the varied aspects of the field of neurology, and allow for the initial development of basic neurological skills.

Objectives and Evaluation Matrix

As with all of the individual neurology rotations described in this section, the specific objectives of the continuity clinic are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the resident’s evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).

Subspecialty Clinics Rotation Objectives
Upon completion of the curriculum, residents will . . .
#	Description	Milestones
1	Evaluate undifferentiated neurological patients, formulate their cases, and propose appropriate diagnostic and therapeutic plans	PC1, PC2, PC3, PC4, MK1, MK2

2	Evaluate and manage patients with uncomplicated headache disorders, such as migraine	PC1, PC2, PC3, PC4, MK1, MK2

3	Evaluate and manage patients with uncomplicated movement disorders, such as Parkinson’s disease	PC1, PC2, PC3, PC4, MK1, MK2

4	Evaluate and manage patients with a first seizure or uncomplicated epilepsy	PC1, PC2, PC3, PC4, MK1, MK2

5	Evaluate and manage patients with uncomplicated MS	PC1, PC2, PC3, PC4, PC8, MK1, MK2

6	Evaluate and manage patients with uncomplicated neuromuscular conditions, such as lumbar radiculopathy	PC1, PC2, PC3, PC4, MK1, MK2

7	Describe the indications for, and the basic principles of, NCS and EMG	PC10

8	Clearly document and place orders in Health Link, and follow up on the results of tests as appropriate	IC4

Milestones
Please grade the resident on any of the following milestones you were able to evaluate during this rotation:
SP4

Schedule

This rotation consists of four weeks of rotating clinics. The clinics are a mixture of general neurology and subspecialties, with two academic half-days built into each week to allow the residents to read about their patients’ conditions and/or engage in any other academic work.

Below is an example schedule, subject to change depending on attending availability. An individualized schedule for the rotation will be emailed to the resident before the beginning of each rotation.

		Monday	Tuesday	Wednesday	Thursday	Friday
Week 1	AM	Headache	Movement	Academic	MS	Neuromuscular
	AM	Dr. Seeger	Dr. Shannon	Academic	Dr. Frost	Dr. Frost
	PM	General	Movement	Stroke		Academic
	PM	Dr. Beinlich	Dr. Shannon	Stroke Attending	Continuity Clinic	Academic

Week 2	AM	Neuromuscular	Movement	Academic	Epilepsy	MS
	AM	Dr. Waclawik	Dr. Mangin	Academic	Dr. Josiah	Dr. Gardon
	PM	Stroke	Movement	General		Academic
	PM	Stroke Attending	Dr. Mangin	Dr. Stanek	Continuity Clinic	Academic

Week 3	AM	Headache	Movement	Academic	MS	Neuromuscular
	AM	Dr. Seeger	Dr. Shannon	Academic	Dr. Frost	Dr. Frost
	PM	General	Movement	Stroke		Academic
	PM	Dr. Beinlich	Dr. Shannon	Stroke Attending	Continuity Clinic	Academic

Week 4	AM	Neuromuscular	Movement	Academic	Epilepsy	MS
	AM	Dr. Waclawik	Dr. Mangin	Academic	Dr. Josiah	Dr. Gardon
	PM	Stroke	Movement	General		Academic
	PM	Stroke Attending	Dr. Mangin	Dr. Stanek	Continuity Clinic	Academic

Suggested References

Daroff, R. B., & Bradley, W. G. (2012). Bradley’s neurology in clinical practice. Philadelphia, Pa.: Elsevier/Saunders.
Brazis, P. W., Masdeu, J. C., & Biller, J. (2007). Localization in clinical neurology. Philadelphia: Lippincott Williams & Wilkins.
Patten, J. (1996). Neurological differential diagnosis. London; New York: Springer.
Victor 1920-2001, M., Ropper, A. H., & Adams 1911-2008, R. D. (Raymond D. (n.d.). Principles of neurology. New York: McGraw-Hill, Health Professions Division.