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Continuity Clinics

Introduction

Each resident will have outpatient clinical practices at both the UW and the VA. These half-day clinics occur weekly and alternate between the two facilities. That is, the resident will have a half-day clinic at the UW one week and a half-day clinic at the VA the following week. At the UW, residents work under the direct supervision of an attending neurologist, meaning that the attending sees each patient after the resident completes his or her initial assessment. At the VA, residents work under indirect supervision with direct supervision immediately available. This means that the attending may or may not see each patient, particularly the well-established ones, but is always in-house to see any patient when clinically indicated. The UWHC clinics are staffed by Drs. Beinlich, Dulli, Frost, Gardon, and Seeger. The VA clinics are staffed by Drs. Liao, Jones, Kotloski and Rutecki. Each resident will have a mix of 1-2 new patients and 2-4 follow up patients per clinic.

Goals

The goal of the continuity clinics is for residents to learn to provide longitudinal care to patients with a wide variety of neurological diseases, as occurs in a general outpatient practice.

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, which is completed by his or her clinic attending twice each year. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).

Schedule

As above, these clinics alternate between the UW and VA, on an afternoon that will be determined according to clinic space needs and the resident’s predecessor. In other words, if a graduating resident had a Wednesday afternoon clinic, one of the incoming PG2s will likely be assigned to Wednesday afternoons. Overall, the clinics are spaced out so that we don’t have too many residents in clinic at the same time.

If a clinic must be cancelled for a vacation, professional conference, etc., then this must be requested at least 60 days in advance. This allows the department to review the request internally and still comply with the UW and VA hospitals’ policies, which require 45 days’ notice.

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.

Latest revision: 02-26-2016