Neurology

185.1 Inpatient General Neurology

Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo   Telephone: 638-5348  Email: jnrusso@bu.edu

Number of Students: Two fourth year students per block

Period to be offered: 2 weeks or 4 weeks (Blocks 9-20)

Students are to report to the Menino 7th Floor work room (Room 7018, by the Menino service elevators) by 7 a.m.

Description of Elective:

The student will join the general neurology inpatient and consultation service at Boston Medical Center, Menino Pavilion. The student will work as a member of the team with junior and senior Neurology residents, and staff attending neurologists. The student will spend his/her time performing supervised consultation or evaluation of existing inpatients with general neurologic disease, as well as presenting these patients on daily rounds to the resident and attending physicians on the general neurology team. A thorough written summary of these cases will also be performed. The student will also attend various conferences focused on the diagnosis and treatment of patients with general neurologic disease. Emphasis is placed on developing skill in performance of the neurological examination, acquiring familiarity with neurophysiologic testing (EMG, EEG monitoring), with Neuroradiologic testing (CT Scan, MRI, Cerebral Arteriography), and the lumbar puncture. This will be obtained by evaluating patients with altered mental status, vertigo, seizure, weakness, and paresthesias, among others. Students are expected to participate in all service activities Monday through Friday and will perform a total of eight late stay shifts during their electives. Patient care and teaching rounds take place daily for at least 8 hours.

 

185.2 Inpatient Stroke Neurology

Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo  Email:  jnrusso@bu.edu

Number of Students: Two fourth year students per block

Period to be offered: 2 weeks or 4 weeks (Blocks 9-20)

Students are to report to the Menino 7th Floor work room (Room 7018, by the Menino service elevators) by 7 a.m.

Description of Elective:

The student will spend his/her time performing supervised consultation or evaluation of existing inpatients with cerebrovascular disease, as well as presenting these patients on daily rounds to the resident and attending physicians on the stroke neurology team. A thorough written summary of these cases will also be performed. The student will also attend various conferences focused on the diagnosis and treatment of patients with general neurologic disease. Emphasis is placed on developing skill in performance of the neurological examination, acquiring familiarity with Neuroradiologic testing (CT Scan, MRI, Cerebral Arteriography). This will be obtained by evaluating patients with transient ischemic attacks, ischemic stroke and hemorrhagic stroke. Students are expected to participate in all service activities Monday through Friday and will perform a total of eight late stay shifts during their electives. Patient care and teaching rounds take place daily for at least 8 hours.

 

186.1 Outpatient Clinical Neurology: Movement Disorders

Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo  Email:  jnrusso@bu.edu

Number of Students: Two fourth year students per block

Period to be offered: 2 weeks or 4 weeks (Blocks 9-20)

Student will have emailed instructions from education coordinator on logistics.

Description of Elective:

The student will join the Movement Disorders staff in the Movement Disorders Outpatient Service. The student will work as a member of the team with the fellow and staff attending neurologists. The student will spend his/her time performing supervised evaluation of patients with movement disorders, as well as presenting these patients to the attending physicians. A thorough written summary of these cases will also be performed. The student will also attend various conferences focused on the diagnosis and treatment of patients with general neurologic disease. Emphasis is placed on developing skill in performance of the neurological examination, and acquiring familiarity with imaging, deep brain stimulation and medication management. This will be obtained by evaluating patients with tremor, Parkinson’s Disease, Huntington’s Disease, DBS patients, and participation in botox injections. Students are expected to participate in all service activities Monday through Friday. Patient care and teaching rounds take place daily for 8 hours. No weekend responsibilities or evening call is required.

 

186.2 Outpatient Clinical Neurology: Pain

Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo  Email:  jnrusso@bu.edu

Number of Students: Two fourth year students per block

Period to be offered: 2 weeks only (Blocks 9-20)

Student will have emailed instructions from education coordinator on logistics.

Description of Elective:

The student will join the staff in the Pain Service. The student will work as a member of the team with staff attending neurologists. The student will spend his/her time performing supervised evaluation of patients with head, neck, back, and limb pain, as well as presenting these patients to the attending physicians. A thorough written summary of these cases will also be performed. The student will also attend various conferences focused on the diagnosis and treatment of patients with general neurologic disease. Emphasis is placed on developing skill in performance of the neurological examination, and acquiring familiarity with imaging, medication management, and pain interventional procedures. This will be obtained by evaluating patients with various pain syndromes, including neurologic causes of pain, such as radiculopathy and headache, and various musculoskeletal issues. Students are expected to participate in all service activities Monday through Friday. Patient care and teaching rounds take place daily for 8 hours. No weekend responsibilities or evening call is required.

 

186.3 Outpatient Clinical Neurology: Sleep

 Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo  Email:  jnrusso@bu.edu

Number of Students: Two fourth year students per block

Period to be offered: 2 weeks or 4 weeks (Blocks 9-20)

Student will have emailed instructions from education coordinator on logistics.

Description of Elective:

The student will join the staff in the Sleep Medicine Service. The student will work as a member of the team with staff attending neurologists. The student will spend his/her time performing supervised evaluation of patients with sleep disorders, as well as presenting these patients to the attending physicians. A thorough written summary of these cases will also be performed. The student will also attend various conferences focused on the diagnosis and treatment of patients with sleep disorders and other general neurologic disease. Emphasis is placed on developing skill in performance of the neurological examination, and acquiring familiarity with polysomnography and medication management. This will be obtained by evaluating patients with various sleep disorders, such as obstructive and central sleep apnea, narcolepsy, REM sleep behavior disorder and restless legs syndrome. Students are expected to participate in all service activities Monday through Friday. Patient care and teaching rounds take place daily for 8 hours. No weekend responsibilities or evening call is required.

 

 

186.4 Outpatient Clinical Neurology: Epilepsy

Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo  Email:  jnrusso@bu.edu

Number of Students: Two fourth year students per block

Period to be offered: 2 weeks only (Blocks 9-20)

Student will have emailed instructions from education coordinator on logistics.

Description of Elective:

The student will join the Epilepsy staff in the Epilepsy Service. The student will work as a member of the team with staff attending neurologists. The student will spend his/her time performing supervised evaluation of patients with seizure disorders, as well as presenting these patients to the attending physicians. A thorough written summary of these cases will also be performed. The student will also attend various conferences focused on the diagnosis and treatment of patients with general neurologic disease. Emphasis is placed on developing skill in performance of the neurological examination, and acquiring familiarity with imaging, EEGs, and medication and management. This will be obtained by evaluating patients with various seizure disorders, such as simple partial seizure, complex partial seizure and generalized seizure disorders. Students are expected to participate in all service activities Monday through Friday. Patient care and teaching rounds take place daily for 6-8 hours. No weekend responsibilities or evening call is required.

 

186.5 Advanced Neurology Elective

Instructor: Sarah O’Shea, MD

Location: Boston Medical Center

Contact: Joseph Russo   Email:  jnrusso@bu.edu

Number of Students: 1-2 per block based on availability

Period to be Offered: 4 weeks (Block 9 and Blocks 14-20)

Student will have emailed instructions from education coordinator on logistics.

Description of Elective:

This elective is for the BUSM student to provide a broad exposure to the field of neurology based on the students’ areas of interest. During this 4-week elective, students may choose to take 1-2 week rotations through different neurology concentrations to learn and further explore their interests.

This elective takes place at BMC.  During this 4-week block, the student will select subspecialty “mini-rotations” which will allow them to be exposed to a broader array of neurological symptoms through each subspecialty settings.  This will allow students to explore some of their interests in the field of neurology, and can help with their career planning.  The rotation units that students may choose from include inpatient subspecialties (stroke, neuro ICU, general inpatient, neuro-rehab) and outpatient subspecialties (pain, sleep, movement disorders and epilepsy).

For the inpatient subspecialties, students are expected to be present at sign out each morning and to be prepared for rounds by knowing and presenting the patients under their care. For the outpatient subspecialties, students are expected to be present at the start of clinic and to coordinate and plan for the day with the attending’s guidance.

 

187.1 Neurocritical Care Elective

Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo  Email:  jnrusso@bu.edu

Number of Students: 2 fourth year students per block

Period to be offered: 4 weeks (Blocks 9-20)

Students are to report to SICU 3rd floor Neuro work room (nearby to SICU Room 20) by 6:30 a.m.

Description of Elective:

This elective provides a unique opportunity to learn about a dynamic and exciting subspecialty of neurology.  It will take place at BMC, where the student will participate in the care of neuro-ICU patients located in Menino ICUs.  Students will learn to approach critically ill patients from a systems-based approach.  As part of the rotation, students will learn the essentials in management of patients with ischemic stroke, hemorrhagic stroke, status epilepticus, subarachnoid hemorrhage, traumatic brain injury, coma, and more.  Students are will attend and participate in daily ICU rounds, where they will be expected to follow and present the patients under their care.  This will include topic-based presentations to the team, assigned on a weekly basis. Attendance at Neurocritical Care conference and associated journal clubs and conferences that will be educational and appropriate for the student learner will be required.

Many of the patients are very ill and have long ICU courses that require ongoing neurological care so students can expect to have significant patient continuity over the course of the elective.

  • Additional student Requirements:
    • Completion of neurology clerkship prior to enrolling
    • Prompt attendance on a daily basis
    • No in-house call expectations
    • Meet regularly with rotation mentor (minimum weekly, including the mid-clerkship review)

 

188.1  Neurology Research

Instructor:  Sarah O’Shea, M.D.

Location: Boston Medical Center

Contact: Joseph Russo  Email: jnrusso@bu.edu

Number of Students: Two fourth year students per block

Period to be offered: Four week blocks (Blocks 9-20)

Students will have emailed instructions from education coordinator on logistics

Description of Elective

The student will join a supervising Neurology faculty mentor for a research project that is organized prior to the start of the elective and approved by the elective subcommittee of the medical school. The student will work as a member of the team with the principal investigator and/or other junior investigators. The student will spend his/her time performing some or all of study research, study development, IRB submission, study planning and data collection, data analysis, and study write up. A thorough written summary of the student’s progress and/or accomplishments will also be performed. The student will also attend various conferences focused on the diagnosis and treatment of patients with general neurologic disease. Emphasis is placed on developing skill in performance of research techniques, with particular focus on development of research ideas, IRB creation and submission, data collection and analysis, and manuscript creation. Students are expected to participate in all service activities Monday through Friday. Weekend responsibilities or evening call is not required.

Additional requirements for the Research block include:

1) Please submit to Joseph Russo and Clerkship Instructor the name of your project, attending you are working with, brief description and a schedule/outline of your work for the four weeks (using the table form below).

Neurology Research Elective Grade Form

Project Title:

Project Team:

Goals for Block: (What you want to accomplish/work on for the projects)

Timeline:

Week 1:

Week 2:

Week 3:

Week 4:

Summary: (Discuss your project, and accomplishments and plans going forward)

2)  please submit an E-Value request to your research adviser to complete, this is done in a similar fashion of how students usually request evals for clinical rotations, the E-value form that is automatically sent out will be the Research SEF (RSEF) rather than the usual Clinical SEF (CSEF)

If your research preceptor currently does not have a profile in E-value, you can request for them to be registered by going to the link below, you will need their email address to register them: http://www.bumc.bu.edu/evalue/evalue-help-desk/

3) you will be expected to present your project in poster form at the annual Kase Research Symposium scheduled in April of each year, you will receive reminders and further information in the months before the event