After a much appreciated and enjoyed Spring Break, we started back up with third year rotations with Neurology.
Timeline: 4 weeks
During this clerkship, we were divided up between the children’s hospital, the university hospital service, or the VA. Since, I am interested in Pediatrics, I was allowed to request placement at the children’s hospital. I spent 2 weeks there, one week on the inpatient Neurology service and one week in the outpatient clinic. Then, I spent one week at the VA in the neurology clinic. During this rotation, everyone, no matter their primary location, spend one week on Opthalmology.
Other: weekly lecture/case based study with quiz; NBME at the end of the clerkship
-OSCE: At the end of this rotation, we had a single simulated patient encounter where we had to take the history of physical of the patient, develop a differential diagnosis, and decide on a work-up.
Even with switching from inpatient to outpatient and spending time in ophthalmology clinic and OR, our days were typically 8:00am-4:00pm.
I had the most responsibility on this rotation during my time in the pediatric neurology outpatient clinic. Here, I was able to interview patients on my own and then present to the attending who often asked my opinion on treatment plans. In pediatric neurology, the most common conditions we saw were seizure disorders, developmental disability, and neoplasms. At the VA and on Opthalmology, we mostly shadowed residents. Even during shadowing, however, we often were allowed to perform our own neuro exam in order to become more proficient and obtain more experience in performing these exams, which often can be difficult.
UWorld questions: UWorld questions are always great to help grasp the types and format of questions that will be asked on board exams.
Master the Boards for USMLE Step 2 CK: This was a good summary review of the neurological conditions we needed to know. I used this book often during studying for Step 2 CK.
Step Up to Medicine: This review book went into slightly more detail on work-ups needed for common differential diagnoses and treatment options.
I particularly loved my time on pediatric neurology, probably due to my love of peds. I felt like I learned so much from my time on this service. This rotation was unique in the variety of places we worked at and experiences we had. Neurology is a tough specialty, but the attendings I worked with were all very willing to teach and answer any of our questions.
Have you done a Neurology clerkship? What was your experience like? Do you have any other questions about what my time on Neuro was like? Feel free to leave your comments and questions below.
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