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4315 Diplomacy Drive
Anchorage, AK 99508
Site Director: Brian Trimble, MD
Phone: 907-729-2068
PRE-ARRIVAL REQUIREMENTS
Prior to arriving for your
clerkship: ALL
items below must be completed AT LEAST FOUR WEEKS prior to
beginning your clerkship. Contact Barbara James in the ANMC Medical Staff Office
at 907-729-3972 or bjames@anmc.org to verify that your application has been received. Click the link below to access the ANMC materials.
Sign and return the form below to Kathy Boeckman at fax # 907-786-4700 or
via mail to Kathy Boeckman, Biomedical WWAMI Program, University
of Alaska Anchorage, 3211 Providence Drive, ENGR 331, Anchorage,
AK 99508.
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TRAVEL & HOUSING
Housing & transportation: Housing
is located on campus in a four-bedroom apartment. Each bedroom
has a twin bed and a locked entry. Since the apartment is
within walking distance of the clerkship site, there is
no car dedicated to neurology students. You will share the
vehicle that is used by the UW family medicine, medicine
or OB/GYN students who also reside in the apartment. You
should bring an alarm clock.
Additional information about the apartment, including directions
for getting to the apartment from the airport, is found
in the Housing Agreement above.
Computer access: Cable internet is available
in the apartment, but you will need your laptop. Computers
are also available at UAA (you will need to complete the
Computer Access Application above).
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FIRST DAY & ORIENTATION
Clerkship orientation: You will need to
view the away student orientation video on the Distance
Learning page. Please let the clerkship coordinator
know if you have questions or any difficulties viewing the
video.
Equipment to bring: White
coat and name tag, reflex hammer, tuning fork (128Hz), stethoscope,
(ophthalmoscope recommended).
First day: Someone from Alaska Native
Medical Center will contact you shortly before you start
with details on where to report on your first day. If you
don’t hear from her by the week before your arrival,
please contact her directly at 907-729-3633 or enbolton@anmc.org.
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COURSE REQUIREMENTS
Course requirements are listed below. Refer to the Distance
Learning page for due dates.
Pocket syllabus: A “pocket syllabus”
will be mailed to you. A printable (PDF) version is also
available on the Pocket Syllabus
page.
Cases: Two case write-ups are due each
week. Further information is available in the orientation
video and on the Cases
page. Your assigned case numbers are on the Distance
Learning page. Please note that your assigned case numbers
are different than for the Seattle-based students. Weekly
case answers and video lectures will be available on the
Distance Learning page on Thursdays after 1PM.
Patient log: You are required to log in
the patients you have seen each week. The log is described
in the clerkship orientation video. Additional details are
on the Patient Log page.
Clinical & Bioethical CEX exercises:
You are required to do both a clinical and a bioethical
mini-CEX for this course. See the Mini-CEX
page for details.
Presentations: Presentation requirements
are described in the orientation video and are available
on the Presentations
page.
Final exam: Your final exam will be held
in the Anchorage WWAMI office, usually on the final day
of the clerkship. Contact Michelle Devine at the WWAMI office
in Anchorage as soon as possible to arrange your exam time
at 907-264-6784 or mdevine@dommail.dom.washington.edu.
See the Final Exam page for
information about the exam.
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General: The Alaska Native Medical Center
is a unique facility that serves as referral center for
about 100,000 Alaska Natives as well as for Native Americans
in Alaska. Students are expected to spend five days per
week at Alaska Native Medical Center. Parking is adjacent
to the facility. The lots closest to the hospital are reserved
for patients. The student apartment is within walking distance
to the hospital.
Computer Access & Orientation: The
computer system can be accessed by students. Computer training
is a planned part of orientation. There is a mandatory one
day orientation, which should be done as soon as possible,
as patients cannot be examined by the student until the
orientation is complete. The medical staff office will arrange
your orientation.
Faculty: Students will spend most of their
time with Dr. Brian Trimble, who is a full time general
neurologists at ANMC. Students also interact with internist-hospitalists
and other specialists.
Dr.Trimble is the clerkship site director. He will observe
student performance of the neurological examination within
the first two weeks of the rotation, and provide ongoing
feedback throughout the rotation in order to facilitate
improvement and refinement of the student’s neurological
examination. The clinical mini-CEX will be performed with
Dr. Trimble, but may be performed with another staff neurologist
if Dr. Trimble is not available. Please tell the site director
if you have any specific goals for the month so that your
experience is as good as possible.
Inpatient Experience: Our neurology service is
hospital-based so has inpatient and outpatient
services. Students will be able to see inpatients independently
and will be expected to follow inpatients while those patients
are on the neurology service or are active consults. The
student is expected to follow
assigned patients from time of (admission / consultation)
until discharge or the resolution of the consult issue,
write daily progress notes and be involved in decisions
regarding medication, laboratory and diagnostic testing
for the assigned patients. A reasonable guideline is to
follow 1-3 patients at any time. CNS injury rounds are held
8:30 Thursday mornings in the social services conference
room on the second floor. Those rounds are multidisciplinary;
all inpatients hospitalized with neurological disorders
are discussed there. Internal medicine grand rounds are
12:00 to 1:00 on Thursdays in conference room 2. There are
no weekend or night call responsibilities.
Clinic Experience: The outpatient service
is where students can conduct the neurological examination
with the preceptor present. New patients are scheduled for
40 minutes and follow-up patients for 20 minutes. Because
of the need to work efficiently in clinic, students cannot
see patients there independently. Independence can be expressed
on the inpatient service. However, students can actively
be involved in history taking or other aspects of the overall
evaluation. The clinic is a particularly good
place to develop an orderly neurological examination with
immediate feedback. Students will be introduced to EEG and
EMG and nerve conduction testing and interpretation thereof.
There is also opportunity for interaction with neurosurgeons
and a neuropsychologist. The clinic typically runs from
9:00 AM to 5:00 PM. Monday-Wednesday and half days Thursday
and Friday. Generally, students will be primarily in clinic
one week and on the inpatient service the next.
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