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Northwest Neurological, PLLC
507 S. Washington, Suite 101
Spokane, WA 99204
Site Director: David Greeley, MD
Office Manager: Kim Walter
Phone: 509-458-7720
PAPERWORK REQUIREMENTS
Immunization records:
You'll need to bring proof of immunization, including TB.
If you do not have a copy of your immunization records, you
can request a copy from Hall Health or the Employee Health
Office in UWMC.
TRAVEL, HOUSING & COMPUTER ACCESS
Housing: Shared housing is in two-bedroom
apartments. Contact Nancy Granlund before your arrival for
information about picking up a key and other details about
the housing at 509-474-4966 or poodles349@aol.com.
Travel: If you drive, you will receive mileage
reimbursement for one roundtrip to and from Spokane. Contact
GOWWAMI@dommail.dom.washington.edu
for mileage reimbursement.
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WHAT TO BRING & ORIENTATION
Equipment to bring: White coat and name
tag, reflex hammer, tuning fork (128Hz), stethoscope, (ophthalmoscope
recommended).
First day & site orientation: Contact
Dr. Greeley's office to find out when and where to arrive
on your first day. A photo ID must be worn at all times in
the work places.
Clerkship orientation video: Watch the away
student orientation video on the Distance
Learning page. You will need to refer to your Pocket Syllabus
(see below) when viewing the video.
Pocket syllabus: A “pocket syllabus”
will be mailed to you. A printable (PDF) version is also available
on the Pocket Syllabus page.
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COURSE REQUIREMENTS
Course requirements are listed below. Refer to the Distance
Learning page for due dates.
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 Mini-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 Spokane WWAMI office, usually on the final day of the
clerkship. Contact Janie Ford at the Spokane WWAMI office
as soon as possible to coordinate your exam time at 509-747-7211
or jmford@u.washington.edu.
See the Final Exam page for information
about the exam.
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ABOUT THE SITE
General: Medical students are expected to spend five days per week at the office of Dr. David Greeley unless the clinic is closed (one-half to one day per week). Clinic typically runs from 9AM to 5PM.
The best place to park is on the street near the office building (507 S. Washington, Spokane, WA). There are many spots not requiring a meter and within a block of the office.
Students will have free and unlimited access to the internet through an internal wireless network.
It would be helpful for each student to have an ID badge and white coat or clean scrubs. All the necessary medical equipment is available in each exam room.
Faculty: During the four weeks you will work with both providers in our neurology practice.
| Providers |
Subspecialty Interests |
| David Greeley , MD, FAAN |
Movement Disorders and Dementia |
| Jamie Mark, ARNP |
Deep Brain Stimulation |
Dr. Greeley is the clerkship site director. He will observe the student’s performance of the neurological examination within the first two weeks of the rotation, and provide feedback. Hopefully, this will happen in the last two weeks, as well, to ensure mastery of the neurological examination. The clinical mini-CEX should be performed with Dr. Greeley. Kim Walter is the clinic coordinator who has control of the schedules and is a good resource. 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 group does not have an inpatient service and the students will have no responsibilities for call-coverage or hospital work.
Clinic experience:
A combination of three different learning models will be employed in clinic. In the autonomous model, the student sees the patient first and then presents to the preceptor. In the shadow model, the student will follow the preceptor and observe different patient interaction styles. The final model allows the student to evaluate the patient, but in the presence of the preceptor, which definitely provides the opportunity for the most thorough feedback. Each has its strengths and weaknesses. Other opportunities include programming of Deep brain stimulation (DBS) electrodes as well as observing Botox/Myobloc injections, occipital nerve blocks, nerve conduction studies, EMG’s and lumbar punctures. Experience with a neurorehabiliation team (PT, OT, Speech therapy), neurosurgeon, neuropharmacologist, pediatric neurologist, neuroradiologist, neuro-ophthalmologist, and/or neuropsychologist can potentially be arranged during the month with advance request.
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