Swedish Neuroscience Institute James Tower 550 17th Ave. E., Suite 540 Seattle, 98122 Site Director: Lily K. Jung, MD, MMM, FAAN Office Contact: Sara Say, 206-386-2710 PRE-ARRIVAL REQUIREMENTS ORIENTATION, FIRST DAY & WHAT TO BRING SITE EXPECTATIONS & CLINIC EXPERIENCE

PRE-ARRIVAL PAPERWORK

Prior to arriving for your clerkship:

Complete the online orientation and application NO LATER than 3 weeks before your rotation begins.

Go to: http://ehealth.swedish.org/gme, click on APPLY NOW, and then click on the University of Washington Trainee link.

Once you complete the short application form, a login and password will be emailed to you. If you have questions about this process, contact Mr. David Minetti at david.minetti@swedish.org or 206-386-2265.

ORIENTATION, FIRST DAY & WHAT TO BRING

Clerkship orientation: Orientation is at the UW at 8:00AM on the first day of your clerkship. The room number is on the Didactics page. Room information may change at the end of each rotation, so be sure to check the table the weekend before you begin.

After orientation: Report to SNI.

Directions: From the South: Take I-5 northbound to the James Street Exit (164). Turn right (east) on James Street. James will become Cherry Street. Turn right (south) on 18th Avenue. Turn right on Jefferson (west). Turn right into the main entrance (north).

From the North: Take I-5 southbound to the James Street Exit (165A). Turn left (east) on James Street. James will become Cherry Street. Turn right (south) on 18th Avenue. Turn right on Jefferson (west). Turn right into the main entrance (north).

Parking: There is no free parking available for students. The hospital parking garage is on 16th Avenue between East Cherry Street and East Jefferson Street.

Bus information: Online bus trip planner: http://tripplanner.kingcounty.gov/cgi-bin/itin_page.pl

Equipment to bring: White coat and name tag, reflex hammer, tuning fork (128Hz), stethoscope, (ophthalmoscope recommended).

SITE EXPECTATIONS & CLINIC EXPERIENCE

General: Students are expected to spend four and one-half days per week at the Neurology Division of SNI. One-half day is reserved for didactics at the University of Washington.

Dress Code: Professional attire. A white coat is preferable. Ties are not required for men.

Clerkship Director and Skills Assessment: Dr. Lily Jung is the clerkship site director. She will observe students’ neurological examination skills within the first two weeks of the rotation and provide feedback. To ensure mastery of the neurological examination a second observation may be conducted before the end of the month.

Evaluation Schedule:
Week 1: First neurological examination observation (Dr. Jung)
Week 3: Mini-CEX is conducted
Week 4: Second neurological examination observation. End of rotation feedback. (Dr. Jung)

The clinical mini-CEX can be performed with any of the clinic preceptors. Dr. Jung is a good resource for scheduling this.

Clerkship Schedule: The medical student clerkship at Swedish Neuroscience Institute is composed of:

• 2 weeks of outpatient neurology clinics
• 2 weeks of inpatient consultations
• 2 key neuroscience conferences each week (attendance required)

Outpatient Clinic Rotation: Clinic schedules will be set by Dr. Jung on the first day of the rotation. Students will see a combination of new and follow-up patients with a wide variety of neurological illnesses. After initial independent evaluation, the student will present the patient to the staff neurologist, and then see the patient with the staff neurologist. Students may be expected to dictate a template-driven note about each patient encounter. Depending on preference of the neurologist, some patient encounters may be conducted with the student shadowing the staff.

Other training opportunities include observation of procedures including EMG, EEG, evoked potentials, and lumbar puncture.

Clinic runs from 8 AM to 5 PM. There are no weekend or night clinic responsibilities.

Inpatient Rotation: SNI Neurology conducts a busy inpatient consultation service, with approximately 5 new consults per day. Consults are requested on a large number of patients with suspected acute stroke, but a wide range of neurological disorders are seen on this service. The team is lead by Dr. Todd Czartoski and Dr. William Likoksy. Students round with the consult team and see 1-3 new consults each day as well as following several inpatients during the two week rotation. Beginning in September of 2009, students will also work on the new neurology admitting service.

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