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1600 S. Columbian Way
Seattle, WA 98018
Administrative Contact: Lani Meyers
Phone: 206-764-2021
PRE-ARRIVAL
PAPERWORK
Prior to arriving for your clerkship: The
form below must be completed and received by the VA at least
one week prior to beginning your clerkship.
Email your form to:
Mr. Cruz at the VA at Gregorio.Cruz@va.gov
FIRST
DAY & CLERKSHIP ORIENTATION
VA orientation: There is a mandatory computer
orientation at the VA on the first day of the clerkship. The
room number and schedule will be sent to you in an email.
After orientation: After the VA computer
orientation, contact the residents. The clerkship coordinator
will email their names and pager numbers to you.
Clerkship orientation: Because the clerkship
orientation conflicts with the required computer orientation
at the VA, you will need to do the clerkship orientation online.
Go to the Didactics page and
view the Clerkship Orientation Video.
Equipment to bring: White coat and name
tag, reflex hammer, tuning fork (128Hz), stethoscope, (Ophthalmoscope
recommended).
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COURSE REQUIREMENTS
Pocket syllabus: A “pocket syllabus”,
referenced in the orientation video, will be mailed to you.
A printable (PDF) version is also available on the Pocket
Syllabus page.
Didactics: Didactics take place on Thursdays,
1:00-4:00PM at the UW. The room schedule and details are 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.
Cases: Two case write-ups are due each week.
The clerkship coordinator will email the assigned case numbers
to you on or before the first day of the clerkship. Further
information is available in the orientation video and on the
Cases page. Please
note that the first cases are due on the first Thursday of
your clerkship by 1:00PM Pacific fime.
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.
Neuroanatomy: A neuroanatomy session will
usually be held at the UW. You will be notified of the time
and location when it is scheduled.
Final exam: This is described in the orientation
video and on the Final Exam page.
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SITE
EXPECTATIONS & CLINIC EXPERIENCE
General: Students are expected to spend
one-half (two weeks) of the VA neurology clerkship on the
inpatient ward service and the other half on the inpatient
consultation service. The switch point will be at mid-month
of the rotation.
Inpatient service: The student involved
with the inpatient ward service will be expected to follow
and be involved with the care of up to (but no more than)
two neurology inpatients at any given time. The student is
expected to follow their assigned patient from time of admission
until discharge, write daily progress notes and be involved
in writing medication, laboratory and diagnostic testing orders
for the assigned patients. The student is expected to attend
daily work rounds, attending ward rounds, and neuroradiology
conference on Wednesday mornings. There are no weekend or
night call responsibilities.
Consultation service: The student involved
with the inpatient consultation service ideally will see one
new inpatient consultation per day depending on referral volume,
and clinic responsibilities. The student will follow their
assigned patients until resolution of the consultation or
until the end of the two week period. It is expected that
the student will write a daily note on the assigned patients
as necessary. Attendance at all attending ward and consultation
rounds, as well as Wednesday morning neuroradiology conference,
is mandatory unless there is a conflict with clinic schedule.
There are no weekend or night call responsibilities.
CLINIC EXPERIENCE
Mandatory: Weekly attendance of Monday
morning epilepsy and Thursday morning general neurology clinics.
Students are expected to obtain history and physical, present
to the attending physician and generate a clinic visit note
on any new or follow-up patients.
Optional: The student involved on the neurology
inpatient ward service is encouraged to attend, depending
on volume of clinical responsibilities, Wednesday afternoon
multiple sclerosis clinic with Dr. James Bowen. The student
involved on the inpatient consultation service is encouraged
to attend, depending on volume of clinical responsibilities,
Tuesday afternoon stroke clinic with Dr. David Tirschwell.
Friday morning movement disorder clinic with Dr. Ali Samii
and Friday afternoon dementia clinic with Dr. James Leverenz
are available for students to attend based on level of interest
and availability.
It is anticipated that Dr. Meekins (clerkship site director)
will observe student’s performance of the formal neurologic
physical examination, in general neurology clinic, within
the first two weeks of the rotation to provide feedback. Dr.
Meekins will observe the student’s performance again
in the final week of the rotation for final evaluation of
improvement and/or mastery of the neuro exam. If Dr. Meekins
is not available for observation (vacation etc.), Dr. Cyrus
Zabetian will provide evaluation.
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