• PRE-ARRIVAL PAPERWORK
• TRAVEL & HOUSING
• WHAT TO BRING & ORIENTATION
• COURSE REQUIREMENTS
• ABOUT THE SITE

PRE-ARRIVAL PAPERWORK

8 WEEKS BEFORE YOU START: You will need to contact Xiomara Villa at 253-985-2744 or xvilla@wvmedical.com to set up your EMR access card and computer training.

TRAVEL & HOUSING

Travel: Contact the clinic the week before you arrive to coordinate your arrival and any other details. You will receive mileage reimbursement for one roundtrip to and from the site. A vehicle is not provided at this site. Contact GOWWAMI@dommail.dom.washington.edu to arrange for travel reimbursement.

Housing: Housing is in a single, fully-furnished apartment with Internet and phone access. The apartment is kitty corner to the clinic and is within walking distance. A grocery store is located right around the corner from the apartment. Contact Xiomara Villa at 253-985-2744 or xvilla@wvmedical.com to arrange getting your key and for other information.

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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. Tornabene'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 and case numbers.

Pocket syllabus: A “pocket syllabus” will be mailed to you. A 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 in Seattle on the final day of the clerkship. We are unable to administer the exam in Wenatchee due to requirements of the National Board of Medical Examiners. Please coordinate your departure time with Dr. Tornabene. See the Final Exam page for information about time, location, and exam content.

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ABOUT THE SITE

General: Students are expected to spend five days per week at the WVMC Outpatient Neurology Department unless the clinic is closed. On days the clinic is closed there is an on-call neurologist that you should work with.

The best place to park is in the Stanley Building Parking Lot on Emerson Street.

Faculty: During the 4-weeks we hope you have exposure to the entire faculty in our neurology practice. We do not currently have a child neurologist.

Dr. Joseph Tornabene is the clerkship site director. He will observe 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 2 weeks, as well, to ensure mastery of the neurological examination. The clinical mini-CEX should /can be performed with Dr. Tornabene. Coby Towers, CMA, 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. There is a consultation service at Central Washington Hospital. Students are expected to see 2-5 inpatients per week on average. The student is expected to follow their assigned patient from time of consultation until discharge or the resolution of the consult issue, write daily progress notes and be involved in writing medication, laboratory and diagnostic testing orders for the assigned patients. There are no weekend or night call responsibilities.

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 observing and reading EMGs, EEGs, evoked potentials, lumbar punctures, radiographic procedures. Experience with a neurosurgeon during the neuroradiology MRI review can be arranged. A Sleep Disorders Clinic is held on Thursday mornings. Clinic typically runs from 8 AM to 5 PM. There are no weekend or night clinic responsibilities.

Except for the faculty call schedule and vacations, your weekly schedule will look like this.

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