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Presenting patients Prepare an outline of the presentation after pre-rounding to stay organized. Placing tentative orders Typically, you and your preceptor will put in orders together after seeing the patient. For more details on specific examinations, see the following AMBOSS articles: Head and neck examination Cardiovascular examination Pulmonary examination Abdominal examination Neurological examination General considerations Neurological examination is the cornerstone of the neurology clerkship and should be done on every patient.
Remember to consider both sides when assessing unilateral symptoms or findings e. Asymmetry in neurological findings is always abnormal. Sequence Mental status examination Level of alertness Language Memory Attention Calculation Visuospatial processing Abstract reasoning Cranial nerve examination Vision Light pupillary reflex Eye movements Facial sensation along with corneal and jaw reflexes Facial movements Hearing Palatal movements and reflex Neck and shoulder movements Tongue inspection and movement testing Motor examination Muscle appearance Tone Strength Pronator drift Involuntary movements e.
Delirium vs. Do not forget to bring the tools you need ophthalmoscope, otoscope, stethoscope, high-intensity penlight, reflex hammer, Hz tuning fork, safety pins, cotton, tongue depressors, and visual acuity card. Studying your patients and being ready to answer questions about them.
Knowing the diseases that you are more likely to encounter during your rotation, including diagnostics and management. This depends on the type of patients your preceptor is going to visit. For example, if you are rotating in a stroke unit, be sure to know the NIHSS or your clinic's stroke workup. Instead, neurology topics are part of the internal medicine shelf exam.
Typically taken during the third year of medical school, after the neurology clerkship. Despite neurology clerkships being relatively short 4—6 weeks , the exam features particularly long and challenging stems that do not necessarily cover what comes up in rotations. With that in mind, students should start preparing as early as they can. Significance Although not all students must take a neurology shelf exam , most medical schools have a required neurology clerkship.
It will help you move through the exam faster in the limited time available. Do not ignore complicated topics like vertigo ; even if it is not always indicated as high-yield , it may appear several times. Dedicate as much time as you can to memorizing neurology vocabulary, which is often complicated and specific. Master anatomy and neurological pathways, as lesion localization makes up a substantial part of the exam. Reading material AMBOSS : offers a comprehensive library with over neurology articles and more than questions to help you prepare for your neurology shelf exam.
Journals: The following journals have the largest impact factor in the field. Subscribe to the mailing list or add them to your RSS feed to receive the latest research and news. Resident and Fellow Section of Neurology journal covers interesting neurological cases and provides teaching points for students and trainees.
Neuroradiology Radiopaedia. Thus, there is a wide range of basic, translational, and clinical science projects for you to get involved with. Research opportunities can best be found by asking the attending physicians you worked with. If your attendings do not have any research opportunities available, you may ask them if they have any colleagues doing research they could put you in contact with.
Most physician-researchers will be happy to have a medical student join their team. Accessed: June 23, NeuroLogic Exam. Accessed: June 26,
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