University Rehabilitation Associates, POB C, Suite 580
Inpatient: UT Medical Center, Primarily 10 th floor, or the Emergency Department
Faculty:
William Paulsen, MD, Chief, Section of Neurology
Michelle Brewer, MD
Michael Craig, MD
John Dougherty, Jr., MD
Jeff Hecht, MD
Ken Henderson, MD
Norman Walton, MD
Schedule:
Days: Monday through Friday, 8AM until 5 PM
Nights: None
Residents should complete work rounds then meet with Dr. Paulsen for management rounds. The resident will perform the initial consultation and subsequent care for inpatients selected by the attending. Residents will participate in the care of ambulatory patients in various outpatient settings in the afternoon as described below. The resident is expected to attend all Noon Conferences and Grand Rounds*.
Primary Goals: The resident will learn how to recognize and manage common disorders of the central and peripheral nervous system. The resident will learn how to obtain a detailed neurological history and how to perform a detailed neurological examination. The resident will learn how to appropriately order and interpret common diagnostic tests used in the field of neurology. The resident will also learn to provide care for patients who have suffered neuro-musculoskeletal impairment.
Primary Objectives: The resident will learn the common clinical presentations and implications of abnormal speech or vision, altered sensation, gait disturbance, dizziness, vertigo, headache, hearing loss, localized pain syndromes, loss of consciousness, memory impairment, seizure, tremor, weakness or other muscle impairment. The resident will learn how to assist patients who have disabilities to perform activities of daily living and to fulfill various societal roles. In learning these skills, they will learn to provide patient care that is compassionate, appropriate and effective. An emphasis will also be placed on the importance of communication skills by direct observation of both attending and staff interaction with patients and their families.
Neurology sections from Braunwald, E, Fauci , AS , Kasper, DL, Hauser, SL, Longo, DL, and Jameson, JL (Editors) Harrison ’s Principles of Internal Medicine, 15 th Edition. 2001. New York : McGraw-Hill. RC46.H32 2001 ( Preston )
Other reference materials will be given based on clinical material encountered.
Procedures: Residents will learn the indications, contraindications and complications of performing lumbar puncture.
Other Resources: Textbooks and other reference materials are available for in office use from the private offices of the attending physicians.
Research Opportunities: Residents may encounter patients who are suitable for case reports or poster presentation. The faculty is available to assist with these efforts.
Method of Resident Evaluation: Residents will be evaluated in an informal manner by direct clinical observation and case discussion. At the completion of the rotation, the resident will be evaluated in a summative manner using New Innovations electronic forms. The evaluation will be discussed with the resident by the Section Chief.
Method of Specialty Evaluation: Residents are asked to provide feedback regarding concerns at any time to the Section Chief or supervising attending. They will complete an evaluation form using New Innovations at the end of the rotation. Cumulative feedback to the attending faculty member will be given by the Departmental Chair.
*These experiences will usually occur in the afternoon at a time designated by the attending physicians.
