Neurology of Central Georgia

175 Water Tower Court, Macon GA 31210 ~~~ Ph (478) 471-6217 ~~~ Fax (478) 471-8663



Neurology Rotation – Medical Students and Residents



 

PLEASE READ – IMPORTANT INFORMATION

  • Each day starts at 7:45 am — Please arrive on-time
  • If you have an Orientation Webinar, you can use our conference room (remember to ask me for office WiFi password)
    • You can also use our conference room to attend your weekly “Academic Day” and “Grand Rounds” meetings
    • After completion of the webinar / meetings, you can jump back into clinic
  • Please make sure you demonstrate proper time management and professionalism
  • If you are taking this rotation as an ELECTIVE or as part of your CORE — be prepared to be challenged.  This is not a “fluff” rotation.
  • Students will be working directly with Dr. Athni – no upper-level, intern, or resident.
  • Get a good nights rest – and be prepared to demonstrate your intellect.

Attire – STRICT – NO EXCEPTIONS

  • Business casual attire, with your white coat and name tag
  • NO visual tattoos – ALL tattoos MUST be covered with clothing (else you will be asked to leave the clinic)
  • NO exposed body piercings (this includes NO tongue rings, NO facial piercings, NO gauges, etc)

Things to Study – BEFORE Rotation Starts

Since you only have 3 to 4 weeks on the neurology rotation, I have found that most students / residents lose a lot of time trying to “re-learn” the fundamentals of neurology (information that should have been learned during basic sciences).

  • Review basic neuro-anatomy (cortical lobes, parts of brainstem, tracts within spinal cord, etc)
  • Review the sensory and motor pathways (which you learned during basic science lectures)
  • We will definitely review this information during the rotation.  But, without this basic knowledge, your experience in neurology will be limited and constrained.
  • SIDE NOTE:  Chapters 5 and 6 of Blueprints has a nice overview of the above information.  Pay special attention to how to properly “localize the lesion.”

Educational Videos – Watch BEFORE Rotation Starts

  • NeuroEd: Neurology Education Made Easy – Dr. Athni’s educational YouTube Channel
    • Dr. Athni has created a set of YouTube videos to educate students, residents and patients.
    • All students and residents rotating through our office are EXPECTED to watch the “How To Localize The Lesion” video series (i.e. NeuroAxis) BEFORE starting the rotation.  No excuses.  Without a clear understanding of the information provided in this video-series, you will find your first few days of neurology to be very painful!
    • Click here to view the NeuroAxis YouTube videos.
  • TikTok Educational Videos
  •  “Follow” his YouTube and TikTok accounts, as well as give him a few “likes!”

Teaching and Learning Process

  • Many students and residents are “afraid” of neuroscience and Neurology.
  • One of the best ways to learn Neurology is to understand the pathology and pathophysiology, instead of memorizing random facts
  • To accomplish this, I use the Socratic method of teaching – so, be prepared to be challenged academically
  • You will quickly realize, and hopefully appreciate, the importance of critical analysis and reasoning
  • Come with an open mind, and you will quickly find that Neurology is a lot of fun.
  • Don’t stress over this rotation.
  • Bring your “A” game, and you will learn more than enough to earn an “A” on your shelf exam, while also becoming well prepared for the Neurology component of the Step 1 and Step 2 exams.

Rotation Expectations

  • This is an out-patient rotation, with no call and no weekend responsibilities
  • This is not a physically-challenging rotation (no sleep deprivation, no excessive walking, no after hours, etc)
  • If you have a lecture commitment, just let me know, and you can break away for the lecture and return when you are done.
  • We have a conference room where you can watch your lectures and grand rounds
  • I will assign reading and “homework” during the rotation – you are an adult, so I expect you to keep up with these assignments
  • Your typical workweek in the clinic will be around 30-35 hours
  • Since this is not a very time-demanding rotation, I EXPECT you to read and learn Neurology when not in clinic
  • There should be absolutely no excuses for not reading neuro related material during the rotation
  • You will be working with Dr. Athni, directly – so please leave any “laziness” at home
  • REMEMBER:  You will get out of this rotation what you put into it
    • This might be your only exposure to Neuro, so take advantage of the rotation.
    • The more you learn, the more you demonstrate an interest to learn, the more you ask, the more I will teach

Educational Resources

Some resources which might be helpful in your studying:

  • Blueprints Neurology – most students feel this is the most inclusive “review” textbook
  • Pre-Test Neurology
  • U-World
  • Online Med-Ed
  • Case Files Neurology

SUGGESTION:

  • During week 1 – Read Blueprints Neurology cover-to-cover, but don’t attempt to memorize all the details
  • During week 2 – Re-read Blueprints Neurology, but in more detail, and focusing on the topics we discuss during the rotation
  • During week 3 and 4 – Start doing sample test questions (Uworld, Pre-test, etc), while continuing to read Blueprints Neurology in detail.  Target-read the difficult topics.

This week-by-week plan is only a suggestion.  Over the past few years, students who have followed this plan have been greatly surprised and rewarded with their high achievement on the end-of-rotation Shelf Exam.


Technology

  • Bring your laptop, tablet, iPad, or cell phone with internet browsing capability (we have wifi in the office)
  • Please keep cell phone on “vibrate” mode
  • DO NOT use your device to play games or “shop” or socialize with your friends while in clinic
  • DO NOT use your cell phone or tablet in front of patients – this would be very rude, and a sign of dis-respect to the patient

Neuro Tools

  • The only tool you would need would be a neuro hammer, but do not buy one.
  • Most students & residents purchase the wrong type of hammer. I will show you which one to purchase.

How to assess progress

  • You will be required to take a “Neurology Academic Quiz” on the first day of the rotation
  • I do NOT expect you to “ace” this test.  Rather, it will assess your level of Neurology knowledge at the beginning of the rotation
  • You will be required to take another “Quiz” at the end of the rotation
  • Part of your “clinic” grade and assessment will be based on how you have progressed during your Neurology rotation
  • These quizzes are NOT meant to be stressful.  Rather, they are meant to demonstrate your academic growth and help build your confidence in clinical Neurology

Topics to study DURING the rotation

There are a handful of topics which are very common in Neurology, and which I feel are important for all young physicians to fully understand.

I would encourage you to study and try to understand the clinical relevance of these topics.  We will be discussing these topics at random times during the month.  The more you read about these topics, the more I can teach you during your clinical rotation.


  • Aphasia vs. Dementia vs. Delirium
  • Different types of hydrocephalus
  • Common types of headaches
  • Types of intra-cerebral bleeds
  • Chronic pain vs. acute pain
  • What are “scheduled” drugs
  • Common types of peripheral neuropathy
  • What is “AIDP” and “CIDP”, and the difference between these entities
  • Hallmark symptoms of Parkinson’s
  • Parkinson’s vs. Parkinsonism
  • Seizures vs. Epilepsy
  • How to treat status epilepticus
  • Concussion vs. TBI vs. Closed Head Injury vs. Post-concussive Syndrome
  • Bell’s Palsy
  • Acute and chronic management of cerebral ischemia (stroke)
  • Stroke vs. TIA
  • Myasthenia Gravis
  • Multiple Sclerosis
  • How to analyze CSF results

Time In Clinic

  • Arrive at office around 7:45 am
  • You should be able to leave office around 4:00 to 4:30 pm
  • Monday’s are our “late days” – be prepared to stay till around 5:30 pm

Other Information

  • Park at LEFT side of building, in covered parking area
  • Enter thru side door – staff will have unlocked side door
  • Consider bringing lunch – we have a kitchen with microwave and fridge
  • Many eateries are within driving distance (Arby’s, Burger King, Fresh Market, Kroger’s, Starbucks, etc)
  • Wear comfortable shoes
  • DO NOT use your device to play games or “shop” or socialize with your friends while in clinic
  • DO NOT use your cell phone or tablet in front of patients – this would be very rude, and a sign of dis-respect to the patient

Office Hours

Mon: 8:30 am to 4:30 pm
Tues: 8:30 am to 4:30 pm
Wed: 8:30 am to 4:30 pm
Thurs: 8:30 am to 4:30 pm
Fri: 8:30 am to 12 Noon
Weekends – Closed
Holidays – Closed

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