Outpatient Child Neurology

Outpatient Child Neurology at SLCH

Number of Fellows per Rotation: 2-4 Fellows

Length of Rotation: 5.2 weeks

Year of Rotation: First-year

Location: St. Louis Children’s Hospital Outpatient Clinics

Goal

The fellow will work in one of two specialty child neurology clinics. Fellows will become familiar with pediatric neurological disorders, focusing on those relevant to CAP including pediatric epilepsy and pediatric tic and movement disorders.

Objectives

To develop competence in the following areas:

Patient Care
  • Fellows will accurately elicit histories focused on neurological disorders
  • Fellows will perform focused neurological examinations
  • Fellows will appropriately understand testing including laboratory, imaging, and studies for specific neurologic disorders such as CSF evaluations, EEG, evoked potentials, EMG/NCV, and sleep studies as indicated
  • Fellows will demonstrate the ability to formulate a neurological differential diagnosis and to understand the rationale for treatment plans outlined by the Child Neurology faculty
Medical Knowledge
  • Fellows will gain basic knowledge of epidemiology, pathophysiological explanations, diagnostic criteria, natural course, and treatment options for common neurological disorders of childhood
  • Fellows will become particularly familiar with common treatment modalities in child neurology
Practice-Based Learning
  • The fellow will demonstrate the ability to seek appropriate supervision
  • The fellow will demonstrate the ability to incorporate lessons learned from supervision into new knowledge, skills, and professional attitudes
  • The fellow will develop the ability to use information technology to improve fund of knowledge and technical skills to provide better care to patients
Professionalism
  • The fellow will communicate effectively with patients, their families, and other members of the treatment team
Interpersonal/Communication Skills
  • The fellow will demonstrate sensitivity to patients’ ethnicity, gender, age, and disabilities
  • The fellow will demonstrate a commitment to ethical principles such as confidentiality and informed consent
  • The fellow will demonstrate respect, compassion, and integrity in carrying out patient care duties
  • The fellow will demonstrate a commitment to pursuing professional development activities
  • Fellows will complete documentation of patient encounters in a timely fashion
System-Based Care
  • The fellow will demonstrate effective coordination of care with a multidisciplinary treatment team

Measurement of Objectives

The objectives will be measured by attendance and evaluation of the fellow’s participation and knowledge.

Description of Rotation

Fellows are assigned to teams consisting of attending neurologists, neurology resident physicians, and medical students on their neurology clerkships. Fellows will evaluate and treat patients requiring inpatient hospitalization on the neurology service. Fellows are expected to attend didactic conferences in the Department of Neurology during this rotation.