GNV Hospital/General Neurology Rotation
The “General Neurology” or “Hospital Neurology” service is where non-ICU patients who have a primary diagnosis of a non-vascular neurological condition are admitted. This will include patients with a variety of conditions including autoimmune, paraneoplastic, neuromuscular junction (i.e., myasthenia gravis), movement disorders, epilepsy and other seizure conditions, CNS tumors, TBI’s, some neuroinfectious diseases, functional neurological disorders, etc. The workroom for this service is room 5528 (5th floor of East Tower, just outside Unit 5600). The door code is 1505#
Expectations
- Prior to your arrival, you should contact the senior resident to receive patients who you can see and present at morning table rounds. This shows initiative and creates a good first impression.
- You are expected to pre-round on your patients prior to the start of regular work hours and should arrive early enough (typically 7:00 am- 7:30 am) to accomplish this. You should not leave at the end of the day until all assigned work for your patients is completed.
- Attend expected work hours of 7am – 5 pm, which includes morning report, morning rounds, grand rounds, teaching noon conferences, and any other lecture that is advantageous to understand the inpatient experience.
- Morning report starts at 8 AM in the neurology conference room 5546 (door code 3520#) and it occurs every day. An attending or resident usually will present a case or review a topic of interest. This is a safe space to participate and ask questions!
- After morning report, table rounds will start. Be prepared to present your patients during formal team rounds with the attending. You should ideally discuss any questions/concerns about your patients with the residents prior to formal team rounds. Be sure to have a complete and concise plan for your patients (the residents can help you with this).
- You should aim to follow 2-3 patients every day. The residents and fellows on service are always happy to answer any questions about your patients (including diagnosis, exam, management, etc.) and help you formulate your presentation, though this requires you to see your patients early enough to have time to ask and receive feedback before rounds.
- See new admissions, taking a complete neurology history and physical. You may use this as practice for your bedside skills examination (BSE) or as your graded BSE.
- See assigned patients in follow-up, taking a focused neurology history and physical (AKA SOAP) appropriate for the patient.
- Plan to demonstrate your neurological examination in front of the attending during the bedside portion of rounds. The initial/admission examination should always be a complete exam, but follow-up exam can focus on the pertinent aspects. Clarify expectations with your team if you are not sure if a focused exam is appropriate.