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Medical Education

“From the brain only, arises our pleasures, joys, laughter and jests, as well as sorrows, pains, griefs and tears” – Hippocrates. 
Even in the 4th century BC, the father of medicine, recognized the paramount function of the brain and central nervous system in the human body.  Since then, neurology has grown into a large and diverse field firmly rooted in neuropathology, branching into theology and metaphysics, budding psychiatry and flowering neurological surgery. To me, this is the field that is best poised to define the most essential and elusive human concept -- the human soul -- and localize and treat its ailments.  That is neurology’s irresistible allure.   - Igor Rybinnik M.D., Neurology Clerkship Director

 

NEUROLOGY CLERKSHIP
The Neurology clerkship is a required 3 week clinical clerkship that is currently available throughout the academic year to third and fourth year medical students. Students are exposed to outpatients and inpatients at RWJ University Hospital, Capital Health, and Jersey Shore Hospital with a diversity of neurological disorders of varying acuity as well as neurological complications of medical disorders, and are expected to become proficient in all the educational spheres of the R.I.M.E. paradigm.

 

During the first week, students will practice and demonstrate proficiency as reporters. They gather appropriate, chronological and organized history with a focus on the chief complaint and practice complete neurological examinations guided by the history. 

During the second week, the focus is shifted towards interpreting the data, and students are expected to demonstrate proficiency in integrating their historical and exam findings to generate at least three localizations of lesions in the nervous system to explain the findings, and at least three pathological conditions that may be responsible for these lesions.

 

During the last week of this clerkship, students are expected to become managers by demonstrating meaningful contributions to patient care and suggesting appropriate tests and therapies. Also, students should exhibit self-directed learning by educating the patient and the healthcare team.

 

LECTURES

Weekly didactics are designed to provide students with the tools to accurately localize neurological lesions, as well as the framework of neurological disorders within the major subspecialties of neurology. The lectures also offer the opportunity for students to demonstrate their self-directed learning.

 

  • Orientation: Rybinnik
  • Clinical Neuroanatomy, Localization and Neurological Exam: Dr. Rybinnik
  • Neuroimmunology, Multiple Sclerosis and Demyelinating Disorders: Dr. Balashov
  • Neuro-ophthalmology: Dr. Lepore
  • Differential Diagnosis: Dr. Sage
  • Neuromuscular Diseases: Dr. Chen, Dr. Leitch
  • Neurobehavioral Dr. Hundal, Dr. Schneider
  • Neurological Emergencies: Dr. Rybinnik, Dr. Mehta, Dr. Leitch
  • Diagnostic Neuroradiology: Dr. Schoenfeld
  • Vascular Neurology: Dr. Rybinnik, Dr. Mehta
  • Headaches: Dr. Pertchik
  • Epilepsy: Dr. Mani, Dr. Wong
  • Parkinsonism And Movement Disorders: Dr. Mark
  • Clerkship Wrap-up And Examination Review:  Dr. Mani, Dr. Rybinnik
  • Disorders of Sleep:  Dr. Mani

 

GRADING:

The final grade is comprised of a case write-up (15%), shelf exam given on the last day of the clerkship (45%), and attending evaluations of clinical performance by the R.I.M.E. educational paradigm (40%).  Students must both pass the shelf exam and demonstrate passing clinical performance in order to pass the course.

 

Contact Us:

 

Igor Rybinnik, M.D.
Clerkship Director
125 Paterson Street - Suite 6200
Phone: (732) 235-7340
Email: igor.rybinnik@rutgers.edu

 

Ram Mani, M.D.
Assistant Clerkship Director
125 Paterson Street - Suite 6200
Phone: (732) 235-7340
Email: manira@rwjms.rutgers.edu

 

Janet Ryan
Clerkship Coordinator
Phone: (732) 235-6017
Email: ryanja@rwjms.rutgers.edu

 

Mary Sedarous, M.D.

Site Director, Jersey Shore University Hospital

Phone:  (732) 776-4060

Email:  marysedarous@yahoo.com

 

Mitra Assadi, MD

Site Director, Capital Health

Phone:  609-537-7142

Email:  massadi-khansari@capitalhealth.org

 

 

 

ADVANCED CLINICAL NEUROLOGY ELECTIVE

The Advanced Clinical Neurology rotation is available as an elective throughout the academic year to third and fourth year medical students who demonstrate satisfactory completion of the required neurology clerkship. This 4-week in-patient rotation affords students direct exposure to patients with acute cerebrovascular disorders and neurological critical care.  The students are expected to become primary providers for no more than 5 in-patients, and will learn to appreciate subtleties of history taking and neurological examination as well as diagnostic uncertainty, and learn to manage complex diagnostic issues through independent literature search and evidence based medicine.  The focus of this rotation is to afford the student a neurology resident level experience and to prepare them for a future career in neurology. All budding neurologists are welcome!

 

 

Suggested Reading

  • Simon RP, Aminoff MJ, Greenberg DA. Clinical Neurology, Appleton and Lange Publishers, Stamford CT.
  • Anschel D. Neurology Pre Test. McGraw Hill, New York
  • Blumenfeld H.  Neuroanatomy Through Clinical Cases. Sinauer Associates.
  • Neuroexam.com