The Pediatric Neurology rotation is an opportunity for the neurology residents to spend one month during their PGY-3 year to rotate on the UMMC pediatric neurology service. Residents will be exposed to a variety of neurologic conditions affected children including ishemic stroke, seizures, hypoxic-ischemic encephalopathy, etc. Residents will work directly with the attending Pediatric Neurologist. The service census can range from 1-6 consults that are actively being followed.
Team Structure
Pediatric Neurology Attending: Dr. Stephen Thompson is the primary Neurologist, though service may also be covered by Dr. Azizi. You should contact the attending the day prior to determine where to meet.
1 PGY-3 Neurology Resident: responsible for evaluating consults under the guidance of the attending physician. The resident will see patient independently as well as in conjunction with the attending physician and write consultation and follow up notes as requested.
During clinics, residents will work with the attending physician to evaluate patients, write notes and place orders.
**Note: this rotation is different than most others as we are caring for children and will need to learn the complexities of discussing cases with not only the patient but also their parents or primary caregivers. If you have any questions please contact the attending immediately.
Pediatric Residents: Variable number of residents on elective rotation. Responsibilities will be the same as that for the Neurology resident.
Weekday Schedule
7:45-8:15 AM: Morning Report
8:15-11:00 AM: Attending Rounds. Contact attending physician the day prior to your rotation to determine where to meet. Will follow up on consults from prior days as well as any new consultations from the night before.
11:30 AM-12:30 PM: Midday Didactic Conference. It is expected that all junior residents attend this conference. If there are emergent patient care issues, this should be handled by the senior resident or Attending Physician.
12:30-5:00 PM: Afternoon Pediatrics clinic with Dr. Thompson everyday except Thursday afternoon. Following the completion of clinic will see any consults called in during the afternoon.
** Monday afternoon clinics rotate between several other university hospitals, one at Upper Chesapeake and one in Lutherville. Dr. Thompson will provide you with this schedule.
goals and objectives
Become proficient in obtaining a complete and age-appropriate neurologic history of infants and children
Become proficient in performing a complete and age-appropriate neurological examination of infants and children
Learn the interrelationship of abnormalities of the nervous system with normal growth and development of the nervous system.
Learn to recognize broad patterns of neurologic disease in infants and children
Demonstrate ability to diagnose common childhood neurologic disorders
Demonstrate ability to initiate management of common childhood neurologic disorders
Become familiar with uncommon childhood neurologic disorders
Ideally, there will be opportunities for the resident to evaluate children with both common and less common neurologic problems, including:
Developmental Delay and Intellectual Disability
Learning, Attention, and Behavioral Disorders
Central nervous system malformations
Birth injuries of the nervous system
Head injuries
Childhood Seizures
Childhood Headaches
Strokes in infancy and childhood,
CNS tumors in childhood
Pediatric Movement Disorders
Pediatric demyelinating disorders
Neuromuscular disorders of childhood
Neurologic complications of childhood systemic diseases and immunizations.