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SUBSPECIALTY CLINIC

The goal of this rotation is to allow for a more diversified outpatient experience during residency. Since there are already dedicated blocks for Epilepsy and Neuromuscular, the focus of this rotation will be on Neuroimmunology, Neuro-Onc, and Movement Disorders.

There is lots of general helpful clinic information on the Continuity Clinic page - please also review before your rotation.

GENERAL DESCRIPTION OF THE ROTATION

Residents will rotate through the subspecialty faculty neurology clinics on the third floor of the Frenkil building at 16 S. Eutaw St. (or via Telemedicine). The rotation provides a diverse outpatient neurology experience. Since there are separate dedicated blocks for Epilepsy and Neuromuscular, the focus of this rotation will be on Neuroimmunology, Movement Disorders, and Neuro-Oncology.

Neuro-Oncology Logistics: Dr. Ahmad has clinic in the Stoler Cancer Pavilion (room varies depending on the day).

SCHEDULE

You will receive a weekly schedule from Andrea Reddick.  If you do not, please email her.

08:00-11:30 Morning Session

11:30-12:30 Midday Didactics (12:30-1:30 on Wed)

12:30-5:00 Afternoon Session

Each week, the resident will be assigned:

6 Sessions: Subspecialty clinic

1 session continuity clinic

1 morning Scholarly time (meet with research mentor, work on IRB, analyze data, write, etc.)

1 morning Personal time (schedule your own doctor, dentist, car repair, etc.). 

Wed Afternoons: Grand Rounds & Case Conference

EVALUATIONS

Ask Penelope Birckhead to send the evaluation for this rotation through MedHub to whichever attending you worked with the most.

This rotation is a great time to get some of your Clinical Skills Exam requirements for ABPN board eligibility completed.  More information on the CSE requirements: https://marylandneurology.squarespace.com/abpn-clinical-skills-evaluation.

COMPETENCY-BASED GOALS AND OBJECTIVES

SUBSPECIALTY - SPECIFIC MEDICAL KNOWLEDGE GOALS & OBJECTIVES

NEURO-IMMUNOLOGY / MULTIPLE SCLEROSIS

  1. Immunological and pathological features of the MS

  2. MS risk factors: Genetic, Environmental

  3. Approaches to MS diagnosis, including

    1. The use of MRI in diagnosis

    2. The application of the McDonald Criteria

    3. Identify diseases that mimic MS and discuss approaches to ruling out these diagnoses

  4. Clinical features of MS subtypes

  5. Treatment and management of MS, including:

    1. The MS disease-modifying therapies

    2. Identify MS treatment failure and decision-making related to switching therapy

    3. Evaluation of MS-related disability and MS symptom management

  6. Discuss differential diagnosis of demyelinating and other inflammatory CNS disorders

MOVEMENT DISORDERS

  1. Clinically classify abnormal movements by phenomenology: parkinsonism, chorea, tremor, dystonia, tics, ataxia, myoclonus and others.

  2. Construct a differential diagnosis for patients with each of the broad categories of movement disorders

  3. Formulate a diagnostic strategy for patients with movement disorders.

  4. Describe non-motor components of movement disorders including behavioral, cognitive, autonomic and other features.

  5. Describe basic principles of neuroanatomy, neuropathology and neuropharmacology as they pertain to Movement Disorders.

  6. List side effects of common Movement Disorder therapies.

  7. Describe the indications for botulinum toxin injection therapy

  8. Perform basic interpretation of common neurologic imaging studies of the brain and spine (MRI and CT) in patients with Movement Disorders.

KEY READINGs

NEUROIMMUNOLOGY AND MS

AAN Practice Parameters

Others:

MOVEMENT DISORDERS

AAN Practice Parameters

Continuum – Movement Disorders August 2019 (or most recent version if/when updated)

NEURO-ONCOLOGY

Last Updated: June 20, 2023