A dozen years of evolution of neurology clerkships in the United States

Safdieh, Joseph E.; Quick, Adam; Korb, Pearce; Torres-Russotto, Diego; Gable, Karissa; Rock, Maggie; Cahill, Carolyn; Soni, Madhu

doi:10.1212/wnl.0000000000006170

Cited by 16 publications

(12 citation statements)

References 9 publications

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“…Tools to evaluate students may include nationally written standardized examinations, locally developed examinations, locally developed clinical assessment forms with behavioral anchors based on learning objectives, bedside assessment evaluation forms, and oral presentation rubrics. 6,9 The following list contains suggestions for various methods of evaluation.…”

Section: Methods Of Summative Evaluation Of the Traineementioning

confidence: 99%

“…While most medical schools still provide this experience in a traditional clerkship format, some have introduced nontraditional models such as multidisciplinary clerkships or longitudinal experiences. 6 These curriculum guidelines apply to a clinical neurology experience of any type, whether a traditional clerkship or an innovative format.…”

Section: Goals and Objectives Of The Clinical Neurology Experiencementioning

confidence: 99%

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Core curriculum guidelines for a required clinical neurology experience

et al. 2019

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Physicians in most specialties frequently encounter patients with neurologic conditions. For most non-neurologists, postgraduate neurologic education is variable and often limited, so every medical school's curriculum must include clinical learning experiences to ensure that all graduating medical students have the basic knowledge and skills required to care for patients with common neurologic symptoms and neurologic emergencies. In the nearly 20 years that have elapsed since the development of the initial American Academy of Neurology (AAN)–endorsed core curriculum for neurology clerkships, many medical school curricula have evolved to include self-directed learning, shortened foundational coursework, earlier clinical experiences, and increased utilization of longitudinal clerkships. A workgroup of both the Undergraduate Education Subcommittee and Consortium of Neurology Clerkship Directors of the AAN was formed to update the prior curriculum to ensure that the content is current and the format is consistent with evolving medical school curricula. The updated curriculum document replaces the term clerkship with experience, to allow for its use in nontraditional curricular structures. Other changes include a more streamlined list of symptom complexes, provision of a list of recommended clinical encounters, and incorporation of midrotation feedback. The hope is that these additions will provide a helpful resource to curriculum leaders in meeting national accreditation standards. The curriculum also includes new learning objectives related to cognitive bias, diagnostic errors, implicit bias, care for a diverse patient population, public health impact of neurologic disorders, and the impact of socioeconomic and regulatory factors on access to diagnostic and therapeutic resources.

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Section: Methods Of Summative Evaluation Of the Traineementioning

confidence: 99%

Section: Goals and Objectives Of The Clinical Neurology Experiencementioning

confidence: 99%

Core curriculum guidelines for a required clinical neurology experience

et al. 2019

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“…7 In an attempt to improve integration, some medical schools have combined their neurology and psychiatry clerkships or linked them sequentially. 8,9 However, there are no reports in the literature of student perceptions of integrating neurology and psychiatry clinical education and competency evaluation. It is essential for an integrated curriculum to be perceived as relevant and timely by students.…”

Section: A C C E P T E Dmentioning

confidence: 99%

“…Semi-structured interview questions were created based on important concepts of neurology and psychiatry clerkship curriculum integration. 5,6,8,9 GHS facilitated the discussion using a list of questions for guidance (see Table 1).…”

Section: Mowchunmentioning

confidence: 99%

Education Research: A Qualitative Study on Student Perceptions of Neurology and Psychiatry Clerkship Integration

2021

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Objective:To explore student perceptions of the feasibility of neurology and psychiatry clerkship integration, including clinical education and competency evaluation, as there has been a call to improve undergraduate medical education integration of the disciplines to better develop physicians that can address nervous system disorders.Method:Via a constructivist grounded theory approach, we carried out five focus groups in 2016-2017 with 28 medical students who completed both independent clerkships. Investigator triangulation was used with iterative interpretation comparisons, and themes were identified using constant comparative analysis.Results:Three major themes arose: 1) combining the clerkships was not favorable as students need sufficient time to delve deeper in each discipline; 2) students did not observe an integrated clinical approach by faculty; 3) positive value of making links between neurology and psychiatry for effective patient care.Conclusions:Students emphasized the importance of making stronger links between the two disciplines for their learning and to improve patient care; however, they did not observe this clinical approach in the workplace. Students perceived that integration of neurology and psychiatry clerkships should occur via increased affinity of the complementary discipline by trainees and faculty in each specialty.

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“…Data from the National Resident Matching Program show a 48% increase in the total number of applicants matching into neurology (child and adult) between 2015 and 2019. 1 While guidelines exist for educators, [2][3][4] there is a dearth of guidance for students preparing for a career in neurology. General guidance regarding career and Electronic Residency Application Service (ERAS) application preparation is helpful, but additional resources and guidance are often sought for students considering a career in neurology.…”

Section: Introductionmentioning

confidence: 99%

Residency Training: A practical guide for medical students who are planning a future in neurology

et al. 2020

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Medical students choose neurology for many reasons, including interest in neuroscience, the intellectual challenge of diagnosing and treating disorders of the nervous system, and the opportunity for continuity of care. Neurologists have great flexibility in choice of practice environment, ranging from an exclusively inpatient setting to a strictly clinic-based practice. The purpose of this article is to provide practical, actionable, systematic advice for medical students at every level of training on how to prepare for a neurology residency application and a career in neurology. To this end, we include a timeline designed to guide students’ efforts throughout their medical school education. These recommendations incorporate the viewpoints of key participants in many aspects of medical student and resident neuroscience education. The timeline and recommendations outline a suggested early, proactive approach, but should not discourage students from considering neurology at a later point in their training. Neurology remains an inclusive specialty that welcomes students of all backgrounds and offers a rewarding career in one of the most exciting fields in medicine.

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A dozen years of evolution of neurology clerkships in the United States

Cited by 16 publications

References 9 publications

Core curriculum guidelines for a required clinical neurology experience

Core curriculum guidelines for a required clinical neurology experience

Education Research: A Qualitative Study on Student Perceptions of Neurology and Psychiatry Clerkship Integration

Residency Training: A practical guide for medical students who are planning a future in neurology

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