Table e-1: Medical student self-generated goals for a required neurology clerkship

GOALS / Years 2010-11 / Years 2011-12
1Q / 2Q / 3Q / 4Q / 5Q / 1Q / 2Q / 3Q / 4Q / 5Q
Improve neurologic exam / 6 / 24 / 20 / 21 / 15 / 22 / 6 / 21 / 21 / 2
Understand treatment & management of neurologic disease / 7 / 4 / 7 / 4 / 2 / 3 / 6 / 8 / 2
Generate a better neurologic differential diagnosis / 5 / 10 / 3 / 4 / 4 / 6 / 5 / 3
Recognize/Identify neurologic emergencies / 1 / 5 / 3 / 6 / 3 / 6 / 5 / 4 / 1 / 3
Common neurological complaints / 4 / 3 / 4 / 5 / 4 / 1 / 4
Review neuro-anatomy / 2 / 7 / 4 / 3 / 1 / 4 / 1 / 1 / 1 / 6
Interpret neuro-images / 1 / 1 / 2 / 4 / 4 / 2 / 3 / 1 / 1 / 6
Localize lesions / 1 / 1 / 4 / 6 / 2 / 2 / 3 / 1 / 4 / 4
Recognize/diagnose/manage stroke / 4 / 1 / 1 / 6 / 3 / 2 / 1 / 5
Neurological manifestations in other specialties / 1 / 2 / 3 / 1 / 3 / 5 / 5 / 2
Indications for neurologic consultation / 1 / 1 / 2 / 6 / 3 / 2 / 1
Evaluate neurology as a career choice / 2 / 4 / 3 / 3 / 2 / 2 / 2
Identify neurologic diseases / 1 / 2 / 2 / 3 / 5 / 2
Personal reasons (fun, health; improve learning) / 3 / 1 / 2 / 3 / 4 / 2
Take a thorough neurologic history / 4 / 2 / 3 / 3 / 1 / 1
Practice lumbar puncture / 2 / 1 / 3 / 1 / 4 / 1
Apply knowledge to individual cases / 2 / 3 / 1 / 2 / 1 / 1 / 1
See a variety of patients / 2 / 1 / 1 / 2 / 1
Differentiate between neurologic diseases / 1 / 1 / 3 / 2
Practice oral presentation skills / 1 / 1 / 1 / 1 / 2 / 1
Understand duties of a neurologist / 1 / 1 / 2 / 2
Understand clinical presentation of neurologic disorders / 2 / 1 / 1 / 1
Integrate & understand neurologic history / 2 / 1 / 1
Contribute to team / 1 / 1 / 1 / 1
Experience neurologic care in the hospital/outpatient settings / 1 / 1 / 1 / 1
Understanding seizures / 2 / 2
Migraine treatment & prognosis / 1 / 1 / 1
Understand impact of neurologic disease on patient / 2 / 1
Get to know neurology faculty/their research / 1 / 1 / 1
Acquire enough knowledge to pass shelf / 1 / 1
Improve patient write up/summary / 2
Examine non-verbal patient / 1
Neuro ICU experience / 1
Know prognosis for neurological conditions / 1
Better able to assess GLS / 1
Manage headache / 1
Understand neuromuscular disorders / 1
Speed of neurologic examination / 1

Abbreviations: rotation block, Q (range 1-5).