UNIVERSITY OF MICHIGAN NEUROLOGY RESIDENCY PROGRAM

GOALS AND OBJECTIVES

1.   Teach resident physicians the clinical knowledge and skills needed to be excellent clinical neurologists.

2. Teach residents to be excellent physicians as exemplified by their medical management skills, clinical judgment, and professional responsibility, as well as by their interactions with patients, families, physicians, and other co-workers.

3. Provide resident physicians the background in neuroscience necessary for the state-of-the-art practice of neurology.

4.  Teach residents the practice of continuing self-education.

5. Allow residents to demonstrate progressive levels of responsibility throughout the duration of training.

Revised 12/22/08


UNIVERSITY OF MICHIGAN NEUROLOGY RESIDENCY PROGRAM

LEARNING OBJECTIVES FOR RESIDENTS

First year of program

1. Medical Knowledge

a. Learn clinical neurology:

1. Be able to take a neurological history and perform a neurological examination competently in both adults and children.

2. Acquire basic ability at neuroanatomic localization.

3. Become familiar with the basics of diagnosis and treatment of common neurological problems, and begin to gain exposure to uncommon neurological problems.

4. Gain basic knowledge of the use and interpretation of neuroimaging studies, basic knowledge of the appropriate use of electroencephalography, basic knowledge of the use of other neurodiagnostic and laboratory studies, skill in the performance of lumbar puncture, and basic knowledge of the interpretation of cerebrospinal fluid results.

b. Learn principles of neuroscience applicable to clinical neurology:

Begin to acquire knowledge of important principles of many areas of neuroscience, including neurochemistry, neurophysiology, neuroanatomy, neuropharmacology, and molecular neuroscience.

2. Become an excellent physician:

a. Patient care:

1. Become skilled at delivering neurological care as part of a team, including skills at patient management, communication with patients and families, and communication with medical professionals.

b. Communication:

1. Become skilled in effective communication with patients and families.

2. Become skilled in effective communication with other medical professionals.

c. Systems-Based Practice:

1. Recognize situations where input is needed from physicians from other specialties or from other medical professionals.

2. Understand the role of a Neurology specialist within the greater context of a healthcare team.

3. Recognize situations where the input of more experienced neurologists is needed.

d. Professionalism:

1. Manifest responsibility, honesty, integrity, and high ethical standards.

2. Become proficient in timely and appropriate medical documentation.

3. Learn continuing self-education:

a. Begin to read critically one or more key neurological journals on a regular basis.

b. Become familiar with key resources in the neurological literature.

c. Develop the ability to search the literature for more detailed and current information on neurological topics, including internet-based resources and reference texts.

Revised 12/22/08


UNIVERSITY OF MICHIGAN NEUROLOGY RESIDENCY PROGRAM

LEARNING OBJECTIVES FOR RESIDENTS

Second year of program

1. Medical Knowledge

a. Learn clinical neurology:

1. Be able to take a neurological history and perform a neurological examination comprehensively and accurately in both adults and children.

2. Develop advanced ability at neuroanatomic localization.

3. Become familiar with the diagnosis and treatment of common neurological problems and many aspects of diagnosis and treatment of uncommon problems.

4. Become competent at managing most neurological problems independently.

5. Have basic skill at interpreting of neuroimaging studies and advanced knowledge of their appropriate use, advanced knowledge of the use of other neurodiagnostic and laboratory studies, skill in the performance of lumbar puncture, and advanced knowledge of the interpretation of cerebrospinal fluid results.

6. Acquire basic ability at interpretation of electroencephalograms and advanced knowledge of their use in clinical practice.

b. Learn principles of neuroscience applicable to clinical neurology:

Acquire a level of knowledge of most areas of neuroscience adequate for the independent practice of neurology, including neurochemistry, neurophysiology, neuroanatomy, neuropharmacology, neurogenetics, neuroimmunology, neurovirology, neuroepidemiology, neuroendocrinology, neuro-ophthalmology, neuro-otology and molecular neuroscience.

2. Become an excellent physician:

a. Patient care:

1. Become skilled at delivering neurological care as part of a team, including skills at patient management, and supervising and teaching less experienced members of the team.

2. Learn to supervise the management of a large number of patients, and delegate responsibility to other members of the team when appropriate.

b. Communication:

1. Become skilled in effective communication with patients and families.

2. Become skilled in effective communication with other medical professionals.

c. Systems-Based Practice:

1. Recognize situations where input is needed from physicians from other specialties or from other medical professionals.

2. Understand the role of a Neurology specialist within the greater context of a healthcare team.

3. Recognize situations where the input of more experienced neurologists is needed.

d. Professionalism:

1. Manifest responsibility, honesty, integrity, and high ethical standards.

2. Become proficient in timely and appropriate medical documentation.

3. Learn continuing self-education:

a. Continue to read critically one or more key neurological journals on a regular basis.

b. Utilize key resources in the neurological literature critically and effectively.

c. Gain experience at searching the literature for more detailed and current information on neurological topics.

d. Develop a scholarly project in basic or clinical neuroscience

1. Become familiar with the basics of research methodology.

2. Design a research project under the guidance of a faculty mentor.

3. Become familiar with the basics of institutional review board (IRB)

2. Present a poster or platform at an institutional meeting, demonstrating either a completed scholarly project or an incomplete project for which you have designed a study, designed study methods, and begun data collection.

Revised 12/22/08

1. Learn clinical neurology:

a. Be able to take a neurological history and perform a neurological examination comprehensively and accurately in both adults and children.

b. Develop advanced ability at neuroanatomic localization.

c. Become familiar with the diagnosis and treatment of common neurological problems and many aspects of diagnosis and treatment of uncommon problems.

d. Become competent at managing most neurological problems independently.

e. Have basic skill at interpreting of neuroimaging studies and advanced knowledge of their appropriate use, advanced knowledge of the use of other neurodiagnostic and laboratory studies, skill in the performance of lumbar puncture, and advanced knowledge of the interpretation of cerebrospinal fluid results.

f. Acquire basic ability at interpretation of electroencephalograms and advanced knowledge of their use in clinical practice.

2. Become an excellent physician:

a. Become skilled at delivering neurological care as part of a team, including supervising and teaching less experienced members of the team.

b. Improve skills at patient management, communication with patients and families, and communication with medical professionals.

c. Recognize situations where input is needed from physicians from other specialties or from other medical professionals, and utilize that input effectively.

d. Manifest responsibility, honesty, integrity, and high ethical standards.

3. Learn principles of neuroscience applicable to clinical neurology:

Acquire a level of knowledge of most areas of neuroscience adequate for the independent practice of neurology, including neurochemistry, neurophysiology, neuroanatomy, neuropharmacology, and molecular neuroscience.

4. Learn continuing self-education:

a. Continue to read critically one or more key neurological journals on a regular basis.

b. Utilize key resources in the neurological literature critically and effectively.

c. Gain experience at searching the literature for more detailed and current information on neurological topics.

Revised 2/27/00


UNIVERSITY OF MICHIGAN NEUROLOGY RESIDENCY PROGRAM

LEARNING OBJECTIVES FOR RESIDENTS

Third year of program

1. 1. Learn clinical neurology:

a. Be able to take a neurological history and perform a neurological examination in both adults and children at the advanced level of an independently practicing neurologist.

b. Have advanced ability at neuroanatomic localization.

c. Be familiar with the diagnosis and treatment of common neurological problems and most aspects of diagnosis and treatment of uncommon problems.

d. Be competent at managing most neurological problems independently; Recognize uncommon situations where referral to a neurologist with more specialized expertise would be beneficial.

e. Have basic skill at interpreting of neuroimaging studies and advanced knowledge of their appropriate use, advanced knowledge of the appropriate use of electroencephalography, advanced knowledge of the use of other neurodiagnostic and laboratory studies, skill in the performance of lumbar puncture, and advanced knowledge of the interpretation of cerebrospinal fluid results.

2. Become an excellent physician:

a. Be skilled at delivering neurological care as part of a team, including supervising and teaching less experienced members of the team.

b. Have fully developed skills at patient management, communication with patients and families, and communication with medical professionals.

c. Recognize situations where input is needed from physicians from other specialties or from other medical professionals, and utilize that input effectively.

d. Manifest responsibility, honesty, integrity, and high ethical standards at the level expected of an independently practicing physician.

3. Learn principles of neuroscience applicable to clinical neurology:

Have the knowledge of neuroscience necessary for the highly competent independent practice of neurology, including knowledge of neurochemistry, neurophysiology, neuroanatomy, neuropharmacology, and molecular neuroscience.

4. Learn continuing self-education:

a. Read critically two or more key neurological journals on a regular basis.

b. Utilize key resources in the neurological literature critically and effectively.

c. Be experienced at searching the literature for more detailed and current information on neurological topics.

d. Attend, or have attended, at least one major national or international neurological meeting.

Revised 2/27/00 Medical Knowledge

a. Learn clinical neurology:

1. Be able to take a neurological history and perform a neurological examination in both adults and children at the advanced level of an independently practicing neurologist.

2. Have advanced ability at neuroanatomic localization.

3. Be familiar with the diagnosis and treatment of common neurological problems and most aspects of diagnosis and treatment of uncommon problems.

4. Be competent at managing most neurological problems independently.

5. Have basic skill at interpreting of neuroimaging studies and advanced knowledge of their appropriate use, advanced knowledge of the appropriate use of electroencephalography, advanced knowledge of the use of other neurodiagnostic and laboratory studies, skill in the performance of lumbar puncture, and advanced knowledge of the interpretation of cerebrospinal fluid results.

6. Acquire basic ability at interpretation of electroencephalograms and advanced knowledge of their use in clinical practice.

b. Learn principles of neuroscience applicable to clinical neurology:

Have the knowledge of neuroscience necessary for the highly competent independent practice of neurology, including knowledge of neurochemistry, neurophysiology, neuroanatomy, neuropharmacology, neurogenetics, neuroimmunology, neurovirology, neuroepidemiology, neuroendocrinology, neuro-ophthalmology, neuro-otology and molecular neuroscience.

c. Learn clinical psychiatry

Develop a fundamental knowledge of psychiatry, including cognition and behavior in areas including psychopathology and diagnostic criteria for common psychiatric disorders, alcohol and substance abuse, psychopharmacology, non-pharmacologic therapeutic modalities, psychiatric problems associated with medical disease, and forensic psychiatry.

2. Become an excellent physician:

a. Patient care:

1. Be skilled at delivering neurological care as part of a team, including supervising and teaching less experienced members of the team.

2. Have fully developed skills at patient management.

b. Communication:

1. Be skilled in effective communication with patients and families.

2. Be skilled in effective communication with other medical professionals.

c. Systems-Based Practice:

1. Recognize situations where input is needed from physicians from other specialties or from other medical professionals, and utilize that input effectively.

2. Understand the role of a Neurology specialist within the greater context of a healthcare team.

3. Recognize uncommon situations where referral to a neurologist with more specialized expertise would be beneficial.

d. Professionalism:

1. Manifest responsibility, honesty, integrity, and high ethical standards at the level expected of an independently practicing physician.

2. Be proficient in timely and appropriate medical documentation.

3. Learn continuing self-education:

a. Read critically one or more key neurological journals on a regular basis.

b. Utilize key resources in the neurological literature critically and effectively.

c. Be experienced at searching the literature for more detailed and current information on neurological topics.

d. Attend, or have attended, at least one major national or international neurological meeting.

e. Develop a scholarly project in basic or clinical neuroscience

1. Become familiar with the basics of research methodology and statistical analysis.

2. Design a research project under the guidance of a faculty mentor, gather data, and participate in statistical analysis.

3. Present a poster or platform at an institutional meeting, demonstrating either a completed scholarly project

Revised 12/22/08


UNIVERSITY OF MICHIGAN NEUROLOGY RESIDENCY PROGRAM

GOALS AND OBJECTIVES

Neurology Inpatient Service Rotation for Junior Residents

1. Medical Knowledge

a. Learn clinical neurology:

1. Learn to take a neurological history and perform a neurological examination competently.

2. Acquire basic ability at neuroanatomic localization.

3. Become familiar with the basics of diagnosis and treatment of common neurological problems, and begin to gain exposure to uncommon neurological problems, with an emphasis on acute neurological problems requiring inpatient care, including rapidly evolving illnesses requiring intensive care.

4. Gain basic knowledge of the use and interpretation of neuroimaging studies, basic knowledge of the use of other neurodiagnostic and laboratory studies, basic knowledge of the appropriate use of electroencephalography, skill in the performance of lumbar puncture, and knowledge of the interpretation of cerebrospinal fluid results.

b. Learn principles of neuroscience applicable to clinical neurology:

Begin to acquire knowledge of important principles of many areas of neuroscience, especially those applicable to acute neurological disorders.

2. Become an excellent physician:

a. Patient care:

1. Become skilled at delivering neurological care as part of a team, including skills at patient management, communication with patients and families, and communication with medical professionals.

2. Gain skill and experience at recognizing and managing the complications of neurological disease.

b. Communication:

1. Become skilled in effective communication with patients and families.

2. Become skilled in effective communication with other medical professionals.

c. Systems-Based Practice:

1. Recognize situations where input is needed from physicians from other specialties or from other medical professionals.