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Department of Neurology

Houston, Texas

BCM neurologists see patients through the Baylor Clinic and some of the world's leading specialty clinics.
Department of Neurology
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General Neurology Service Rotation

at the Ben Taub General Hospital

Rotation Overview

This rotation provides an excellent inpatient service, consultation, and outpatient experience in the public hospital setting. The residents will be rounding with the attending in the early morning to see patients and then go to each daily subspecialty clinic. In the afternoon, residents will take care of patients on the inpatient service and the consultation service. PGY2 neurology residents along with PGY2/3 medicine residents are responsible for taking in house night calls whereas PGY3 and PGY4 neurology residents will take home calls.

Rotation Mentors

Dr. Joseph S. Kass
Dr. Corey Goldsmith

Dr. Somchai Laowattana

Contact Person

Joseph S. Kass, M.D., J.D.
Email:

Principal Teaching / Learning Activities

System-based Practices
Professionalism
Interpersonal & Communication Skills
Practice-based Learning & Improvement
Medical Knowledge
Patient Care
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Part of an integrated curriculum, this rotation provides a structure for resident education in all of the core competency areas:

  1. ■■□■■□Pre-Rounds: Residents and students are expected to pre-round on overnight consults and admissions.
  2. ■■■□■■Attending Rounds: The attending on service rounds with the service team seeing all new patients and follow-up patients if needed.
  3. ■■■■■■Outpatient Clinic: The clinic starts at 8:45 a.m. each day and ends at 11:45 p.m. Experts in the different subspecialty fields will staff each subspecialty clinics. The subspecialty clinic includes the following: Neuro-oncology, Neuromuscular, Neuroimmunology/Multiple Sclerosis, Movement Disorders, Dementia, Botox clinic, Epilepsy, and Stroke. Other clinics are new patient clinic and follow up clinic. This outpatient experiences expose residents to a wild range of neurological diseases.
  4. ■■■■■■Noon Conference and Grand Rounds: Occurs Monday through Friday from noon until 1 p.m. Attendance is required.
  5. ■■■■■■Professors' Rounds: Every Wednesday at 1:15 p.m. Residents are assigned to do a history and physical exam on a patient unknown to them while being observed by a faculty member and all residents and students. Important specific clinical pearls are shared and the residents can benefit from master level clinical knowledge.
  6. ■■■□□□Neuroradiology Conference: Every Friday from 7 – 8 a.m. Interesting CT and MRI files are reviewed with neurology and neuroradiology faculty.
  7. ■■■■■■Inpatient Service: Each resident will take care of admitted Neurology patients. The 5C unit is a specialized stroke/neurology unit and all the nursing staffs are well-trained with neurological examination. PGY2 neurology residents along with PGY3 medicine residents will take care of inpatient service under the supervision of PGY4 neurology residents.
  8. ■■■■■■Consultation Service: PGY3 resident on the service is responsible to see consultation patients during the daytime.
  9. ■■■■■■Call: PGY2 neurology residents along with PGY2/3 medicine residents will take in-house calls and PGY3 and PGY4 neurology residents will take home calls as backup. In house residents will admit patients from ER and see consults overnight.

Principal Educational Goals and Learning Objectives

Residents should gain a basic knowledge which may include but not necessarily be limited to the following:

  1. Basic familiarity with the common neurological diseases:
    • Cerebrovascular disease
      • Manage acute care of cerebral infarction
      • Stroke of the young and infectious etiology of stroke
      • Intracerebral hemorrhage and subarachnoid hemorrahge
    • Epilepsy / seizure
      • Manage status epilepticus
      • Neurocystercicosis
      • Medical and surgical treatment of epilepsy
    • Movement Disorders
      • Parkinson's disease / multi-system atrophy
      • Progressive supranuclear palsy
      • Dystonia
      • Spinocerebellar ataxia
    • Dementia / behaviour
      • Alzheimer's disease
      • Mild cognitive impairment
      • Vascular Dementia
      • Other degenerative dementias
    • Inflammatory / autoimmune disease
      • Multiple sclerosis
      • Neuromyelitis optica
      • Acute demyelinating polyradiculoneuropathy
      • Neurosarcoidosis
    • Infectious disease
      • Meningitis / encephalitis
      • Neurosyphilis
      • Tuberculosis meningitis / radiculomyelitis
      • HIV and HIV-related opportunistic infections
    • Neoplasm
      • Primary CNS neoplasm
      • Metastatic neoplasm
      • Paraneoplastic syndromes
    • Spinal cord disease
      • Radiculopathy
      • Myelopathy / spinal cord compression
    • Neuromuscular diseases
      • Neuropathy
      • Muscular dystrophies
      • Myasthenic gravis
      • Amyotrophic lateral sclerosis
    • Pregnancy and women's health
      • Pregnancy and epilepsy
      • Stroke in pregnancy
      • Pregnancy and multiple sclerosis
    • Other
      • Pseudotumor cerebri

Evaluation Methods

At the end of the rotation, the attending faculty members are asked to fill out a comprehensive electronic evaluation on each resident with whom they have worked. These evaluations are compiled and reviewed with each resident biannually. Residents are asked to assess the faculty mentors with whom they have worked with as well as the overall rotation via an electronic evaluation form.