Now that I’m post-match, I’m finishing up my last requirements of medical school. One of our 4th-year requirements is a clinical neurology clerkship. Most medical schools require this during the 3rd-year, but given our schedule, many of us do not rotate on this clerkship until our 4th-year. It’s one of those clerkships, upon reflecting, that has been very useful. A few tips that helped me do well on my neurology rotation:
- The clerkship has a Shelf exam with it. If you take this during 3rd-year, you’re used to these tests. But if you’re like me and take it at the end of 4th-year, you’ve forgotten how to sit and study for a shelf. Do plenty of practice test questions.
- This clerkship reminded me of a medicine clerkship. There is a lot of discussion around differential diagnoses in the assessment and plan. There is also a lot of discussion on localization and function. Relearn your neuroanatomy, especially the spinal cord.
- The differential for neurologic problems is huge. From endocrine to trauma to vascular. And don’t forget lupus. Or syphilis.
- You’ll get really good at the neurologic exam. From cranial nerves to sensory, motor and cerebellar function. Bring your own reflex hammer.
- Acute changes in neuro status matter. Know the difference within the strength and reflex scales.
Anyone else have advice?