Description:
The three-month Pediatric Neurology rotation occurs at Mount Sinai Medical Center and is divided into 1.5months during each resident's PGY-3 year and 1.5 months during the PGY-4 year. Pediatric Neurology is primarily a consult service, with every pediatric patient being cared for by a general pediatric team. The role of the neurology resident is to function as the initial consultation for patients in the Pediatric Emergency Department, in the newborn nursery, on the Kravis Children's Pavilion inpatient floors and in the pediatric intensive care units (Neonatal, Pediatric and Pediatric Cardiac). Once familiar with a patient's history, examination and test results, the resident presents the case to a Pediatric Neurology Attending who then sees and examines all patients. The PGY-3 neurology resident then helps to develop a treatment plan in conjunction with the attending and PGY-4 resident. Neurology residents on the service are also responsible for gathering all subsequent follow-up information on each patient for daily teaching rounds with the Pediatric Neurology teaching attending.
Goals
To introduce the adult neurology resident to the field of child neurology.
To teach residents to provide comprehensive and effective consultative neurological care to pediatric inpatients.
To teach residents to perform consultative duties and communicate collaboratively with members of pediatric healthcare teams in the care of patients with neurologic complaints.
To foster a compassionate and empathetic approach to communicating with the families of pediatric patients.
Objectives
The resident will:
Gather essential and accurate information on all pediatric neurology patients seen in consultation and in the outpatient clinic (Patient Care)
Be able to thoughtfully and effectively present the case to the pediatric neurology attending on service (Interpersonal and Communication Skills)
Begin to participate in determining a diagnostic and therapeutic plan for pediatric neurology patients (Patient Care)
Provide compassionate and empathetic care to pediatric neurology patients and their families (Patient Care)
Collaborate with the primary pediatric teams to provide the best medical care possible (Patient Care, Interpersonal and Communication Skills)
Become familiar with common presentations in pediatric neurology, including neonatal, infantile and juvenile seizure disorders, genetic disorders (such as tuberous sclerosis, neurofibromatosis, and inborn errors of metabolism), developmental delays and cerebral palsy. (Medical Knowledge)
Integrate formative feedback from attendings, colleagues and students into daily practices (Practice-Based Learning and Improvement)
Write comprehensive and effective consultation and follow-up notes that clearly document the neurological history and exam and are useful, educationally and management-wise, for everyone involved in the care of the patient (Interpersonal and Communication Skills)
Learn techniques to ease anxiety and establish trust with pediatric patients (Interpersonal and Communication Skills)
Demonstrate respect and compassion for pediatric neurology patients and families (Professionalism)
Become aware of the legal and ethical responsibilities and complexities inherent in caring for pediatric patients (Systems-Based Practice)