Rugraffian Junta
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Basically the title. How many patients on average does a 4th year see and how in depth to their overall management should a med student be delving into?
what is required of a 4th year med student on a neurology audition rotation?
- Thread starter Rugraffian Junta
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To get into my program- here’s what we look at and want from a (senior) resident perspective :
1) The number does not matter. If you take 2-3 patients and absolutely own them, that’s more impressive than taking 6 patients and doing a poor job.
2) For stroke- putting thought into etiology (TOAST criteria) knowing basic vascular imaging on CTA (able to identify circle of Willis structures), basic MRI sequences- DWI/ADC/Flair/SWI, knowing basic criteria for tenecteplase/thrombectomy. For others- honestly having a good differential for encephalopathy, knowing the common seizure meds, basic headache management. Outpatient is same- maybe a couple of more things (Parkinson’s). If you have an inpatient rotation on stroke for say- should be able to present a stroke patient (risk factors, last known well, symptoms, having an idea of NIHSS, imaging, why patient was given/not given thrombolytics or thrombectomy, and then the stroke workup for secondary prevention). We don’t necessarily expect you to know specifics (DAPT for 21 days vs 90), but general stuff (anticoagulation or antiplatelets in a straightforward case).
1) The number does not matter. If you take 2-3 patients and absolutely own them, that’s more impressive than taking 6 patients and doing a poor job.
2) For stroke- putting thought into etiology (TOAST criteria) knowing basic vascular imaging on CTA (able to identify circle of Willis structures), basic MRI sequences- DWI/ADC/Flair/SWI, knowing basic criteria for tenecteplase/thrombectomy. For others- honestly having a good differential for encephalopathy, knowing the common seizure meds, basic headache management. Outpatient is same- maybe a couple of more things (Parkinson’s). If you have an inpatient rotation on stroke for say- should be able to present a stroke patient (risk factors, last known well, symptoms, having an idea of NIHSS, imaging, why patient was given/not given thrombolytics or thrombectomy, and then the stroke workup for secondary prevention). We don’t necessarily expect you to know specifics (DAPT for 21 days vs 90), but general stuff (anticoagulation or antiplatelets in a straightforward case).
