Neurology and Rehabilitation Medicine Clerkship

Medical Students (M.D.)

The six-week Neurology and Rehabilitation Medicine Clerkship introduces students to the care of patients with neurological disorders and conditions, as well as the role of rehabilitation medicine in improving the patient’s functional status and quality of life. Emphasis is placed on performing, documenting, and presenting verbally histories and physical examinations of patients with neurological diseases, developing a differential diagnosis, assessment, and treatment plan, participating in the treatment of neurology patients, and understanding the impact of neurological illness on the patient and family. Each student will have direct patient contact with supervision from the house staff and neurology faculty. 

The neurology service is divided into two different components: during one 3-week component of your clerkship, you will rotate on an inpatient service (although two services – neuro-oncology and pediatric neurology – will combine inpatient consults with outpatient clinic time.) During the other three-week component of your clerkship, you will spend two weeks rotating on a mixture of outpatient clinics (with an average of 6 half-days of clinic per student), and one week rotating on a rehabilitation medicine service at Roper Hospital.
The Neurology and Rehabilitation Medicine Clerkship is divided into the following components:

Inpatient Rotations

• General Adult Neurology Wards (MUSC)
• VA Adult Neurology Wards/Clinic
• Neurovascular Stroke Inpatient Service
• Neuroscience ICU
• Pediatric Neurology Consult Service/Clinic
• Neuro-Oncology Consult Service/Clinic

Outpatient Rotations

Mixture of ~7 clinics per week (4-5 on week 6). Clinics in different subspecialties:

• Stroke
• Cognitive / behavioral neurology
• Neuropsychology
• Movement disorders
• General neurology
• Headache / botulinum toxin injections
• Neuromuscular disease
• Pediatric neurology
• Epilepsy

Some clinics are located off campus:

• MUSC North Charleston, 8992 University Blvd, 2nd floor, Charleston
• MUSC East Cooper, 1600 Midtown Ave, 2nd floor, Mount Pleasant
• MUSC West Ashley, 2125 Charlie Hall Blvd, 2nd floor, Charleston
• Ralph H. Johnson VA Medical Center, 109 Bee St. 1st floor, Charleston
• MUSC Children’s Health Mount Pleasant, 2705 N Highway 17 #100, Mount Pleasant
• MUSC Children’s Health N. Charleston, 2750 Dantzler Drive, Charleston,
• MUSC Children’s After Care, 2250 Mall Drive, North Charleston

Day Float
During outpatient rotation, each student who does not have stroke as inpatient service spends one day on day float. Every Student should participate in at least on BAT (Brain Attack Team / acute stroke evaluation.

Rehabilitation Medicine Rotation
Each student will spend a week at Roper Hospital to participate in Rehabilitation Medicine. During the rehab medicine week, the student will have opportunities to observe or participate in several rehab medicine activities, such as physical therapy, occupational therapy, speech language pathology evaluations, recreational therapy, group therapy / support groups, and / or evaluations for wheelchair placement or assistive devices, depending on the activities that your assigned patient is involved in. Each student is expected to actively see new patients, perform appropriate history and physical evaluations on new patients, present their patient to the attending, and to follow those patients over the course of the week. Access to the electronic medical record (EMR) at Roper Hospital is restricted to read-only access; however, you will be expected to write at least one H&P or progress note for one of your patients in Microsoft Word, so that your attending will have the opportunity to review your note.

Didactic experiences
• Neurology examination workshop
• Neurologic Emergency and Procedure Simulator Session (SIM Lab)
• Medical Student Lectures
• Morning Report
• Grand Rounds