Neurology 655

Northwest Neurological
Spokane, WA

26 E 5th Avenue
Spokane, WA 99202

Site Director:  David Greeley, MD
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Clinic staff:
Ph (509) 747-5615
Fax (509) 747-5133


Paperwork Requirements

Please contact Michelle Madeen in the Spokane WWAMI office to find out about any pre-arrival paperwork requirements.

Letter of Good Standing (LOGS):  Required for this site.  Please go to your E*Value profile and download the LOGS to send.  Instructions if needed.

Michelle Madeen
Program Operations Administrator
Assistant to Dr. Darryl Potyk, Assistant Dean of Regional Affairs
Spokane Regional Office
University of Washington School of Medicine
Phone: (509) 313-7917
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Travel, Housing & Computer Access

Housing: Shared housing is available. Contact Michelle Madeen for details.

Travel: If you drive, you will receive mileage reimbursement for one roundtrip to and from Spokane. Contact Scott Bailey at This email address is being protected from spambots. You need JavaScript enabled to view it.for mileage reimbursement.


What To Bring & Orientation

Equipment to bring: White coat and name tag, reflex hammer, tuning fork (128Hz), stethoscope, (ophthalmoscope recommended).

First day & site orientation: Contact the clinic staff to find out when and where to arrive on your first day. A photo ID must be worn at all times in the work places. Office hours are from 8 am to 5 pm Monday through Friday.

Clerkship orientation video: Watch the away student orientation video on the Distance Learning page. You will need to refer to your Pocket Syllabus (see below) when viewing the video.

Pocket syllabus: A “pocket syllabus” will be mailed to you. A printable (PDF) version is also available on the Pocket Syllabus page.


Course Requirements

Course requirements are listed below. Refer to the Distance Learning page for due dates.

Cases: Two case write-ups are due each week. Further information is available in the orientation video and on the Cases page. Your assigned case numbers are on the Distance Learning page. Please note that your assigned case numbers are different than for the Seattle-based students. Weekly case answers and video lectures will be available on the Distance Learning page on Thursdays after 1PM.

Patient log: You are required to log in the patients you have seen each week. The log is described in the clerkship orientation video. Additional details are on the Patient Log page.

Clinical & Bioethical Mini-CEX exercises: You are required to do both a clinical and a bioethical mini-CEX for this course. See the Mini-CEX page for details.

Presentations: Presentation requirements are described in the orientation video and are available on the Presentations page.

Final exam: Your final exam will be held in Spokane unless you tell the clerkship director otherwise.  The scheduling/notification process runs through UW Testing Services and the contact email is This email address is being protected from spambots. You need JavaScript enabled to view it.. See the Final Exam page for information about the exam.


Site Expectations (Editing needed)

General: Students are expected to spend five days per week involved in education of neurology and the neurosciences. We are open for business at our main office (address above) typically M-F, 8am-6pm and if that is most convenient you can spend every day in our outpatient office. You don’t need to arrange anything in advance if this is your primary choice. There are no weekend or after-hour patient care requirements.

But for those interested, we also see patients in a research office three blocks North of the main office, we work one day per month at a specialty clinic at Pullman Regional Hospital, and you could go to a DBS surgery if there is one scheduled during your rotation (we generally are involved in ~2 cases per month). We have also had students spend time with other preceptors (e.g. inpatient neurologists, neurosurgeons, neuro-radiologists, neuro-otologists, child neurologists, psychologists, neuropsychologists, chiropractors, pain specialists, etc.) on occasion because of the student’s particular interest(s). Each of these optional training opportunities require some advance planning so if interested in any of these during your rotation please let us know as soon as you can.

The best place to park for the main office is in the open garage under the building. There is a staircase and elevator right next to the parking and you can take that to the 2nd floor. Our door is the first door off of the elevator. There is also lots of free parking on the street but we would prefer you leave the outside parking lot in front of the building to the patients as parking is limited for those who need easy access.

The dress code for the site is business casual – in short, you need to look professional.  Please wear your ID badge.

If you have a laptop or MacBook please bring it. We have free Wi-Fi. We have a very easy-to-use EHR that is cloud-based ( so you don’t need to load anything on your computer. On the first day we will give you a password and teach you how to use it. The link above is only FYI. It is not expected that you look at it before your first day here.

Faculty: During the 4-weeks we hope you have exposure to the entire faculty in our neurology practice.

David Greeley, MD Movement D/O, General

Clinic Experience: In the first days of the rotation we have students shadow with Dr. Greeley to get an understanding and feel for what we expect a doctor-patient relationship to be in our clinic – to set an example of how we interact, what type of information we expect the student to be able to glean from the patient, and what type of exam we do in an outpatient setting. At some point thereafter, the student will be asked to start the interview and/or do the neurological exam with the preceptor in the room so we can observe the student at work. Finally, and hopefully by week three, the student will be able to see patients on their own and then come outside the room to report their findings and suggest a potential plan of care to the provider involved in the care of that patient. The preceptor and student would then return to the room to conclude the visit.

You will have the opportunity to see DBS programming, EEG, EMG, posturography, and Botox injections.  Please tell the site director if you have any specific goals for the month so that your experience is as good as possible.

Evaluation: Dr. Greeley is the clerkship site director. He will observe the student’s performance of the neurological examination within the first two weeks of the rotation, and provide feedback. Hopefully, this will happen in the last 2 weeks, as well, to ensure mastery of the neurological examination. The clinical mini-CEX can be performed with Dr. Greeley or any of the other care providers.  You will also receive an evaluation for the course. Please be sure to ask Dr. Greeley for a review of how you are doing at the end of week two. You should also go over your evaluation with Dr. Greeley at the end of your rotation so that you know what will be put in the evaluation that goes into your record.

Inpatient Experience: As noted above, our neurology group does not have an inpatient service but if that is important to you we could potentially arrange time with one of the neurology hospitalists in Spokane.