Neurology 671

Swedish
Seattle, WA

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Swedish Neuroscience Institute
James Tower - Cherry Hill Campus
550 17th Ave. E., Suite 540
Seattle, 98122

Site Director: Eric Gierke, MD,  This email address is being protected from spambots. You need JavaScript enabled to view it.
Office Contact: Tom Higgins, This email address is being protected from spambots. You need JavaScript enabled to view it. , 206-320-2645

 

Pre-arrival Paperwork

Prior to arriving for your clerkship:

Complete the online orientation and application NO LATER than 3 weeks before your rotation begins.

Go to: http://ehealth.swedish.org/gme, click on APPLY NOW, and then click on the University of Washington Trainee link.

Once you complete the short application form, a login and password will be emailed to you. If you have questions about this process, contact David Minetti  This email address is being protected from spambots. You need JavaScript enabled to view it.  (206-386-2265) or Bobby Buglione This email address is being protected from spambots. You need JavaScript enabled to view it.  (206-215-2221).

 

Orientation, First Day & What To Bring

Clerkship orientation: Orientation is at the UW at 8:00AM on the first day of your clerkship. The room number is on the Didactics page. Room information may change at the end of each rotation, so be sure to check the table the weekend before you begin.

After orientation: Report to SNI.

Directions:From the South: Take I-5 northbound to the James Street Exit (164). Turn right (east) on James Street. James will become Cherry Street. Turn right (south) on 18th Avenue. Turn right on Jefferson (west). Turn right into the main entrance (north).

From the North: Take I-5 southbound to the James Street Exit (165A). Turn left (east) on James Street. James will become Cherry Street. Turn right (south) on 18th Avenue. Turn right on Jefferson (west). Turn right into the main entrance (north).

Parking: There is no free parking available for students. The hospital parking garage is on 16th Avenue between East Cherry Street and East Jefferson Street.

Bus information: Online bus trip planner: http://tripplanner.kingcounty.gov/cgi-bin/itin_page.pl

Equipment to bring: Your UW ID badge (Swedish will not issue you one), white coat and name tag, reflex hammer, tuning fork (128Hz), stethoscope, (ophthalmoscope recommended).

 

Site Expectations & Clinic Experience

General: Students are expected to spend four and one-half days per week at the Neurology Division of SNI. One-half day is reserved for didactics at the University of Washington.

Dress Code: Professional attire. A white coat is preferable. Ties are not required for men.

Faculty:

Epilepsy Lisa Caylor, MD
Michael Doherty, MD
Jehuda Sepkuty, MD
General Neurology Eric Gierke , MD
Lawrence Murphy, MD
Stroke, Inpatient and Consult Neurology Todd Czartoski, MD
Bill Likosky, MD
Tom Kushner, DO
Sheila Smith, MD
Amer Malik, MD
Movement Disorders Jennie Landes Witt, MD
Multiple Sclerosis Jim Bowen, MD
Pavle Repovic , MD
Neuro-oncology John Henson, MD
Rehabilitation Medicine/Electrodiagnostics Angeli Mayadev, MD

 

Clerkship Director and Skills Assessment: Dr. Eric Gierke is the clerkship site director. He will observe students’ neurological examination skills within the first two weeks of the rotation and provide feedback. To ensure mastery of the neurological examination a second observation may be conducted before the end of the month.

Evaluation Schedule:
Week 1: First neurological examination observation (Dr. Gierke)
Week 3: Mini-CEX is conducted
Week 4: Second neurological examination observation. End of rotation feedback. (Dr. Gierke)

The clinical mini-CEX can be performed with any of the clinic preceptors. Dr. Gierke is a good resource for scheduling this.

Clerkship Schedule: The medical student clerkship at Swedish Neuroscience Institute is composed of:

  • 2 weeks of outpatient neurology clinics
  • 2 weeks of inpatient consultations
  • 2 key neuroscience conferences each week (attendance required)

Brain Tumor Board (SNI Large Conference Room, James Tower, 5th floor) Mondays 7:30-8:30 AM
SNI Grand Rounds (Swedish Conference Center, James Tower, 1st floor) Thursdays 7:30-8:30 AM

Outpatient Clinic Rotation: Clinic schedules will be set by Dr. Gierke on the first day of the rotation. Students will see a combination of new and follow-up patients with a wide variety of neurological illnesses. After initial independent evaluation, the student will present the patient to the staff neurologist, and then see the patient with the staff neurologist. Students may be expected to dictate a template-driven note about each patient encounter. Depending on preference of the neurologist, some patient encounters may be conducted with the student shadowing the staff.

Other training opportunities include observation of procedures including EMG, EEG, evoked potentials, and lumbar puncture.

Students can request a specific subspecialty clinic exposure based on their interests.

Clinic runs from 8 AM to 5 PM. There are no weekend or night clinic responsibilities.

Inpatient Rotation: The SNI Inpatient Neurology Team (INT) is a busy admitting and consultative service. Hospitalized and emergency room patients are seen with a wide spectrum of acute neurological disorders. Over half of the patients are evaluated for cerebrovascular disease, including management of acute stroke. The team is lead by Drs. Todd Czartoski and William Likosky. Students round with the team, attend neuroradiology rounds, and see new patients daily. One to three new consults are staffed with attending neurologists each day.