Neurology 656

Confluence Health
Wenatchee, WA

Central Washington Hospital
1201 South Miller St.
Wenatchee, WA 98801

Site Director: Jennifer Wax, MD
Phone:  703-298-8725
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Clinic manager:  Mike Harris
Phone:  509-433-3290, ext 30140
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Pre-arrival Requirements

Due at least 3 WEEKS prior to beginning your clerkship.

• Expect forms and email communication from Site Coordinator.
• 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.

Site Coordinators:
Casey Vogt
Phone: 509-664-4868 x26115
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Jessica Brooks
Phone:  509-433-3058
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Student Information

Travel: You will receive mileage reimbursement for one roundtrip to and from Wenatchee. Contact This email address is being protected from spambots. You need JavaScript enabled to view it. for mileage reimbursement and hotel information.

Housing:  The fully furnished apartment is located at 730 N. Emerson, Wenatchee, WA 98801.  Prior to your arrival you will receive your apartment assignment, instructions and directions from the site coordinator.  Space to accommodate families or partners is limited, but may be available with advanced notice. Car required.

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

First day:  You will receive instructions where to report and your schedule the week prior to your arrival from the Site Coordinator.  Contact Dr. Wax’s office prior to your arrival to find out when you should report to the clinic on Monday morning (or Tuesday if your clerkship starts on a holiday).

Course Requirements

Clerkship orientation: You will need to view the away student orientation video on the Distance Learning page. Please let the clerkship coordinator know if you have questions or any difficulties viewing the video.

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

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: Keep track of the patients you see each week. The log is described in the clerkship orientation video. Additional details are on the Patient Log page.

Clinical & Bioethical 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: 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

General:  Students are expected to spend four and one-half days per week at Central Washington Hospital. One half-day per week is reserved for didactics via remote learning. There are no weekend or evening call obligations.

The best place to park is the Central Washington Parking Garage located next to the main campus of the hospital. Dress code is business casual with white coat and name tag when in clinic and either business casual or scrubs with white coat and name tag while inpatient.

The computer system used is Epic and can be accessed by students. Onboarding will help with this as well as a badge.

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

Dr. Wax is the clerkship site director. She will observe student’s performance of the neurological examination within the first two weeks of the rotation and provide feedback. This should be repeated in the last 2 weeks, as well, to ensure mastery of the neurological examination. The clinical mini-CEX can be performed with Dr. Wax, Dr. Condefer, or any of the clinic preceptors. Dr. Wax works with the clinic manager, on scheduling. They are good resources for any questions. Please tell the site director if you have any specific goals for the month so that your experience is optimized.

The neurology rotation at Central Washington Hospital offers a combination of inpatient and outpatient experiences.

Inpatient: the neurohospitalist team covers a busy consultative inpatient service. During the rotation, 3.5 days a week will be spent with the inpatient neurohospitalist on service. Students are expected to see 2-5 patients per week on average. The student is expected to follow their patient from the initial consult until discharge or resolution of the consult issue. During this period, the student is expected to write daily progress notes and be involved in recommendations for ordering medications, labs, and other diagnostic testing for their assigned patients. A reasonable guideline is to follow 1-3 patients at any time. There are no weekend or night call responsibilities.

Clinic: Two half days per week will be spent in clinic. The first half day will be spent shadowing one of the clinic preceptors, offering the opportunity to observe different interaction styles. On the second half day of the week students will see the patient first and then present to their clinic preceptor. Students should write clinic notes for the patients they see; these notes should be submitted to Dr. Wax or Dr. Tornabene for feedback. Clinic typically runs from 8 AM – 5 PM. There are no weekend or call responsibilities.

Other opportunities include observing / reading EMGs, EEGs, evoked potentials, lumbar punctures, imaging procedures, etc. Experience with neuropsychology, neurophysiatry, and sleep medicine may be able to be arranged depending on the month. Please contact Dr. Wax at least four weeks before your rotation if you have an interest in these opportunities.

An example of a weekly schedule is below: