Neurology 631

Cheyenne, WY

Cheyenne Regional Medical Center
2301 House Ave, Ste. 201
Cheyenne, WY 82001
Clinic Phone: 307-432-0335; Fax: 307-638-7757

Site Director: Tracie Caller, MD
Ph: 307-509-9506
Cell:  307-509-9506
Email This email address is being protected from spambots. You need JavaScript enabled to view it.

Clinic Manager:  Amy Stone
Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone: 307-996-1724
Fax:  307-638-8359

Pre-arrival Paperwork Requirements

Three weeks prior to your rotation start date, students must complete the following paperwork.

• 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.  Send to Teena Gering.
• Proof of COVID vaccination.  Send to Teena Gering.
• Confidentiality agreement.  Send to clinic manager Amy Stone who will then be able to set up orientation and computer training.

Teena M. Gering, CPCS, CPMSM
Director, Medical Staff Services
Ph 307-633-7940
Fax 307-633-2911
Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Housing & Travel

Housing: Students to set up AirBnB.  For required clerkships Airbnb is covered up to $80 per night. Please contact This email address is being protected from spambots. You need JavaScript enabled to view it. for specifics.

Computer access: There are computers in the clinic that can be accessed by students.  Bring a laptop for housing.

Travel: If you drive, you will receive mileage reimbursement for one roundtrip to and from Cheyenne. You may also be eligible for one night's stay in a hotel during your drive each way. Contact This email address is being protected from spambots. You need JavaScript enabled to view it. for mileage reimbursement and hotel information or to make other travel arrangements. Please be advised that there is no vehicle available at this site. If you fly, you will need to use public transportation once at your site.

First Day & Orientation

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.

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

First day:  In-person EPIC training 0800 and then go to clinic after that.
Location:  3235 Sparks Rd., Cheyenne, WY (This is not the hospital campus.)
Entrance to building is by badge access, please ring the doorbell.

Course Requirements

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

Pocket syllabus: A “pocket syllabus” will be mailed to you. A printable (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: 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 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

Wyoming Neurology is part of the Cheyenne Regional Medical Center Medical Specialty Clinic. We have a large service area that extends throughout Southeastern Wyoming and into Western Nebraska. This lends itself to a very large and diverse amount of neuropathology. Students will be exposed to a variety of conditions that are both common and rare.

Students are expected to spend five days per week based upon a schedule provided on the first day.

Amy Stone/Dr. Caller will be in touch with all students 2-weeks before the start of the clerkship to set up computer training.  You will wear your UW ID badge.

The best place to park is in the CRMC parking garage on the corner of 23^rd and House. There are designated Employee parking spots on the south side of the garage on each level. Limited street parking is also available.

The dress code for the site is student’s choice of professional attire or clean, well-maintained scrubs (scrubs may be preferred for inpatient and procedure days, and are currently acceptable attire in clinic in the era of COVID19).

Faculty

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

Dr. Caller 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. 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 any of the clinic preceptors.

Please tell the site director if you have any specific goals for the month so that your experience is as good as possible.

Inpatient experience

Our neurology group provides an inpatient consult service, with occasional patients admitted electively for epilepsy monitoring. Most students will spend mornings on the rotation on this service. Students will be expected to independently evaluate patients and provide a written note into the EHR. This is meant to solidify the learning process by encouraging the students to put their ideas into a single document, which will subsequently be reviewed and critiqued by the precepting physician. As part of the inpatient experience, students will attend at least one stroke alert in the ER and receive stroke specific education from our stroke program coordinator, Hope Robinson.

In addition, students will spend approximately one half day total on the acute rehabilitation service following one or more stroke patients through their rehabilitation journey. This will be coordinated during the rotation, depending on the census (ideally, the student will follow up on a patient they saw on the inpatient service).

Clinic experience

The outpatient clinic will involve general neurology as well as the ability to observe procedures such as botulinum toxin injections, electroencephalograms, electromyograms and potentially programming of deep brain stimulators and vagal nerve stimulators.  In addition, students will have the opportunity to spend 1-2 days in neurosurgery clinic to broaden their exposure to patients with neurological issues. The student may be expected to enter written notes into the electronic health record in this setting as well. These are meant to be educational tools to facilitate the thought process and potentially a treatment plan. A combination of three different learning models will be employed in clinic. In the autonomous model, the student sees the patient first and then presents to the preceptor. In the shadow model, the student will follow the preceptor and observe different patient interaction styles. The final model allows the student to evaluate the patient, but in the presence of the preceptor, which certainly provides the opportunity for the most thorough feedback. Each has its strengths and weaknesses.

One half day of the rotation will be spent with our neuroradiologist. Multidisciplinary neuroradiology rounds will be attended one time per rotation.

In the third week of the rotation students are expected to present a topic of interest to the CRMC medical specialty group over lunch. It is recommended to choose a topic related to a patient that was seen during the rotation.

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