Neurology 651

Evergreen Medical Center

EvergreenHealth Neuroscience Institute
DeYoung Pavilion, 3rd floor
12039 NE 128th St.
Kirkland, WA 98034

Site Director: Jason Poon, MD
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Megan Ostermeyer
Neurology Practice Manager
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PRE-ARRIVAL PAPERWORK

Please contact Diane Pollari to obtain a credentialing application packet. This application must be returned fully complete – including documentation of all necessary immunizations – at least 4 weeks prior to the start of your clerkship.

• The immunization form will be signed by the compliance office run by Laura Ellis This email address is being protected from spambots. You need JavaScript enabled to view it..

Diane Pollari
Medical Staff Office Coordinator
EvergreenHealth Monroe
14701 179^th Ave. SE, Monroe, WA 98272
360.794.1445 (p) | 360.805.3460 (f)
Hours:  6-4:30 M-Th
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Orienation, First Day & What To Bring

Clerkship orientation:  Online.  You will receive an email the week before you start. 

First day: Report to ENI. At the front desk on the 3rd floor, tell one of the receptionists you are here for your neurology clerkship and ask them to alert Dr. Poon.

Directions:
From Seattle and points South: Take either floating bridge (I-90 East or WA-520 East; toll applies on 520) to I-405 North. Take exit 20B off I-405 North for Totem Lake Boulevard. At the fork, stay to the right to go towards Totem Lake Blvd. At the first light after the underpass, continue straight onto 120th Ave NE. At the top of the hill, turn right onto NE 128th St. The DeYoung Pavilion will be on your right.

From Shoreline and points North: Take I-405 South to exit 20 for NE 124th St. Turn right onto NE 124th St. Take the next right onto 116th Ave NE. At the top of the hill, turn right onto NE 128th St. Continue straight across 120th Ave NE. The DeYoung Pavilion will be on your right.

Parking:
There is free and ample parking underneath the DeYoung Pavilion. Once you have entered the driveway to the DeYoung Pavilion, proceed down the ramp to P1 or P2. Please park in a spot marked with a yellow dot, to leave other spots open for patients.

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

Course Requirements

Pocket syllabus: A “pocket syllabus”, referenced in the orientation video, will be available at your site or first didactics.  A printable (PDF) version is also available on the Pocket Syllabus page.

Didactics: Didactics take place on Thursdays, 1:00-4:00PM at the UW. The room schedule and details are 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.

Cases: Two case write-ups are due each week. The clerkship director will email the assigned case numbers to you on or before the first day of the clerkship. Further information is available in the orientation video and on the Cases page. Please note that the first cases are due on the first Thursday of your clerkship by 1:00PM Pacific fime.

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: Students are expected to spend four and one-half days per week at EvergreenHealth Medical Center. One-half day is reserved for Thursday didactics at UW.

Wear your UW ID badge (EvergreenHealth will not issue a separate one).

The dress code for the site is professional; white coats should be worn; ties are optional for men.

The computer system can be accessed by the students. Christine Abraham will ensure your access. There is not specific training for students but EvergreenHealth uses a Cerner-based EMR very similar to the UW system.

Faculty: During the 4-weeks you will interact with several of the faculty.

Dr. Poon is the clerkship site director.  You will hopefully work with many of the providers each week.  The clinical mini-CEX can be performed with Dr. Poon or 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: The inpatient neurology team sees a wide range of acute neurologic disorders. Students are expected to see 2-5 inpatients per week on average. The student is expected to follow their assigned patient from time of consultation until discharge or the resolution of the consult issue, writing daily progress notes. A reasonable guideline is to follow 1-3 patients at any time. There are no weekend or night call responsibilities.

Clinic experience: 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 definitely provides the opportunity for the most thorough feedback.  Each has its strengths and weaknesses.  Other opportunities include observing EMGs, EEGs, DBS programming, botulinum toxin injections, etc. Depending on student interest, it may be possible to arrange an experience with a neuropsychologist during the month. We also have opportunities in our separate, outpatient, sleep clinic. Clinic typically runs from 8 AM to 5 PM. There are no weekend or night clinic responsibilities.

Dr. Poon will provide you with a weekly schedule at the start of the rotation. It is expected that 1 week will be spent on the inpatient side and 3 weeks on the outpatient side.