PROGRAM OBJECTIVES BY YEAR OF TRAINING The below summarizes the overall Program objectives by level of training. These are adapted from the ACGME Neurology Milestones Project. Milestones for specific areas of study within Neurology can be found in the ACGME Neurology Milestones document. Patient Care PGY1 PGY2 PGY3 PGY4 Obtains a neurologic history Obtains a complete and relevant neurologic history Obtains a complete, relevant, and organized neurologic history Efficiently obtains a complete, relevant, and organized neurologic history Performs complete neurological exam Performs complete neurological exam accurately Performs a relevant neurological exam incorporating some additional appropriate maneuvers Visualizes papilledema Accurately performs a neurological exam on the comatose patient Efficiently performs a relevant neurological exam accurately incorporating all additional appropriate maneuvers Accurately performs a death examination Demonstrates basic knowledge of management of patients with neurologic disease Discusses general approach to initial treatment of common neurologic disorders, including risks and benefits of treatment Identifies neurologic emergencies Individualizes treatment for specific patients Initiates management for neurologic emergencies and triages patient to appropriate level of care Appropriately requests consultations from care providers for additional evaluation and management Adapts treatment based on patient response Identifies and manages complications of therapy Independently directs management of patients with neurologic emergencies Appropriately requests consultations from a subspecialist for additional evaluation or management
Practice Based Learning and Improvement PGY1 PGY2 PGY3 PGY4 Acknowledges gaps in knowledge and expertise Incorporates feedback Develops an appropriate learning plan based upon clinical experience Completes an appropriate learning plan based upon clinical experience Uses information technology to search and access relevant medical information Uses scholarly articles and guidelines to answer patient care issues Critically evaluates scientific literature Incorporates appropriate evidence-based information into patient care Understands the limits of evidence-based medicine in patient care Interpersonal and Communication Skills PGY1 PGY2 PGY3 PGY4 Develops a positive relationship with patients in uncomplicated situations Actively participates in care Manages simple conflicts Engages patients in shared decision-making Manages conflict in complex situations Uses easy-to-understand language in all phases of communication Manages conflict across specialties and systems of care Leads team-based patient care activities related
Effectively communicates during patient hand-overs using a structured communication tool Completes documentation in a timely fashion Accurately documents transitions of care Effectively communicates during team meetings, discharge planning, and transitions of care Educates patients about their disease and management, including risks and benefits of treatment options Completes all documentation accurately, including use of EHR, to promote patient safety Effectively communicates the results of a neurologic consultation in a timely manner Effectively gathers information from collateral sources when necessary Demonstrates synthesis, formulation, and thought process in documentation Effectively family meetings Effectively and ethically uses all forms of communication Mentors colleagues in timely, accurate, and efficient documentation
On the morning after overnight call, the Neurology Resident will be responsible for seeing 3 established patients and up to the 2 new admissions seen overnight. The Neurology Resident should log all procedures performed in both their LSU New Innovations and their Ochsner New Innovations accounts, including procedure type, date of procedure, indication for procedure, supervising NCC Staff, and patient medical record number. The Resident typically has the opportunity to perform enough lumbar punctures and arterial line placements within the first month rotation that he/she will be credentialed to perform these procedures unsupervised thereafter. Important Contacts: Esther Catalanotto – (504) 842-4937 Ochsner GME Office Harold McGrade, MD – Director of Residency Education, NCC Vivek Sabharwal, MD – (216) 312-4919 Director NCC
LSU Clinics Monday Tuesday Wednesday Thursday Friday AM Epilepsy (Olejniczak) Neuromuscular (El-Abassi) MDA Clinic (3rd Monday) Headache (Voigt) MS (Lovera) Neuromuscular (England) Pain (Gould) General (Charlet) ALS Clinic (1st Tuesday) Headache (Voigt) (Copeland) MS (Lovera) Epilepsy (Olejniczak) General (Charlet) EMG Clinic (England/Fellows) General (Charlet) Movement/Behav (Copeland & Rao) PM Epilepsy (Olejniczak) Headache (Voigt) Neuromuscular (El-Abassi) MDA Clinic (3rd Monday) Headache (Voigt) MS (Lovera) Neuromuscular (England) Pain (Gould) General (Charlet) ALS Clinic (1st Tuesday) Headache (Voigt) Movement/Behav (Copeland) MS (Lovera) DIDACTICS EMG Clinic (England/Fellows) General (Charlet) (Copeland & Rao) Clinic located at 2025 Gravier Street
VA Subspecialty Clinics Monday Tuesday Wednesday Thursday Friday AM UMCNO Continuity Clinic Headache/Botox (El-Abassi) Movement/Behav (Copeland) EMG Resident New Patients (El-Abassi) EMG ALS Clinic Epilepsy (Rutherford) General Neuro (Danon, Movement (Perez) EMG General Neuro (El-Abassi) Multiple Sclerosis (Lovera) EMG PM EMG Resident (El-Abassi) (Copeland) EMG Resident New Patients (El-Abassi) EMG DIDACTICS General Neuro (El-Abassi) Multiple Sclerosis (Lovera – once monthly) EMG