West Virginia University Charleston Division Internal Medicine Residency Curriculum

Neurology
Goal & Educational Purpose	To allow residents to gain skills necessary to treat and diagnose neurologic problems that will be seen by a general internist and to act as a consultant in neurology if the internist practices in a community without a neurologist; to perform a complete neurologist examination and history.
Objectives	Gain knowledge of the diagnosis and management of the following processes: Cerebrovascular diseases – embolic, hemorrhagic and thermotic CVA; subdural hematoma, subarachnoid bleeding, transient ischemic attacks, indicated studies. Headaches – benign vs structural Dementing illness – primary vs secondary, epidemiology, psychosocial support, HIV Infectious problems – meningitis, encephalitis, abscesses, chiral (esp. H. simplex, CMV) fungal, parasitic, HIV, lumbar puncture, contiguous infections, cavernous sinus thrombosis Peripheral neuropathy Cerebellar disease Movement disorders – Parkinsonism, Shy-Drager, etc. Systemic disease affecting CNS-autoimmune, HIV, neoplastic, toxic metabolic, hepatic, renal Delirium – differentiation of structural, infectious, toxic-metabolic drug Age related changes in CNS function Common neurologic problems syncope, dizziness, vertigo, neck pain vertigo, numbness, carpal tunnel, benign positional vertigo, Bell’s palsy, Guillain-Barré Demyelinating diseases Multiple sclerosis Amyotrophic lateral sclerosis
Educational Content	One month rotation with neurologist as R-2 or R-3 Evaluation of neurologic cases at General Division when on Medical Service Consultant to neurosurgeon and rehabilitation unit Attend neurology clinic Perform lumbar punctures Attend neurology conference and neuroradiology conference when on neurology rotation and when part of core curriculum conferences
Evaluation	Resident evaluation of attending and rotation Faculty observation on conferences ITE results on neurology section ABIM certifying results on neurology section Input from resident meetings
Reading List	MKSAP Neurology section of standard Medicine Text\ Consult neurology specialty text UpToDate®