I started my neurology clerkship this week!
Top from Express, Similar
I have two weeks on the general neurology team then two weeks on peds neuro. Neuro is 6 days per week, so I’ll always work either Saturday or Sunday. The days so far have been about 7am-5pm, except Wednesday I had evening call so I stayed later.
The only thing I have to compare it to is psychiatry, and so far it’s very different! In psych we rarely ever touched the patient and instead did lots of talking. The neuro exam is very hands on. It was a little jarring at first to see how quick and sometimes aggressively the doctors perform the exam. The patients aren’t always alert or cooperative, so they often have to have to be moved around to get the necessary information. I’m not quite that brave yet, but I’ll practice!
The service hasn’t been too busy yet. There is an entirely separate team for both strokes and neuro ICU, so many of the patients go to them. We have have mostly seen encephalopathy, brain cancer, multiple sclerosis, and seizures. During down time we’ve practiced reading CTs and MRIs, asked questions, or done UWorld questions.
Wednesday afternoon we got to assist a lumbar puncture which was neat, and much more involved than I thought! It was a little hard to watch, actually, since the patient was awake with only local anesthetic. I assume that gets easier.
I’m excited to see how the rest of the rotation goes, and am especially excited for peds neuro in a few weeks. I don’t think neurology is the specialty for me, but I’m trying to soak up as much information as I can. That’s what 3rd year is about!
Have a great weekend!