Welcome to the University of Colorado School of Medicine on the Anschutz Medical Campus. A Top Ten Medical School, our departments, centers and institutes work with the University of Colorado Hospital, The Children's Hospital and Barbara Davis Center.

CLINICAL SKILLS AND REASONING
Historical Data Gathering  

• Obtain accurate Neurologically focused history from patient using a systems based approach
• Seek and obtain additional information from secondary sources (ex. family, medical record, pharmacy, allied health professionals) when the patient presents and throughout the duration of their care episode

Physical Exam

• Perform an accurate and comprehensive neurological examination on an inpatient and outpatient.
• Accurately track changes in the physical exam over time in at least 3 inpatients.
• Recognize normal and abnormal findings in neurologic and cardiovascular assessment.
• Perform both basic and advanced neurologic assessment based on the presenting complaint.
• Perform an accurate coma/brain death exam on a critical patient with focus on the predictors for neurologic recovery such as cranial nerve reflexes, withdrawal reflexes and consciousness.
Develop familiarity with administration of the National Institutes of Health Stroke Scale assessment in Cerebrovascular disease

Clinical Reasoning

• Synthesize a differential diagnosis and treatment plan from available data, including history, physical examination, laboratory, and imaging.
• Develop prioritized differential diagnoses for the following common clinical conditions in Neurology.
• Develop initial and long-term diagnostic and therapeutic management plans with the assistance of senior team members (including patient education, prevention and health maintenance).

PATIENT-CENTERED CLINICAL SKILLS AND REASONING

• Gather data that defines both the disease and the illness experience (patient perspective, expectations and the illness’ effect on their functioning, preferences for care) and develop diagnostic / management plans that account for these variables.

Core knowledge of Neurology with focus on the hospitalized setting

• Demonstrates knowledge to identify common inpatient Neurologic conditions
• Demonstrates knowledge of common diagnostic studies and lumbar puncture procedure.
• Demonstrates knowledge to identify common risk categories for the neurology patient.
• Core Knowledge areas

Common modalities used in the practice of Neurology

• Demonstrates knowledge to interpret basic clinical tests and imaging commonly encountered in the inpatient settings.
• Modalities

LEARNING AND IMPROVEMENT BY ANSWERING CLINICAL QUESTIONS BASED ON PATIENT CARE SCENARIOS

Locate, evaluate, and assimilate scientific evidence related to patient’s health care problems.

Learning and improvement by answering clinical questions based on patient care scenarios
Locate, evaluate, and assimilate scientific evidence related to patient’s health care problems.

Ask answerable questions for emerging information needs

• Demonstrate knowledge of and indications for and interpretation of basic clinical tests, procedures and imaging commonly encountered in pediatrics

Acquire best evidence

• Access medical information resources to answer clinical questions
• Effectively search evidence based medicine resources to obtain original primary literature

Apply the evidence to decision making for individual patients

• With assistance, determines if evidence can be generalizable to individual patients

Learning and Improving via Feedback
With assistance, identify strengths and limits in one’s knowledge and performance. Set learning and improvement goals.

Improves via feedback

• Respond productively to feedback from all members of the team
• Seek, with prompting, feedback from faculty and residents

Improves via self-reflection

• With assistance, reflect on feedback to develop plans for improvement

PATIENTS AND FAMILY

Communicate effectively with patients and families, across a broad range of cultural, literacy and socioeconomic backgrounds.

Communicate Effectively

• Timely and effective written and verbal communication to pts
• Use verbal and non-verbal skills to establish rapport with pts/families

Intercultural Sensitivity

• Effectively use an interpreter during appropriate pt care scenarios.
• Demonstrate sensitivity to pts including but not limited to differences in race, gender, sexual orientation, and literacy.
• Actively seek to understand patient differences and patient perspective