PGY 1: Neurology At Reno VAMC

Student Handbook, Appendix A

PGY-1 Two Month Rotation In Neurology At Reno VAMC

Competencies to be achieved by the end of the rotation:

Patient Care

  1. Demonstrate the ability to appropriately identify all of the patients neurological problems as indicated by H&P and subsequent patient notes.
  2. Show the ability to interrelate abnormal findings and altered physiology.
  3. Demonstrate the ability to produce appropriate differential diagnosis.
  4. Show the ability to provide an orderly succession of testing and therapeutic recommendations.
  5. Show the ability to conduct a complete, accurate, goal directed and properly sequenced neurological examination.
  6. Demonstrate the ability to integrate medical facts and clinical data in the evaluation of patients.
  7. Demonstrate the ability to perform basic neurological procedures proficiently and carefully.

Medical Knowledge

  1. Show basic knowledge of vascular, degenerative, infectious, toxic /metabolic, and neoplastic neurological disease categories.
  2. Demonstrate knowledge in the pathophysiology, diagnosis and therapy of the major diseases listed in 1.
  3. Show specific knowledge regarding headaches, strokes, acute weakness, seizures, status epileptics, pain, degenerative diseases demyelinating diseases peripheral neuropathies, and movement disorders.
  4. Be able to co-relate psychiatric symptoms with disease states found in number 3.
  5. Know when neurological procedures are warranted.

Practice Based Learning and Improvement

  1. Demonstrate the ability to learn independently by identifying one knowledge deficit and appropriately collecting new information in that area.
  2. Demonstrate the ability to appropriately collect new information in knowledge deficit area.
  3. Demonstrate the ability to apply to knowledge to patient care issues.
  4. Show ability to analyze own documentation for clinical relevance with physician reviewers.

Interpersonal and Communication Skills

  1. Demonstrate the ability to develop trust in relationships with patients.
  2. Show respect for patients need for information and personal preferences.
  3. Demonstrate the ability to provide proper explanation of all tests and procedures to patients and families.
  4. Consistently present precise, logical, thorough, efficient and purposeful presentations of patients to other health care providers.


  1. Show respectful and professional behavior by being on time to team meetings and rounds.
  2. Demonstrate appropriate diligence to paper work by completing work-ups and patient care notes in a timely fashion.
  3. Demonstrate responsible behavior by fully discharging on-call and patient care responsibilities including appropriate notification if unable to do so.
  4. Demonstrate appropriate regard for the opinions and skills of professional colleagues and staff.

System-based Practice

  1. Know how to obtain appropriate referrals within the health care system.
  2. Demonstrate the ability to obtain tests and procedures performed by other departments in a manner that promotes excellent patient care.
  3. Know how to refer patients to appropriate levels of care inside and outside the health care system.