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- Author response. [Comment, Letter]
- Neurology 2014 Mar 11; 82(10):905.
- Author response. [Comment, Letter]
- Neurology 2014 Mar 11; 82(10):904.
- Clinical Reasoning: A 14-year-boy with spells of somnolence and cognitive changes. [Journal Article]
- Neurology 2014 Apr 22; 82(16):e142-6.
A 14-year-old boy presented for admission after repeated episodes of lethargy and cognitive changes. He had a history of childhood absence epilepsy that had resolved with antiepileptics discontinued 1 year prior to presentation.
- Comment: Making a case for seeing more cases but not a case for more case logs. [Journal Article]
- Neurology 2014 Apr 22; 82(16):e140.
Albert et al.(1) examined the relationship between number of cases encountered by medical students in a 1-week outpatient component of a 4-week neurology clerkship and performance on the National Board of Medical Examiners Neurology Subject Examination and an objective standardized clinical examination (OSCE). They found a significant correlation between the number of outpatients logged and scores on the subject test and written component of the OSCE. These findings contrast with those of Poisson et al.,(2) who found no correlation between number of patients logged and final clerkship performance or total written examination scores, and a negative correlation between number of patients seen in diagnostic categories and test disease category subscores.
- Education Research: Case logs in the assessment of medical students in the neurology outpatient clinic. [Journal Article]
- Neurology 2014 Apr 22; 82(16):e138-41.
Using outpatient neurology clinic case logs completed by medical students on neurology clerkships, we examined the impact of outpatient clinical encounter volume per student on outcomes of knowledge assessed by the National Board of Medical Examiners (NBME) Clinical Neurology Subject Examination and clinical skills assessed by the Objective Structured Clinical Examination (OSCE).Data from 394 medical students from July 2008 to June 2012, representing 9,791 patient encounters, were analyzed retrospectively. Pearson correlations were calculated examining the relationship between numbers of cases logged per student and performance on the NBME examination. Similarly, correlations between cases logged and performance on the OSCE, as well as on components of the OSCE (history, physical examination, clinical formulation), were evaluated.There was a correlation between the total number of cases logged per student and NBME examination scores (r = 0.142; p = 0.005) and OSCE scores (r = 0.136; p = 0.007). Total number of cases correlated with the clinical formulation component of the OSCE (r = 0.172; p = 0.001) but not the performance on history or physical examination components.The volume of cases logged by individual students in the outpatient clinic correlates with performance on measures of knowledge and clinical skill. In measurement of clinical skill, seeing a greater volume of patients in the outpatient clinic is related to improved clinical formulation on the OSCE. These findings may affect methods employed in assessment of medical students, residents, and fellows.
- Limited short-term prognostic utility of cerebral NIRS during neonatal therapeutic hypothermia. [Journal Article]
- Neurology 2014 Apr 22; 82(16):1480-1.
- Postictal generalized EEG suppression: An inconsistent finding in people with multiple seizures. [Journal Article]
- Neurology 2014 Apr 22; 82(16):1480.
- Clinical Reasoning: A case of slowly progressive painful paraparesis. [Journal Article]
- Neurology 2014 Apr 22; 82(16):1476-9.
In 2003, a 50-year-old woman was admitted to the emergency department of a large hospital for a 2-month history of stabbing epigastric pain radiating backward to the right scapula. The pain was not relieved in any position and was not preceded by fever or trauma. Her history was unremarkable. General examination including temperature, pulse, and blood pressure was normal.
- Neurology education in resource-limited settings. [Journal Article]
- Neurology 2014 Apr 22; 82(16):1463-4.
The staff of many academic and private neurology practices in the United States exceeds the number of neurologists in all of Sub-Saharan Africa (excluding South Africa). As of 2004, there were approximately 3 neurologists per 100,000 population in high-income countries.(1) This figure dropped by a factor of 100 to 3 neurologists per 10,000,000 in low-income countries, some of which do not have even a single neurologist. There is, however, no shortage of neurologic disease in countries with few or no neurologists. In fact, the majority of disability-adjusted life-years and deaths due to neurologic diseases occur in the countries where neurologic resources are most limited.