Clinical Rotations

Training DiagramTraining Schedule


Preliminary training in Pediatrics at the University of Iowa will encompass the requirements set forth by the American Board of Pediatrics. The two-year preliminary pediatric training will include both inpatient and outpatient rotations; exposing the resident to a wide range of clinical problems of varied complexity as well as in-depth experience in primary care. You will receive broad experience in all aspects of human growth and development. For more specific information on pediatric residency rotations, please refer to our pediatric residency page.

Child Neurology Clinical Rotations

Child Neurology I

To understand the clinical features and management of neurological conditions of infancy, childhood, and adolescence, the child neurology resident will examine and care for children of all ages with acute and chronic neurological diseases in both inpatient and outpatient settings. The resident will learn to recognize historical and clinical patterns that suggest specific neurologic disorders. The resident will understand normal neurologic development of infants, children and adolescents and recognize deviations from normal. The resident will begin to understand the concepts and utility of neurodiagnostic procedures in the evaluation and treatment of children with neurologic disorders. The resident will acquire an awareness of the academic foundations of pediatric neurology, including basic neuroscience and other relevant scientific disciplines.

Child Neurology II

The resident will acquire a detailed understanding of concepts of clinical pediatric neurology and to will become fully competent in the diagnosis and management of children with neurological diseases by caring for children in the pediatric neurology clinic and by serving as team leader for the child neurology inpatient service. The resident will master skills in history taking and physical examination. The resident will learn to integrate them together into a comprehensive neurological assessment. The resident will learn to delineate an appropriate differential diagnosis for common and rare problems in pediatric neurology. The resident will develop sound clinical judgment and the ability to use patient information and scientific and clinical knowledge appropriately to optimize care of children with neurologic disease.

The senior child neurology resident will acquire a broad and deep knowledge of clinical child neurology. The resident will demonstrate and transmit this knowledge, in part, by effectively teaching medical students, junior residents and faculty.

Child and Adolescent Psychiatry

To learn to diagnose and care for children and adolescents with psychiatric disorders, the resident will serve on the Child and Adolescent Psychiatry Inpatient Unit and in the Child and Adolescent Outpatient Psychiatry Clinic. The resident will become familiar with the diagnosis, classification, pharmacotherapy, and behavioral therapy of child psychiatry disorders, including bipolar affective disorder, schizophrenia, depression, anxiety and panic disorders, eating disorders, and autism.

Clinical Electrophysiology

To learn the techniques and interpretation of clinical electrophysiology, the resident will perform and interpret neurophysiologic studies, including electromyography, nerve conduction velocity studies, evoked potentials, electroencephalography, and sleep studies. In the course of learning electromyography, nerve conduction studies, and electroencephalography, emphasis will be placed on learning the anatomy of the peripheral nervous system and the neurophysiology of the central and peripheral nervous systems. While assigned to this service, the resident will participate weekly in rehabilitation rounds and become familiar with rehabilitation strategies and techniques, especially as they apply to diseases and trauma of the spine, spinal cord, and brain.

Neuropathology

The resident will learn to recognize the gross and microscopic features of neoplastic, degenerative, infectious, ischemic, toxic, developmental, and traumatic disorders of the central and peripheral nervous systems. The resident will also learn the basic pathology of muscle and nerve. This learning will be facilitated by the study of microscopic slides, as well as gross pathology viewed at brain cutting, and evaluation of fresh surgical specimens.

Pediatric Neuroradiology

To learn techniques of, indications for, and interpretation of neuroradiological studies in children with neurological diseases, the resident will develop skill in interpreting CT scans and MRI scans of the cranium, spine, brain and spinal cord, and learn to interpret cerebral arteriography, and magnetic resonance angiography. The resident will learn the anatomic basis of these procedures and the proper clinical indications for each.

Inpatient Adult Neurology – 2 Carver East Service

To learn to diagnose and care for hospitalized neurologic patients, the resident will serve on the Inpatient Neurology Service (2 Carver East). The resident will develop the ability to formulate the diagnosis of both acute and chronic neurologic problems and institute therapy for these neurologic conditions. Diseases commonly encountered on this service include multiple sclerosis, intractable migraine, and complicated Parkinson’s disease. This experience will include exposure to patients with unstable epilepsy including those patients requiring inpatient video EEG monitoring.

Inpatient Adult Neurology: Critical Illness, - 6 Colloton Service

To learn to diagnose and care for patients with acute and critical neurological illnesses, the child neurology resident will serve as junior neurology resident on the High Acuity Inpatient Neurology Ward (6 Colloton [6-JCP]). The resident will learn to diagnose and care for patients with acute and critical neurological illnesses, such as acute stroke, subarachnoid hemorrhage, Guillain Barre Syndrome, acute infections of the central nervous system, and coma. The resident will learn the principles of intensive care management by having co-responsibility for patients in the Intensive Care Unit.

VA Hospital Consultation Service and Clinics

To learn to care for geriatric patients with neurologic disease, the resident will serve on the VA Consultation Service. On the VA rotation, the resident will learn to recognize, diagnose and treat neurologic conditions seen in a largely geriatric population, in an inpatient consultation and outpatient clinic setting.

Adult Neurology Outpatient Clinic (University Hospital)

To learn to diagnose and manage adult patients with a broad range of neurologic diseases in an outpatient setting, the resident will evaluate and treat patients in the Neurology Outpatient Clinic. In this clinic, the resident will rotate among a wide variety of subspecialty neurology clinics, including clinics in stroke, movement disorders, headache and pain, sleep, neuromuscular disorders, memory disorders, general neurology, and epilepsy. In these different clinics, the resident will learn to formulate the diagnosis and plan the treatment of neurologic illnesses including the principles of their long-term care.

University Hospital Adult Neurology Consultation Service

To learn to diagnose and treat neurologic conditions secondary to or in association with systemic conditions, the resident will serve on the University Hospital Neurology Consultation Service. On this service, the resident will learn to diagnose and treat neurologic conditions secondary to systemic conditions such as cancer, heart disease, pregnancy, surgical procedures, immunosuppression, metabolic and endocrine disturbances, and drug overdose.

The Neurology Consultation Service will also provide the resident the opportunity to learn to triage and manage neurologic patients in the Emergency Department. In addition, in the ETC, the neurology resident will participate in the administration of tissue plasminogen activator to patients with acute ischemic stroke.

Research

To gain an experience in research, the resident will work with a faculty member on a research project with relevance to child neurology. The resident will gain an in-depth knowledge of a particular clinical or basic science issue and will understand the gap in modern knowledge that the research project can partially fill. To gain skills in public speaking and scientific presentations, the resident will make a formal presentation of the research project to the Department of Neurology.

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