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The neurology clerkship core curriculum

From the Department of Neurology (Dr. Gelb), University of Michigan, Ann Arbor; Department of Neurology (Dr. Gunderson), F. Edward Hebert School of Medicine; Uniformed Services University of the Health Sciences, Bethesda, MD; Department of Neurology (Dr. Henry), New York University, NY; Department of Neurology (Dr. Kirshner), Vanderbilt University, Nashville, TN; and Department of Neurology (Dr. Józefowicz), University of Rochester, NY.

Address correspondence and reprint requests to Dr. Douglas Gelb, University of Michigan, Neurology Department, 1914-0316 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109; e-mail: dgelb{at}umich.edu

Neurologic symptoms are common in all practice settings, and neurologic diseases comprise a large and increasing proportion of health care expenditures and global disease burden. Consequently, the training of all physicians should prepare them to recognize patients who may have neurologic disease, and to take the initial steps in evaluating and managing those patients. We present a core curriculum outlining the clinical neurology skills and knowledge necessary to achieve that degree of preparation. The curriculum emphasizes general principles and a systematic approach to patients with neurologic symptoms and signs. The ability to perform and interpret the neurologic examination is fundamental to that approach, so the curriculum delineates the essential components of the examination in three different clinical settings. The focus of the curriculum is on symptom-based rather than disease-based learning. The only specific diseases selected for inclusion are conditions that are common or require urgent management. This curriculum has been approved by the national organization of neurology clerkship directors and endorsed by the major national professional organizations of neurologists. It is intended as a template for planning a neurology clerkship and as a benchmark for evaluating existing clerkships. It should be especially helpful to clerkship directors, neurology chairs, deans of medical education, and members of external accreditation groups.

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