MF4 Neurology Clinical Skills
Assessment
End-Unit Clinical Skills Assessment
End-Unit Clinical Skills Assessment
Students will be asked to demonstrate up to 4 of the following examination components to a preceptor and in front of their peers. The components performed by each student will be chosen randomly: Assess visual fields and assess for inattention (4 quadrants); Assess the pupillary light reflex; Assess eye movements following the “H” pattern; Assess facial sensation; Assess facial movements; Assess palatal and tongue movements; Assess tone in the 4 limbs; Assess strength using drift and arm rolling tests; Assess distal sharp-dull and vibration sensation and sensory inattention; Assess parietal sensation; Assess reflexes in the arms; Assess reflexes in the arms; Assess reflexes in the legs; Assess limb coordination; Assess gait and tandem walking.
Curriculum Block
Medical Foundation 4 / Neuroscience / Part 4
- Indicates most relevant
Objectives
General Objectives
- Mental status: MMSE (if the patient is not in delirium) and aphasias, level of consciousness.
- Cranial nerves examination.
- Motor system: inspection, tone strength, coordination, power grading (1 to 5), reflexes (grading), Babinski response, gait and posture.
- Cerebelar testing: Romberg, standing balance, pointing, tremor.
- Sensory system: pain and temperature, position and vibration, light touch, discriminative sensations, common dermatomes abnormalities, temperature assessment, standard assessment of peripheral sensation (10gm filament), vibration, position (start with toes). Compare left and right for all of the above.
- Ophthalmology examination.
- Special tests: primitive reflexes, meningitis.
- Correlate clinical findings with neurophysiology (EEG, EVP, EMG).
Activities
Clinical Skills Sessions
- Neurology Exam: Practice Case – Altered Level of Consciousness
- Neurology Exam: Practice Cases – Vertigo, Headache
- Neurology Exam: Practice Case – Weakness
- Neurology Exam and Neurology Subunit Assessment: Practice Case – Numbness
Tags
Curriculum Block
Medical Foundation 4
Neuroscience
Part 4
Curriculum Week
Part 4
Discipline
Neurology
Pediatrics
MCC Presentations
Acute Visual Disturbance/Loss
Ataxia (Gait)
McMaster Professional Competency
Clinical Skills
McMaster Program Competencies
3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours
3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours
3.3 Set learning and improvement goals
3.4 Identify and perform learning activities that address one’s gaps in knowledge, skills, and/or attitudes
8.3 Develop the ability to use self-awareness of knowledge, skills, and emotional limitation to seek help appropriately
8.4 Demonstrate awareness and acceptance of different points of view
MeSH
Clinical Competence [I02.399.630.210]
Eye Movements [G11.427.590.530.140]
Neurologic Examination [E01.370.376.550]
Reflex [E01.370.600.550.650]
Reflex, Pupillary [E01.370.376.550.650.690]