LF:aVLNE9X1c Neurology - practice

aVLNE9X1c Neurology - practice

Faculty of Medicine
autumn 2022

Extent and Intensity

0/6/0. 3 credit(s). Type of Completion: z (credit).

Teacher(s)

Guaranteed by

doc. MUDr. Eva Vlčková, Ph.D.
Department of Neurology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Supplier department: First Department of Neurology – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine (40,00 %), Department of Neurology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (40,00 %), Department of Pediatric Neurology – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine (20,00 %)

Timetable of Seminar Groups

aVLNE9X1c/32: Mon 10. 10. 8:00–13:00 I.NK N05022, Tue 11. 10. 8:00–13:00 I.NK N05022, Wed 12. 10. 8:00–13:00 I.NK N05022, Thu 13. 10. 8:00–13:00 I.NK N05022, Fri 14. 10. 8:00–13:00 I.NK N05022, Mon 17. 10. 8:00–13:00 KDN N04085, Tue 18. 10. 8:00–13:00 KDN N04085, Wed 19. 10. 8:00–13:00 F37/114, 8:00–13:00 F37/111, 8:00–13:00 F37/115, 8:00–13:00 F37/327, Thu 20. 10. 8:00–13:00 F37/327, 8:00–13:00 F37/427, 8:00–13:00 F37/428, Fri 21. 10. 8:00–13:00 F37/366, Mon 24. 10. 8:00–13:00 I.NK N05022, Tue 25. 10. 8:00–13:00 I.NK N05022, Wed 26. 10. 8:00–13:00 I.NK N05022, Thu 27. 10. 8:00–13:00 I.NK N05022
aVLNE9X1c/33: Mon 24. 10. 8:00–13:00 NeurolK N12190, Tue 25. 10. 8:00–13:00 NeurolK N12190, Wed 26. 10. 8:00–13:00 NeurolK N12190, Thu 27. 10. 8:00–13:00 NeurolK N12190, Mon 31. 10. 8:00–13:00 KDN N04085, Tue 1. 11. 8:00–13:00 KDN N04085, Wed 2. 11. 8:00–13:00 F37/115, 8:00–13:00 F37/111, 8:00–13:00 F37/114, 8:00–13:00 F37/366, Thu 3. 11. 8:00–13:00 F37/362, 8:00–13:00 F37/364, 8:00–13:00 F37/365, Fri 4. 11. 8:00–13:00 F37/366, Mon 7. 11. 8:00–13:00 NeurolK N12190, Tue 8. 11. 8:00–13:00 NeurolK N12190, Wed 9. 11. 8:00–13:00 NeurolK N12190, Thu 10. 11. 8:00–13:00 NeurolK N12190, Fri 11. 11. 8:00–13:00 NeurolK N12190
aVLNE9X1c/35: Mon 3. 10. 8:00–13:00 NeurolK N12190, Tue 4. 10. 8:00–13:00 NeurolK N12190, Wed 5. 10. 8:00–13:00 NeurolK N12190, Thu 6. 10. 8:00–13:00 NeurolK N12190, Fri 7. 10. 8:00–13:00 NeurolK N12190, Mon 10. 10. 8:00–13:00 KDN N04085, Tue 11. 10. 8:00–13:00 KDN N04085, Wed 12. 10. 8:00–13:00 F37/114, 8:00–13:00 F37/111, 8:00–13:00 F37/327, 8:00–13:00 F37/115, Thu 13. 10. 8:00–13:00 F37/424, 8:00–13:00 F37/327, 8:00–13:00 F37/423, Fri 14. 10. 8:00–13:00 F37/366, Mon 17. 10. 8:00–13:00 NeurolK N12190, Tue 18. 10. 8:00–13:00 NeurolK N12190, Wed 19. 10. 8:00–13:00 NeurolK N12190, Thu 20. 10. 8:00–13:00 NeurolK N12190, Fri 21. 10. 8:00–13:00 NeurolK N12190

Prerequisites

aVLFA0822c Pharmacology II -pr. && aVLCH0832c Surgery II - practice && aVLOL7X1c Ophthalmology - practice && aVLDI7X1c Diagn. imaging methods- pr.
Starting from the spring semester of 2022, pre-learning available in the interactive syllabus (in Neurology-lecture) is required before the beginnig of each course. Before the very start of their practice, students are required to go through the presentations focused on general neurology (and to pass the tests available at the end of each lecture). Prelearning focused on particular topics of special neurology (epileptology, neuromuscular medicine, stroke and so on) has to be completed before the beginnig of the clinical lecture focused on appropriate topic.

Course Enrolment Limitations

The course is only offered to the students of the study fields the course is directly associated with.

fields of study / plans the course is directly associated with

General Medicine (programme LF, M-GM)
General Medicine (eng.) (programme LF, M-VL)

Course objectives

The aim of the course is to provide the basic knowledge about: - key principles of clinical neurological examination; - the most important neurological symptoms and syndromes; - topical neurological diagnosis and differential diagnosis in the most important neurological diagnostic units; - indication of the most frequently used paraclinical examinations in neurological patients and the interpretation of their most important results.

Learning outcomes

At the end of the course the students should be able to:
- understand and explain the basics and principles of neurology;
- work with information on the medical history and neurological examination to establish the symptoms and to derive syndromes of the neurological disorders;
- make reasoned decisions about the topical diagnosis and differential diagnosis based on the symptomatology;
- make deductions based on acquired knowledge in the field of neurology;
- indicate and interpret basic paraclinical examinations used in neurological patients.

Syllabus

Clinical neurological examination, neurological propedeutics, semiology and syndromology. Furthermore, following topics will be adressed:
- taking neurological history;
- reflexology, palsies, pyramidal signs;
- examination of the cranial nerves;
- sensory examination;
- extrapyramidal and cerebellar signs;
- examination of spine and spinal cord;
- disorders of the stance and walking;
- meningeal syndrome, intracranial hypo- and hypertension;
- uncousciousness;
- developmental neurology, neurological examination of pediatric patients.

Literature

required literature

ŠPINAR, Jindřich and Ondřej LUDKA. Propedeutika a vyšetřovací metody vnitřních nemocí. 2., přeprac. a dopl. vyd. Praha: Grada, 2013, 336 s. ISBN 9788024743561. info
ŠTOURAČ, Pavel, Josef BEDNAŘÍK, Milan BRÁZDIL, Zdeněk KADAŇKA, Petr KAŇOVSKÝ, Marek MECHL, Jiří PRÁŠEK, Ivan REKTOR, Irena REKTOROVÁ and Radomír ŠLAPAL. Učebnice obecné neurologie (Textbook of General Neurology). 2., přepracované. Brno: Masarykova universita v Brně, 2003, 197 pp. ISBN 80-210-3309-6. info
Učebnice speciální neurologie. Edited by Zdeněk Kadaňka. 3., přeprac. vyd. Brno: Masarykova univerzita, 2010, 302 s. ISBN 9788021053205. info

recommended literature

Učebnice speciální dětské neurologie : pro studenty 4. a 5. ročníku LF MU s rozšířenou výukou pediatrie (Special Pediatric Neurology for students of the 4th and 5th years, Medical Faculty, Masaryk University, with extended education in pediatrics). Edited by Hana Ošlejšková. 1. vyd. Brno: Masarykova univerzita, 2011, 123 s. ISBN 9788021056596. info
RŮŽIČKA, Evžen, Karel ŠONKA, Petr MARUSIČ and Robert RUSINA. Neurologie. 1. vydání. Praha: Stanislav Juhaňák - Triton, 2019, xxxix, 541. ISBN 9788075536815. info
AULICKÁ, Štefánia, Hana OŠLEJŠKOVÁ, Katarína ČESKÁ, Michaela HABALOVÁ, Klára ŠPANĚLOVÁ and Petra HANÁKOVÁ. Základy vývojové neurologie (Principles of developmental neurology). 1st ed. Brno: Masarykova univerzita, 2020. ISBN 978-80-210-9621-9. info
John Morris, Joseph Jankovic: Neurological Clinical Examination, Hodler Arnold Co, 2012
Merritt’s Neurology, 13th Edition is edited by by Elan D. Louis MD MS (Author), Stephan A. Mayer MD (Author), Lewis P. Rowland MD (Author) ISBN-13: 978-1451193367, ISBN-10: 145119336X
International Neurology: A clinical approach: by Robert P. LIsak, Daniel D Truong, William M Carroll, Roongroj Bhidayasiri, Blackwell Publishing Ltd 2010, ISBN 9781444317008

Teaching methods

Internship + workshops: the practical lectures provided by both the inpatient and outpatient parts of the neurological department (including neurological ICU) and special labs (ultrasonography, clinical neurophysiology, i.e. EMG, EEG, evoked potentials). The concept of learning is problem-oriented (students are taught by solving the problem presented) and team-oriented (small groups of students discuss and choose a solution of the problem). Special emphasis is laid on the development of soft skills, incl. so-called "21st century skills", particularly communication, decision-making skills, critical thinking, crisis communication and teamwork. Starting from 2022, practical lectures will be complemented by a comprehensive range of simulation teaching methods on simulators with varying degrees of fidelity, trainers and virtual patients. Simulation results in subsequent debriefing (feedback to the student).

Assessment methods

- PRE-TESTS (available in Interactive Syllabus of Neurology- lecture). Before the very start of their practice, students are required to go through the presentations focused on general neurology (and to pass the tests available at the end of each lecture). Prelearning focused on particular topics of special neurology (epileptology, neuromuscular medicine, stroke and so on) has to be completed before the beginnig of the clinical lecture focused on appropriate topic.
-ADMISSION TEST on neuroanatomy and neurophysiology (during the 2nd day of the course): preclinical knowledge of anatomy and physiology of the nervous system will be tested.
- Interim assessment of clinical skills and knowlege of neurological propedeutics, clinical neurological assessment, paraclinical diagnostic methods in neurology and the ability to create syndrological, topical and diferential diagnosis – the teacher provides objective, specific and targeted feedback to every student. - Written interim test on the neurological propedeutics, clinical neurological assessment, paraclinical diagnostic methods in neurology – during the last week of the course (usually on Wednesday or Friday, i.e. 13th or 15th day of the course).
- CLASSIFIED CREDIT (practical exam as an integral part of final exam in Neurology) performed during the last day of the course consisting of:
1. clinical examination of the patient (incl. medical history), syndromological, topical and differential diagnosis;
2. oral practical exam focused on neurological propedeutics, clinical neurological examination and the indication and interpretation of basic paraclinic examinations used in neurological patients.
- FINAL ORAL EXAM: one question from general neurology, two questions from special neurology.

Language of instruction

English

Further comments (probably available only in Czech)

Study Materials
The course is taught each semester.
Information on the extent and intensity of the course: 90.

Listed among pre-requisites of other courses

aVLNR09X Neurosurgery
aVLCH0832c || aVLNE9X1c

Teacher's information

The course takes place at one of the following neurological clinics according to the timetable:

- Neurological clinic of the University hospital Brno (FN Brno)

- 1st Department of Neurology of the St. Anne´s University Hospital (FN USA)

The course starts at 8 a.m. and ends at 1 p.m. every day. At the beginning of the first day of their course, the students come to secretariat of particular department:

- NK FN Brno, Jihlavská 20, 12th floor of the main building (L), Mrs. Saláková (53223 2503)

- NK FN USA, Pekařská 53, building C1, 6th floor, Mrs. Aberlová (54318 2658)

Students should bring by themselves white coats and neurological hammers. The neurological hammers are available e.g. in the Medical bookstore in A9 building of the University campus Bohunice (Kamenice 753/5, phone number 54949 3619). Students who take their course in NK FN Brno can borrow the hammer at the secretary (only at the time of they course in NK FN Brno, returnable deposit of 300,- czech crowns will be required).

The prerequisite for the course is the basic knowledge of neuroanatomy and neurophysiology (motor pathway: pyramidal tracts, cerebellum, basal ganglia, sensory pathway, thalamus, visual pathway, cranial nerves, neurotransmitters). Starting from the spring semester of 2022, pre-learning available in the interactive syllabus (in Neurology-lecture) is required before the beginnig of each course. Before the very start of their practice, students are required to go through the presentations focused on general neurology (and to pass the tests available at the end of each lecture). Prelearning focused on particular topics of special neurology (epileptology, neuromuscular medicine, stroke and so on) has to be completed before the beginnig of the clinical lecture focused on appropriate topic.

The preclinical knowledge of anatomy and physiology of the nervous system will later be tested by the addmission test performed under the supervision of the teacher during the 2nd day of the course at the very latest. To successfully pass the test, the lower limit of 80% of correct answers will be required. The students who fail in the addmission test have the opportunily to repeat it during the last day of their course (just before the practical exam in Neurology).

- During the first two days of the course, introduction to neurology propedeutics and neurological examination will be provided and practiced. The knowledge of clinical neurological examination and propedeutics will be checked by brief oral examinations during the latter part of the course and by the written interim test on the neurological propedeutics, clinical neurological assessment, paraclinical diagnostic methods in neurology performed during the last week of the course (usually on Wednesday or Friday, i.e. 13th o 15th day of the course).

- The other days of the course consist from clinical part (provided by both the inpatient and outpatient parts of the neurological department and special labs, i.e. ultrasonography and clinical neurophysiology - EMG, EEG, evoked potentials) and focused workshops with the specialists in patricular fields of neurology. From the spring semester 2022, one one the practical lectures takes place in SIMU and is focused on the development of practival skills in performing the lumbar puncture on the simulators with hifh degrees of fidelity. Two days of the course takes place in the Department of children's neurology (Children´s hospital, Černopolní 9, building G, 4th floor) to provide the basics of the child neurology (developmental neurology, neurodevelopmental disorders, cerebral palsy, neuromuscular diseases in childhood, paediatric epileptology). We highly recommend the students to substitute one of their morning lectures by the afternoon one (e.g. from 11:00 a.m. to 4:00 p.m. – i.e. including the morning workshop) or alternatively by their attendace in one evening/night duty (based on the individual appointment with the teacher responsible for particular course). To reach maximal practical impact of such a substitution, it is prefered to perform it during the second or third week of the course.

During the last (15th) day of course, the students undergo the PRACTICAL EXAM (classified credit), which represents an integral part of final exam in Neurology and consists of:

a. clinical examination of the patient (incl. medical history), syndromological, topical and differential diagnosis;

b. oral exam focused on clinical neurological examination, neurological propedeutics and the indication and interpretation of basic paraclinic examinations used in neurological patients.

WE ASK THE STUDENTS FOR KEEPING ON THEIR MINDS THAT THE SCHEDULE OF THEIR COURSE CAN´T BE CHANGED (with the exception of few very serious reasons – stay abroad, long-term disease).

More detailed informations (including the timetable of your course) are available on the notice boards at the secretariats of particular departments. For further details, you can also ask the deputy head of patricular clinic:

- In FN Brno: asociate professor Pavel Štourač, MD, PhD (štourač.pavel@fnbrno.cz)

- In FN USA: associate professor Marek Baláž, MD, PhD (marek.balaz@fnusa.cz)

- In FDN assistant professor Ondřej Horák, MD (horak.ondrej@fnbrno.cz).

The course is also listed under the following terms Autumn 2017, Spring 2018, autumn 2018, spring 2019, autumn 2019, spring 2020, autumn 2020, spring 2021, autumn 2021, spring 2022, spring 2023, autumn 2023, spring 2024, autumn 2024, spring 2025.

Enrolment Statistics (autumn 2022, recent)
Permalink: https://is.muni.cz/course/med/autumn2022/aVLNE9X1c

LF:aVLNE9X1c Neurology - practice - Course Information

aVLNE9X1c Neurology - practice

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