8/11/2019 $Overview of Amoud teaching

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Overview of Amoud teaching- Dr Jaster for June 8-14

Saturday 8th- arrive, if not too late then surgical patient screening

Sunday 9th

-Finish screening surgical patients. Start teaching schedule—as follows

-8 AM start in lecture hall with lectures till 2nd call to prayer then break for 20 minutes

-After second call to prayer break go to wards for inpatient rounds and if time then

outpatients until lunch (about 12-12:30)

-Return to lecture hall at 1:30 PM for lectures or actual patient exams till afternoon call to

prayer and break for 20 minutes

-Return to wards for inpatient rounds followed by outpatients until done (6-6:30 PM)

Monday-Wed (10th

-12th

) lecture schedule as above

Thursday 13th

- Review lectures and if time then students demonstrate full neuro exams on patients.

Friday 14th AM- Test. If time allows then we will review the test answers. Tests will all be collected and

not returned.

Expectations:

1.  Patients will be fully “clerked” before presentation. That means the history, physical,

assessments and plan will be done AND written before presented unless an emergency case.

This applies to inpatients especially but also to outpatients. It is very important that you try to

assimilate the history and exam findings and develop your differential diagnosis,

impression/assessment, and a plan of treatment. It is important for the student to commit

themselves to the full process and not just the exam.

2. 

Students or interns are responsible for writing lab and x-ray orders as well as inpatient

orders…they are also responsible for checking on the results or bringing the films for review.

They are also expected to be prepared to interpret the lab, xray or EKG and have formulated a

plan of treatment based on the results.

3. 

Supplies for examining patients that should always be available: blood pressure cuff, tongue

depressors, exam gloves, lubricant for rectal exams, reflex hammer, tuning fork

4. 

Students need to be able to do a complete neurologic exam (see video for example) and also

have memorized all the cranial nerves. They should review all the powerpoints provided but

especially the ones with “$” (old files “*”) at the start.

5.  Neurology can be complex and overwhelming. The purpose of this week is to learn the basics,

and especially how to do the exam to give you the abnormalities to piece together and

research. I do not expect you to learn extensive localization patterns but a few classic patterns

will be clearly pointed out for testing. If you listen I will tell you the material that you need to

know, but there is far more material provided so you can work on absorbing it later on your

own. For your patient’s benefit study further on the materials provided and good review

8/11/2019 $Overview of Amoud teaching

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books. The most important exam is not mine but those of every patient you will be responsible

for on your own in the future.

6. 

Disclaimer- many of the powerpoints provided are from the internet as free posting. As they

were not created specifically by me they have been chosen because they offer excellent

teaching points and graphics or the same teaching points done slightly different for review

purposes. They also can contain more detailed information than I want you to know but I cannot

often edit that out. If I am wanting you to know something I will usually point it out. That

doesn’t mean, however, that you should not at your leisure later look it up.

7. 

I originally tailored lectures to the resources (x-rays, meds, labs, drugs…) that you have available

in Borama. Now as many of you may take residency/ post-graduate training in very

contemporary settings you need to be knowledgeable of “state of the art.”