Faculdade de Ciências Médicas

Neurology

Code

11031

Academic unit

NOVA Medical School|Faculdade de Ciências Médicas

Department

MC

Credits

3.5

Teacher in charge

Prof. Doutor Miguel Viana Baptista

Teaching language

Portuguese

Objectives

a) By the end of the course each student should be prepared to:

  1. Appreciate that the patient has a neurological problem
  2. Assess the common neurological presenting symptoms
  3. Recognize the most prevalent neurological disorders
  4. Manage the common neurological disorders

 

  1. Follow-up neurological disorders as a general practitioner
  2. Understand neurosurgical therapeutic options
  3. Know the role of doctors and others in the care of neurological disability
  4. Appreciate the ethical issues associated with neurological disorders
  5. Identify the barriers to social integration of the neurological patient
  6. Aknowledge the need of lifelong neurology education
  7. Promote the diffusion of neurological knowledge in their daily routine
  8. Understand the role of basic neuroscience research

 

b) By the end of the course each student should be able to:

1.            Take a neurological history

2.            Perform neurological examination appropriate to the problem

3.            Formulate a differential diagnosis

4.            Plan a logic sequence of investigations

5.            Understand the basis of the results of investigations

6.            Initiate treatment and monitor neurological emergencies

7.            Communicate information clearly and appropriately.

8.            Search relevant information from neurological literature

 

Prerequisites

Students are expected to have completed basic neuroscience courses and to be familiar with the hospital environment. General medical clinical skills and attitudes are required.

Subject matter

Number / Dates / Time

Lecture 1: 15/09/2014 - 14h; 16/02/2015 – 14h

Lecture 2: 15/09/2014 - 15h; 16/02/2015 – 15h

Title

Introduction; Motor System

Extrapiramidal motor system

Faculty

Prof. Miguel Viana Baptista

Prof. Paulo Bugalho

 

Number / Dates / Time

Lecture 3: 22/09/2014 - 14h; 24/02/2015 – 14h

Lecture 4: 22/09/2014 - 15h; 24/02/2015 – 15h

Title

Sensory system

Cranial Nerves

Faculty

Dra. Elmira Medeiros

Dr. Marcelo Mendonça

 

Number / Dates / Time

Lecture 5: 29/09/2014 – 14h; 02/03/2015 – 14h

Lecture 6: 29/09/2014 – 15h; 02/03/2015 – 15h

Title

Vision and oculo-motor system

Coma

Faculty

Dr. Luís santos

Dr. Luís Santos

 

Number / Dates / Time

Lecture 7: 06/10/2014 – 14h; 9/03/2015 – 14h

Lecture 8: 06/10/2014 – 15h; 9/03/2015 –15h

Title

Vestibular system

Diseases of the spinal cord

Faculty

Dra. Luísa Alves

Dra. Luísa Alves

 

Number / Dates / Time

Lecture 9: 13/10/2014 – 14h; 16/03/2015 – 14h

Lecture 10: 13/10/2014 - 15h; 16/03/2015 -15h

Title

Delirium

Neuroradiology

Faculty

Dr. Luís Santos

Dr. Pedro Soares

 

Number / Dates / Time

Lecture 11:  13/10/2014 – 16h; 16/03/2015 – 16h

Lecture12: 13/10/2014 – 17h; 16/03/2015 – 17h

Title

Cerebrovascular Diseases I

Cerebrovascular Diseases II

Faculty

Prof Miguel Viana Baptista

Dra. Sofia Calado

 

Number / Dates / Time

Lecture 13: 20/10/2014 – 14h; 23/03/2015 – 14h

Lecture 14: 20/10/2014 – 15h; 23/03/2015 – 15h

Title

Headache

Cognitive functions and dementia

Faculty

Dra. Sofia Calado

Dra. Luísa Alves

 

Number / Dates / Time

Lecture 15: 20/10/2014 – 16h; 23/03/2015 – 16h

Lecture 16: 20/10/2014– 17h; 23/03/2015 – 17h

Title

Peripheral Neuropathy

Muscle Disorders

Faculty

Dra. Elmira Medeiros

Dr. Luís Santos

 

Number / Dates / Time

Lecture 17: 27/10/2014 – 14h; 30/03/2015 – 14h

Lecture 18: 27/10/2014 – 15h; 30/03/2015 – 15h

Title

Infections of the nervous system

Demyelinating Disorders

Faculty

Dra. Sofia Calado

Dra. Ana Sofia Correia

 

Number / Dates / Time

Lecture 19: 27/10/2014 – 16h; 30/03/2015 – 16h

Lecture 20: 27/10/2014 – 17h; 30/03/2015 – 17h

Title

Epilepsy I

Epilepsy II

Faculty

Dr. José Carlos Ferreira

Dr. José Carlos Ferreira

 

Number / Dates / Time

Lecture 21: 03/11/2014 – 14h; 06/04/2015 – 14h

Lecture 22: 03/11/2014 – 15h; 06/04/2015 – 15h

Title

Cranial and vertebral trauma

Intracranial hypertension / CNS neoplasms

- Clinical Neurology

Aminoff, Greenberg and Simon. 6th Edition 2007. Lange Medical Publications

 

- Neurological Examination Made Easy.

Geraint Fuller. 4th Edition 2008. Churchill Livingstone. Elsevier

 

-DeMyer's-The Neurologic Examination: A Programmed Text, 6th Edition 2011. Mc Graw Hill

Biller/Gruener/Brazis

 

- Neurology and Neurosurgery Illustrated.

Lindsay/Bone/Fuller. 5th Edition 2010. Churchill Livingstone

 

- Adams and Victor´s Principles of Neurology.

Ropper/Samuels. 9 th Edition 2009. McGrawHill

 

- Correlative Neuroanatomy and Functional Neurology

  Joseph G. Chusid. 19th Edition 1986. Lange Medical Publications

 

 

N.B.: Slides are available to students at www.fcm.unl.pt

Teaching method

LECTURES

 

Lectures will take place, weekly, on monday afternoon, according to the schedule displayed below, at Hospital Egas Moniz theatre (located in the second floor near the operation room). In each year neurology lectures will occur twice (September to January and February to June). The course is composed by 24 lectures of fifty minutes duration.

 

PRACTICAL TEACHING

 

Practical teaching will take place in a two week cycle for each student group. The first week, daily at the neurology classroom (first floor) at the Neurology Department of Hospital Egas Moniz, and the second week, daily at room P12 (first floor) in the university building at Hospital São Francisco Xavier. Students should be present at 8.30 (daily signature is required).

 

STANDARDS

 

Students should present on time, dressing adequately. When dealing with patients careful discretion is the rule. Particular attention should be paid to clinical information. All information is strictly confidential. Patient files may be used under permission. Using the staff facilities of the Neurology department should not interfere with the daily routine. It is forbidden to eat in the classroom and in the clinical areas. The use of cell phones is not allowed in the classroom and in the clinical areas. Under pledge there are lockers and clinical equipment available (hammers, ophtalmoscopes and tuning forks).  

 

Faculty from multiple departments participate, and to facilitate learning, teaching is interactive, problem-oriented and, whenever possible, clinically relevant. Every effort is made to assure that the students assimilate the most important material and acquire a solid foundation in the Clinical Neurosciences to meet the future demands of their general practice. Practical teaching includes a series of short duration (30-45min) seminars devoted to different neurology subjects, oriented to the practice of clinical neurology, with discussion of real-life situations in different clinical scenarios. During the rest of the day students participate in the clinical routine of the Neurology Department, Stroke Unit and Emergency Department, (including ward rounds to both to neurology inpatient clinic and to the stroke unit, attending to neurology outpatient clinic and to emergency department). The schedule requires students to take a clinical history, to prepare a Power Point Case report and to practice neurological examination on their own and with supervision.

 

 

 

Students are supposed to present a clinical history (oral, in groups), on the last day of the first week and a case report, (oral with Power Point) on the last day of the second week.

 

 

Evaluation method

Final assessment (0-20 scale) is the sum of practical assessment (3 points), with final written exam (17 points). Practical assessment includes in the first week presentation of clinical history (group), short oral questions (individual), performance of the neurological examination (individual), and in the second week Case Presentation (group) and short oral questions (individual), (2 points), and assessment of student’s compliance to the practical teaching program (1 point). To be admitted to the final written exam students have to be approved in the practical assessment. The exam is composed of 68 multiple choice questions (0.25 points). The exam takes place in the main building of the Medical Sciences Faculty on the following dates (26/01/2015, 22/06/2015, 14/07/2015 and 22/07/2015). Students that score under 8 will not be approved and those who score between 8 and 10 should be assessed on an oral examination the following day.

Courses