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

Saturday 8
th
- arrive, if not too late then surgical patient screening
Sunday 9
th
-Finish screening surgical patients. Start teaching scheduleas follows
-8 AM start in lecture hall with lectures till 2
nd
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 (10
th
-12
th
) lecture schedule as above
Thursday 13
th
- Review lectures and if time then students demonstrate full neuro exams on patients.
Friday 14
th
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
ordersthey 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 patients benefit study further on the materials provided and good review
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
doesnt 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.