DESCRIPTION

The purpose of this enduring material is to make you comfortable in doing an advanced neurological examination. Exams can be performed anywhere - in a cardiology office, in a primary care setting, or in a hospital. The goal of this enduring material is to teach you the proper techniques and flow of a neurological exam. Once you are familiar with the process, you can practice on your own. Practicing will provide you with confidence seeing patients. Once you get this 5-minute neurological examination right, you can do it without having to think about it. This enduring material is carefully and thoughtfully designed to provide a very similar experience to live face-to-face workshop.

OBJECTIVES

At the end of this enduring material, participants should be better able to:

  1. Discuss various components of an advanced neurological examination.
  2. Develop a logical flow for routine neurological examinations, from one area of the exam to the other.
  3. Describe proper techniques for performing an advanced neurological examination. 

TARGET AUDIENCE

This enduring material is intended for a broad audience including general physicians, primary care providers, specialty physicians, physicians in training (residents and fellows), and medical students. 

CONTENT

Five domains for neurological examination and history taking include:

  1. Approach to obtaining patient history during an advanced neurological exam.
  2. Examination flow for an advanced neurological exam.
  3. Examination techniques for an advanced neurological exam.
  4. Performing an advanced neurological exam.
  5. Presentation of a neurological case.

This enduring material is a clinical skills experience and is intended as an online workshop. For best learning, it is required that you practice the examination along with watching the online videos. Find a study partner or a family member to play the role of the patient while performing the neurological examination techniques. Performing the exam multiple times will develop muscle memory. 

ASSESSMENT

Assessment will consist of several multiple choice questions related to the lectures and videos within the Advanced Neurological Examination modules.    

FACULTY

Click the names to find out more about the faculty.

Course curriculum

  • 2

    Chapter 1 - Lectures

    • Lecture: Neurological History Taking, Dr Scott Diesing MD

    • Lecture: 5 Min Neuro Exam by Prof John Bertoni MD PhD

    • 5 Min Neuro Exam Video

    • Quiz: Lectures

    • Discussion: Lessons from the Lectures

  • 3

    Chapter 2: Neuro Exam Workshop

    • Introduction to Workshop

    • Workshop: Cranial Nerve Examination

    • Workshop: Motor & Sensory Exam

    • Motor Exam Tips

    • Motor Exam of lying patient

    • Workshop: Deep Tendon Reflexes

    • DTR Exam Tips

    • Clinical Scenario: Example of a Real Patient

    • Quiz: Workshop

    • Discussion: Examination Workshop

  • 4

    Chapter 3: Advanced Techniques in Examination

    • Workshop: Ophthalmoscopy Techniques

    • Basic of Ophthalmoscopy

    • Techniques of Exam

    • Finding your way around

    • Case 1: Papilledema

    • Case 2: Hypertensive Retinopathy

    • Case 3: Blood and thunder retina

    • Workshop: Movement Disorders Examination

    • Tremor Exam: Introduction

    • Tremor Exam: Positions

    • Tremor Exam: Actions

    • Tremor Exam: Tasks

    • Tremor Exam: Head Tremor

    • Tremor Exam: Vocal Tremor

    • Tremor Exam: Flow

    • Gait Examination

    • Parkinson Disease Exam: Observation

    • PD Exam: Rigidity

    • PD Exam: Akinesia

    • PD Exam: Flow

    • Workshop: Brain Death Examination

    • Brain Death Exam Checklist.pdf

    • Discussion: Advanced Techniques

  • 5

    Bonus Material

    • Speech Examination (real patient example)

    • Speech and handwriting Examination (real patient example)

    • Review Ambulation Index

    • Review Modified Ashworth Scale

    • Video: Modified Ashworth Scale

    • Video: Techniques of MoCA Examination

    • Video: NeuroPsychometrics

  • 6

    Additional Resources

    • Pearls of Neurological Examination

    • Rosenbaum Pocket eye chart

    • Neuro Exam Worksheet

    • UNMC Phase 1 H&P Template

    • Smartphone Applications for Neuro Exam

    • Neuro-ophth examination

  • 7

    Completion Certificate

    • Survey

    • Course Completion

Need Discount?

If you are a trainee or medical student , MERIT Academy has special discounts for you in this course. Kindly send us an email at appnamerit@gmail.com to get discounts on this course.

Course Director

Course Director

Danish Bhatti MD FAAN

Dr Danish Bhatti is a Movement Disorders Neurologists and teaches physicians internationally. Dr Bhatti directs an online mini-fellowship in Movement Disorders since 2017. He is the founding director of the International Neurology program at University of Nebraska Medical Center. He has been recognized with A.B. Baker Teacher Recognition Award by American Academy of Neurology, International Best Teacher Award from Pakistan Society of Neurology and Impact in Education for Innovative practices award, a campus-wide award at UNMC. His YouTube video ‘5 min neurological examination’ has 3.3 million views and his channel has 4000+ subscribers.

Faculty

Instructor

Mac McLaughlin, MD

Dr. Mac McLaughlin, an assistant professor in the Department of Neurological Sciences, joined the Multiple Sclerosis Program of UNMC in August 2011. Dr. McLaughlin received his medical degree from the University of Nebraska Medical Center. He completed internal medicine internship and neurology residency training at Rhode Island Hospital the teaching affiliate of The Warren Alpert Medical School of Brown University. Subsequently, he was awarded a National Multiple Sclerosis Society Clinical Care Fellowship completed under the mentorship of Dr. Peter Riskind at the University of Massachusetts Medical School. Dr. McLaughlin is board certified by the American Board of Psychiatry and Neurology.

Instructor

John Bertoni, MD, PhD

Dr. Bertoni is a Professor in the Department of Neurological Sciences at the University of Nebraska Medical Center and Director of the Parkinson’s Disease Clinic. Dr. Bertoni received his MD and PhD (Neuroscience) from the University of Michigan in Ann Arbor. He also attended the University of Michigan in Ann Arbor to complete his residency in neurology and his fellowship in neurochemistry. Prior to joining the UNMC faculty in December 2008, Dr. Bertoni spent 19 years at Creighton University Medical Center as Chairman of the Department of Neurology. Prior to coming to Nebraska, Dr. Bertoni held academic appointments in Michigan, Texas, Pennsylvania and Delaware. Currently Dr. Bertoni is seeing patients with Parkinson’s disease and participating in several Parkinson’s Disease related studies.

Instructor

T. Scott Diesing, MD

Dr. Diesing is an Associate Professor and Medical Director of All Inpatient Neurology Services in the Department of Neurological Sciences at the University of Nebraska Medical Center. He is board certified by the American Board of Psychiatry and Neurology as well as the American Board of Electrodiagnostic Medicine. He is a member of the American Medical Association, American Academy of Neurology, American Association of Neuromuscular and Electrodiagnostic Medicine, Nebraska Medical Association, Metro Omaha Medical Society, Mayo Clinic Alumni Association, Society of Hospital Medicine, & Neurohospitalist Society. His awards include the NMH Meaning of Care Award, and the PPA Emerging Physician Leader Award.