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College of Medicine MD Curriculum

Neurological Surgery Acting Internship

Title of Course: Neurological Surgery Acting Internship 

Elective Type: Acting Internship, Neurological Surgery 

Department: Surgery

Type of Elective: Clinical

Course Site: University of Toledo Medical Center

Course Number: NEUS 702

Blocks available: All

Number of students per block: 1

Faculty: Jason Schroeder, M.D. and Alastair Hoyt, M.D.

Elective Description/Requirements:
In the Advanced Neurological Surgery elective the student will be integrated into the Neurosurgery Service as a sub-intern, with appropriate responsibility for diagnosis and management of patients. The student will be assigned a specific Neuroscience topic for presentation.  Students required to perform at least 3 full H&P’s and 3 discharge summaries.

Length of Course: 4 weeks 

Educational Course Objectives and Links to EPOs:

  1. Independently perform a focused history and comprehensive neuro exam. (EPOs: PC-1, PC-2, PC-3, PC-4)
  2. Assess and describe signs and symptoms of common lumbar and cervical root syndromes. (EPOs: MK1, MK4, MK6, MK7, PC6, PC7)
  3. Evaluate the patient in coma and discuss the differentiated diagnosis of coma. (EPOs: MK1, MK4, PC1, PC-6, PBL-2)
  4. Evaluate the patient with head or spinal cord injury. (EPOs: MK1, MK4, PC1, PC-6, PBL-2)
  5. Evaluate the patient with increased intracranial pressure and differentiate between symptoms related to brain tumors, intracranial hemorrhage and stroke. (EPOs: MK1, MK4, PC1, PC-6, PBL-2)
  6. Synthesize the history, diagnostic, and clinical information to formulate a differential diagnosis and suggested treatment plan of patients with common neurological syndromes. (EPOs: IPC-1, IPC-2, PC-1, PC-3)
  7. Evaluate and review the journal literature pertinent to a selected area  reviews. (EPOs: PBL-2, SBP-4, MK-7)
  8. Write a complete and accurate daily progress note including interpretation of results of laboratory and radiographic/imaging studies. (EPOs: IPC-1, IPC-2, PC-1, PC-3, PC-4, PC7) 
  9. Accurately present patient information concerning the patient’s condition, progress and results of laboratory and imaging studies. (EPOs: IPC-1, IPC-2, PC-1, PC-3)
  10. Participate in evening or weekend clinical care to support continuity of patient care and demonstrate professionalism in varied clinical settings. (EPO: IPC-2)
  11. Conduct structured patient handoffs using an evidence‑based communication approach to ensure safe and accurate transfer of care. (EPO: SBP-1)

Professionalism: UT/COMLS students will meet or exceed the institutional standards for professionalism as stated in the current Core Competencies and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

  1. Interpretation of lab data
  2. Diagnostic tests-use/interpretation
  3. Small group discussions
  4. Case studies
  5. Ambulatory care experience
  6. Grand rounds
  7. Teaching rounds
  8. Residency program/departmental conferences

Assessment methods Employed:

  1. Acting Internship Assessment
  2. Case write up

Prerequisites: Successful completion of required Surgery clerkship.

Special Requirements:Ìý

  1. As part of the acting internship, students are required to participate in at least one evening or weekend clinical experience.  This experience ensures exposure to the full spectrum of patient care responsibilities and supports readiness for residency-level schedules and work environment.
  2. Students are expected to participate in structured patient handoffs as part of their clinical responsibilities.  This includes observing and contributing to the sign-out processes to ensure safe, effective transitions of care.
  3. Participation in night call is recommended because many cases come in after hours.  A call schedule may be arranged per individual faculty member.

Clerkship Director: Stephanie Pannell, M.D.

Clerkship Coordinator: Alyx Wiley
Phone Number: 419.383.3580
Email: bwiley3@rockets.utoledo.edu

Approved by ECC
March 2026