Saint Louis University

Neurology Clerkship

Welcome to the Neurology Clerkship!


It is time to apply all of the basic neuroscience information learned in the first two years of medical school. During your four-week Neurology rotation, we hope to impart on you a logical method of evaluating and treating patients. No matter what complaint, evaluation should proceed in a standard fashion, beginning with review of the complaints and past history and continuing through the general and neurological examinations. You will then formulate a tentative diagnosis, including localization of the process to a specific aspect of the neuraxis and estimation of the underlying pathogenesis. Laboratory support will then be utilized to prove or disprove the tentative diagnosis. Consistent application of this "neurologic method" will be invaluable to you in your future practice. Of course, there is a wealth of information which you will need to learn during your rotation. We look forward to contributing to your education!


Sean Goretzke, M.D.
Director, Neurology Clerkship


Course DirectorEducational Coordinator

Sean Goretzke, M.D.
Saint Louis University Hospital
Department of Neurology
3635 Vista Avenue at Grand
P.O. Box 15250
St. Louis, MO 63110-0250
(314) 577-8026

Cindy Pugh
1438 S. Grand Blvd.
Room 219
St. Louis, MO 63110-0250
(314) 977-4864


Clinical Sites Used for Third Year Clerkship
1438 S. Grand
St. Louis, Mo 63104


Saint Louis University Hospital/Forest Park (SLUH) 8 4
Veterans Administration - John Cochran (JCVAH) 2 4
SSM Health Cardinal Glennon Children's Hospital (CGCMC) 4 4
SSM Neurorehabilitation 3 4


Clerkship Overview
Students should develop the ability to obtain a thorough neurological history and examination. Specific medical knowledge goals are detailed in the syllabus. Students should gain familiarity with neuroimaging and electrophysiological procedures.

On the first day of the clerkship, students should meet their assigned team at the respective hospital to which they are assigned as directed in the introductory letter. If the student is unable to locate the neurology team to which they have been assigned, have the neurology resident on call paged.

Team Assignments, Makeup, and Organization
The neurology team consists of an attending physician, neurology and rotating residents, and medical students. Students are assigned inpatients, for which they are responsible. Students are to attend daily rounds, present initial findings and daily developments to the attending physician, and participate in discussions pertaining to diagnostic and therapeutic maneuvers, discharge plans and follow-up programs.

Description of a Typical Day

7:00 a.m. - 7:30/8:00 a.m. Work rounds with residents
7:30/8:00 - 11:00 a.m. Ward rounds with the team
12:00 - 5:00 p.m. Clinic afternoons (occasional)
3:30 - 5:00 p.m.
(Mon., Tues., Wed.)
4:00 - 5:00 p.m. (Thursday) Grand Rounds

Extra time to be spent reading on patients and from text for final exam.

Didactic sessions regarding principle neurological diseases are given in the conference room on the 5th floor at Saint Louis University Hospital from 1:00- 3:30 or 3:30 - 5:00 p.m. on Mondays, Tuesdays, Wednesdays.


  • Blueprints, Neurology by Drislan, et al. Lippincott, Williams, and Wilkins, 2006, AND either
  • Blueprints, Neurology clinical cases by Sheth, et al. Lippincott, Williams, and Wilkins,
  • Case Files - Neurology by Toy, et al. 2008, McGraw-Hill.

Educational slide quiz given on the 3rd Thursday at 1:00 p.m. in the Conference room on the 5th Floor, Saint Louis University Hospital.

Final examination (written) given on the 4th Friday at 9:45 a.m. in the LRC.

Evaluation and Grading
The final grade is based on clinical (60%) and NBME exam (40%) components.

Honors is to the top 25%, near honors to 15%, and Pass is given to all others with satisfactory performance.

If the student fails the clinical component, repeating the rotation will be required. Failing the written exam will require passing a second written exam.


Hour Sunday Monday Tuesday Wednesday Thursday Friday Saturday
AM 7:00 - 7:30/8:00 am
Work Rounds
7:00 - 11:00 am
Attending Rounds
PM   12:00 - 5:00 pm
Clinical or other patient care
3:30-5:00 pm
3:30-5:00 pm
3:30-5:00 pm
Neurology & Neurosurgery
Grand Rounds


Call Schedule and Weekend Activities:
All students will take in-house call on 2 evenings and 1 weekend until 9:00 p.m. at SLUH and CGCMC; a call schedule is given to the students on the first day of the rotation.

Students are to attend rounds six days per week, with either Saturday or Sunday free. Weekend days should be divided such that one-half of the students attend Saturday and the other half Sunday.

*Students need to refer to Tutorial Schedule insert in packet for precise afternoon lecture pertaining to their specific rotations.

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