elective

Salpêtrière Hospital Experience

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Drs. Diane Chan and Vincent Lau presented clinical cases today from their experience at Salpêtrière Hospital.

The senior residents spent two weeks at the French hospital in May. An historically rich hospital that hosted celebrated neurologists such as Jean-Martin Charcot, Sigmund Freud and Joseph Babinski, today it remains one of the largest hospitals in Europe. With 1600 inpatient beds, it is also a major referral center for all of France. Prior residents who had rotated at Salpêtrière include Drs. Ilena George, Sara Schaefer and Emmanuelle Schindler.

Outside Pitié-Salpêtrière Hospital Chapel

 

Dr. Chan with mentor Dr. Marie Vidaihet, expert in movement disorders

The residents attended highly subspecialized clinics such as one in channelopathies. They participated in case conferences including movement disorder rounds and interdisciplinary spine case rounds. Dr. Chan observed advanced neurological research and participated in lab meetings, while Dr. Lau performed electromyography and observed muscle biopsies.

Outside Charcot Amphitheater

 

Attending lecture in electromyography

 

Dr. Lau with mentor Dr. Tanya Stojkovic, expert in neuromuscular medicine

Both senior residents will be fellows at joint programs at Massachusetts General Hospital and Brigham and Women’s Hospital starting this July.

Spotlight on Global Health

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Dr. Monica Diaz gave a one-hour lecture to residents and medical students today on her experience in Uganda.

Detailing her six weeks serving at Mulago Hospital in Kampala, Dr. Diaz addressed her efforts to deliver neurological care while facing the challenges of limited resources, language difficulties and cultural barriers. She discussed specific cases in which her decision-making was contingent on bridging social barriers. In one incidence, she successfully convinced a patient to allow her to do a lumbar puncture despite its associated stigma, as many families in the hospital erroneously attribute clinical worsening from disease progression to the procedure. She also worked with Dr. Abdu Musubire, a physician based at Mulago who was a yearlong visiting scholar at Yale from 2014 to 2015 through the Makarere University Yale University (MUYU) Collaboration.

Dr. Diaz is third-year neurology resident and a Yale/Stanford Johnson & Johnson Global Health Scholar. She plans to continue her international work after residency.

Teaching Rotation Prepares Residents for Clinician-Educator Career

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The Teaching Senior rotation continues in its third iteration this December with fourth year resident Dr. Vincent Lau.

Dr. Lau teaches a medical student lumbar puncture technique

Dr. Lau teaches lumbar puncture technique

The two-week elective exposes senior residents to a variety of teaching settings and to education scholarship, while enhancing the learning experience for rotating medical students and junior residents. Responsibilities include leading morning report, preparing a resident didactic and running student simulations. The schedule also accommodates self-tailored activities such as contributing to education literature and developing electronic teaching material. Core teaching faculty provides feedback for teaching activities.

The rotation is available to all senior residents, and is a requirement for residents on the education track.

International Experience at Mulago Hospital in Kampala, Uganda

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Dr. Monica Diaz departs for Uganda today to serve at Mulago Hospital in Kampala.

A Yale/Stanford Johnson & Johnson Global Health Scholar, Dr. Diaz was selected and sponsored among forty physicians to serve abroad. She will be a resident neurologist at Mulago Hospital for six weeks where she will primarily be responsible for ward consultations. Dr. Diaz’s expertise is expected to make significant impact to patient care at the busy Uganda hospital; at the time of this writing, Mulago has only one other full-time neurologist.

Dr. Diaz is a third-year neurology resident on the global health track, which connects residents with mentors and allows for continuous elective time for international service. Dr. Diaz’s mentors at Yale are neurology-infectious disease specialists Drs. Ana-Claire Meyer and Serena Spudich.