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Medical Neuroscience

 
  Medical Neuroscience is a 16 week course in the second semester of the first year curriculum designed to introduce students to the fundamental structure and function of the human nervous system as it pertains to clinical medicine. Human Neuroscience is a rapidly expanding, exciting field which can be expected to bring new insights and treatments by the time the medical students have finished residency training. In this time of rapid technological advance, complex cognitive, language and motor functions can by imaged in the living human brain. Advances in the field of functional neurimaging can be expected to bear on stroke prevention, treatment and rehabilitation. Because a tradition in clinical neurology has been to learn the functional organization of the human brain “stroke by stroke”, the course uses this as a model to teach functional organization and neurological localization.

Block 1 of the course emphasizes basic spinal cord, brainstem, and cerebral topography with an emphasis on vascular relations. The goal is to introduce the student to principles of neurological localization following stroke, and to provide a foundation for understanding clinical presentations of spinal cord and brainstem lesions. Block 2 considers large scale organization of the cerebral hemispheres and deficits of language and higher cognitive functions following stroke; motor systems and motor disorders; and neurotransmitter systems and their disorders. Block 3 emphasizes concepts of sensory neural systems and their disorders; control of feeding and homeostasis; and integrated basic/clinical science presentations of selected neurological disorders (e.g., Alzheimer's disease, amyotrophic lateral sclerosis (Lou Gehrig's disease), multiple sclerosis).

Class sessions include lecture, laboratory, and problem based learning exercises. Clinical correlation lectures are provided as part of the course course content. Lecture and laboratory sessions are supplemented with web-based materials and computer graphics, 3-D reconstructions and animations for individual student review. Block 1 laboratory sessions are aimed at small group learning of nervous system structure and introducing the student to interpreting CT and MRI images in normal and diseased states. Neural systems laboratories in Blocks 2 and 3 are structured around clinically related problem solving exercises to reinforce and extend the material in Block 1. Problem based learning sessions are aimed at allowing students in small groups to work through a clinical scenario that integrates material learned over much of the course.

 

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