neurology assessment blueprint

8/2/2019 Neurology Assessment Blueprint

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Assessment Blueprint for Neurology

Curriculum area Competence Specialist

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MSF CBD MRCP Portfolio Structured

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Generic Clinical Curriculum in Neurology Ability to undertake the following clinical activities as applied topatients with neurological disorders

History taking Able to take an appropriate, focussed andcomprehensive history, including whereappropriate information from others, and

communicate this verbally or in writing and insummary form

X X X X

Mental and physicalexamination

Able to undertake an appropriate, focussedand comprehensive examination of mentaland physical state and communicate thisverbally or in writing and in summary form

X X X X

Differentialdiagnosis

Able to formulate an appropriately ordereddifferential diagnosis based on an appreciationof the patient, their past history and currentproblems and their likely causes

X

X X X X

Investigation Able to formulate a focussed and relevantseries of investigations X X X X X

Management plan Able to plan and order appropriateobservations, liaise with members of theMDM, determine and prescribe fluids andmedications, seek appropriate opinions andinterventions and, with others, develop anoverall plan for the individual patient

X

X X X X

Able to liaise with, refer to and communicatewith all members of the MDM in a constructiveand professional manner in the interests of the

patient and their carers

X X X XMultidisciplinaryteam (MDM)involvement

Able to liaise with and understand the role ofspecialist nurses

X X X X

Able to communicate effectively with thepatient, their family and carers and other staffin relation to the individual needs of the patientand with appropriate regard for confidentiality

X X X X XCommunicationissues

Able to give a prognosis, to explain thepatients condition, to break bad news, to

X X X X X

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obtain full and informed consent forinvestigations and treatmentAble to inform concerning patient supportgroups and relevant charities

X X X

Able to plan and administer pharmacologicaltreatments safely and effectively

X X X X

Able to refer to local and national guidelines

(NICE) and sources of evidence andinformation about treatments

X X X

Understand principles of treatment especially:Vascular disease, migraine, epilepsy, pain,psychiatric disorders, movement disorders,multiple sclerosis, autoimmune disorders,infections, dementia, motor neuron disease

X X X X

Understand limitations: compliance, adverseeffects, interactions, cost implications

X X X X

ClinicalPharmacology ofNeurological

Disorders

Understand information needs of patients andothers

X X X X

Special patientgroups

Understand the effects of menarche,menstrual cycle and menopause on commonneurological disorders

X X X X XWomen andpregnancy

Understand the effect of pregnancy onexisting neurological disorders andneurological disorders as complications of

pregnancy

X X X X X

The teenager Understand the special needs of teenagers,particular issues of confidentiality, andtransition disorders

X X X X X

The elderly Understand the normal clinical andradiological findings in the elderly; specialpresentations of neurological disease in theelderly; diagnosis, investigation andmanagement of dementia; effects of drugs in

X X X X X

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the elderly; hospital based & communityservices; communication with relatives andcare agencies; role of departments ofmedicine for the elderly

Terminally ill Understand end of life issues in neurologicaldisorders and the role of palliative careservices and specialist nurses

X X X X X

CommonNeurologicalPresentations

Able to clinically evaluate patients with thepresenting syndromes, initiate appropriateobservations, investigations and treatment,make appropriate referrals and effectivelycommunicate to patient and relatives andother staff about condition, procedures andprognosis. Able to effectively communicatewith medical and nursing staff in referralsituations

X X X X X X

Specific subjects within neurology curriculumAbility to evaluate and manage people with the followingneurological disorders

Ability to evaluate and manage people withacute head injury [Perform immediateresuscitative measures; formulate a strategyfor immediate and short term management:primary and secondary effects of head injury:symptoms and signs of head injury and its

complications: indications for investigations:indications for medical interventions, ITUreferral, urgent and delayed neurosurgery]

X X X X XHead Injury

Ability to evaluate and manage post traumaticchange in consciousness, behaviour andcognition, and other post-traumatic symptoms(including epilepsy)

X X X X X

Headache X X X X X

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M MDisorders ofconsciousness

X XM

XM

X X

Disorders of sleep Ability to evaluate and manage people withsleep disorders

X X X X X

Disorders of higher

function &behaviour

Ability to evaluate and manage people with

disordered higher function & behaviour

X X X X X

Epilepsy Ability to evaluate and manage people withepilepsy.

X X

M

X

M

X X

Cerebrovasculardisease

Ability to evaluate and manage people withstroke.

X XM

XM

X X

Tumours of the NS,neurologicalcomplications of

systemic cancer,complications oftreatment of cancer

Ability to evaluate and manage people withtumours of the NS or effects of systemictumours or their treatment.

X X X X X

Infections of NS Ability to evaluate and manage people withinfections of NS

X X X X X

CSF disorders Able to evaluate and manage people withdisorders of CSF

X X X X X

Demyelination andvasculitis

Ability to evaluate & manage people withdemyelinating & vasculitic disorders

X X

X

X

M

X X

Immunological

disorder and NS

Ability to evaluate & manage people with

immunological disorder caused by disease ortreatment.

X X X X X

Parkinsonism &Movementdisorders

Ability to evaluate & manage people withParkinsonism & Movement Disorders

X X

M

X

M

X X

Motor neurondisease

Ability to evaluate & manage people withmotor neuron disease

X X

M

X

M

X X

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Metabolic & toxicstates

Ability to evaluate and manage people withmetabolic/toxic state

X X X X X

Disorders of thevisual system

Ability to evaluate and manage people withdisorders of the visual system

X XM

XM

X X

Disorders of cranialnerves

Ability to evaluate and manage people withdisorders of cranial nerve function

X X X X X

Disorders of spine,

spinal cord, rootsand spinal injury

Ability to evaluate and manage people with

disorders of the spine, spinal cord and rootsand the acute & chronic consequences ofacute spinal cord injury including effects ofparalysis, autonomic dysfunction and sensoryloss

X XM XM X X

Disorders ofperipheral nerve

Ability to evaluate and manage people withdisorders of peripheral nerves (includingplexus lesions)

X X

M

X

M

X X

Disorders ofautonomic system

Ability to evaluate and manage people withdisorders of the autonomic nervous system

(ANS)

X X X X X

Disorders of muscle Ability to evaluate and manage people withdisorders of muscle

X X X X X

Pain Ability to evaluate and manage people withneurological disorders causing pain andcommon non neurological causes of painincluding musculoskeletal

X X X X X

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Related Speciality curriculum Ability to recognise the role, limitations and utility of theSpecialities below in the evaluation and management ofneurological disordersClinicalneurophysiology

Understand role and practice ofneurophysiological investigations in disordersof the nervous system: ability to interpret aneurophysiology report. see also sections onepilepsy, sleep disorders, peripheral nerveand muscle

X XM

XM

X X

Neuroendocrinology Understand the principles of the NS inendocrine function and neurological featuresof endocrine disorder and need for referral

X X X X X

Neurogenetics Understand the principles of genetics asapplied to neurological disorder: ability tointerpret a genetics report

X X

M

X

M

X X

Neurointensive care Ability to evaluate and manage (with others)people in ICU

X X

M

X

M

X X

Neurootology Ability to evaluate the deaf and / or dizzyperson and interpret reports

X X X X X

Neuropaediatrics Understanding of neurological disorders inintrauterine life and childhood: ability toevaluate and manage neurological disordersin teenagers in liaison with paediatricneurologists

X X X X X

Neuropathology Ability to appropriately request pathologicalinvestigations and interpret pathology reports

X X X X X

Neuropsychiatry Ability to evaluate and interpret psychiatricsymptoms in and as presentations ofneurological disorders, psychiatric

consequences of neurological disease andneurological features in people withpsychiatric disorders

X X X X X

Neuropsychology Ability to utilise basic clinical tests of cognitivefunction, to understand the need to refer toand the role of the Clinical Neuropsychologistand to interpret reports.

X X X X X

Neuroradiology Ability to request and evaluateneuroradiological investigations and reports

X X X X X

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and liaise effectively with the neuroradiologist:

understand the role, risks & limitations ofcommon techniques

M M

Neurorehabilitation Ability to evaluate the requirement forrehabilitation in people with neurologicaldisorders in the context of a multidisciplinaryteam and make appropriate referrals

X X

M

X

M

X X

Neurosurgery Ability to evaluate the requirement forneurosurgical interventions in people withneurological disorders and to liaise effectivelywith the neurosurgeon

X X

M

X

M

X X

Uro-neurology Ability to evaluate, manage and or referpeople with disordered micturition and sexualfunction due to neurological disorder

X X X X X

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neurology assessment blueprint

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