Neurology

Mother and Daughter
Draft proposed by Dr SP Wu, Dr Sophelia Chan
Reviewed by Dr Eric KW Lee

Essential Skills

Domain 1 Professional Values & Behaviour

Domain 2 Communication

Domain 3 Procedural Skills

Domain 4 Patient Management

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises

Basic Training

Febrile convulsions

Definition of febrile convulsions

Differentiation of typical and atypical febrile convulsions

Acute management of seizures

Parental Counselling

Prognosis

Epilepsy

Definition of epilepsy

Common manifestation of epilepsy

Causes of epilepsy

Performing basic investigations for seizures

Use of common anti-epileptic medications

Status epilepticus (SE)

Recognition of the emergency condition

Life support during seizures

Protocol of SE management

Cerebral palsy (CP)

Common causes

Common manifestations

Classification of CP

Common co-morbidities

Abnormal anatomy of head and brain

Presentation and management of neural tube defects

Normal and abnormal variation in head shape and sizes

CNS infections – Meningitis and encephalitis

(Check with PIAID)

Common presentations and signs

Acute management

Headache

Common causes

Migraine and tension type headache – presentation and management

Features of raised Intracranial pressure and red flags for underlying causes of headache

CNS tumours

Common presentation of posterior fossa tumours

Differentiation from other causes of acute ataxia

Acute encephalopathy

Features of acute encephalopathy

Common causes of altered consciousness

Acute management of acute encephalopathy

Neuromuscular diseases

 Common features, early recognition and Diagnostic approach of

Duchenne muscular dystrophy

Spinal muscular atrophy

Myasthenia gravis

Guillain-Barre syndrome

Head injury

Initial and urgent management of head injury

Developmental delay

Assess different development domains and recognize delayed development

Initiate investigation of underlying causes

Advise on initial management.

Understand the diagnostic criteria for autistic spectrum disorder and attention deficit-hyperactivity disorder

Common Movement disorders

Recognize ataxia, choreoathetosis, tremor, jitteriness and dystonia

 

 

Desirable skills 

1.  Fundoscopic examination

2.  Judicious and rational application of neuroimaging studies

3.  Tool for developmental assessment – Check with DBP

4.  Using diagnostic tools of autism

Higher Training

Epilepsy

Common epileptic syndromes

The possible drug interactions of anti-seizure medicines

The common mimickers of epilepsy

Cerebral palsy (CP)

 Management of spasticity and the comorbidities of cerebral palsy

Multidisciplinary management of cerebral palsy

The role of Special education

Abnormal anatomy of the nervous system

Presentation and management of:

Lissencephaly

Schizencephaly

Arnold-Chiari malformations

Immune-mediated conditions affecting the nervous system

Common presentations, signs and acute management of

Transverse myelitis

Acute disseminated encephalomyelitis

Acute necrotizing encephalitis

Autoimmune encephalitis

Acute flaccid paralysis

Common causes and their management

Surveillance programme for the eradication of wild-type poliomyelitis

Neuromuscular diseases

Rational approach to investigation of hypotonia and paralysis

Variants of SMA and dystrophinopathies

Multidisciplinary management

Disease modifying treatment of SMA and DMD

Functional neurological disorders

Understand the features of functional neurological disorders, pseudoseizures, unexplained weakness and other neurological conditions that do not have an explanation

Metabolic conditions affecting the nervous system

Common neurological manifestation of electrolyte and glucose disturbances

Common inheritable metabolic conditions with neurological signs or symptoms

 

Altered consciousness

The rational approach to formulate differential diagnosis of altered consciousness.

Brain death

The principle of diagnosing brain death and the process of brain death certification

Developmental delay

Know the support and services a child can receive from the local community, including government and non-government resources

 

Desirable skills 

1. Parental counseling skills

2. Understand the Gross motor classification system

3. Understand the international classification of function, WHO

4. Diagnosis of brain death