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Department of Neurology

 

Milestone 7: Cognitive/Behavioral Disorders — Patient Care

 

Specifics about each Level and each Item:  What you do you need to know:
 

Level 2

Identifies common cognitive/behavioral disorders      

Aphasias (expressive, receptive, conduction, global)

Delirium (aka Acute confusional state  or Metabolic Encephalopathy)

Dementia

Apraxia

Agnosia

Hemi-neglect

Mental Retardation/Developmental delay

Psychogenic disorders and malingering

Can properly do the following to identify common cognitive/behavioral disorders:

Administers screening mental status exam (MMSE)

Administers screening mental status exam (MOCA)

Performs screening aphasia testing (naming, fluency, repetition, comprehension)

Correlates focal lesions with behavioral symptoms clinically

Correlates focal lesions with symptoms with neuroimaging


Level 3

Diagnoses and manages common cognitive/behavioral disorders, including cognitive effects of traumatic brain injury

Same disorders in Level 2 with the addition acute and chronic traumatic brain injuries

Manages behavioral complications of cognitive/behavioral disorders

Impairments in sleep-wake cycle

Paranoia

Wandering

Agitation

Use of community resources for Aphasia, Visual disturbances, etc.

Depression, Fatigue and Apathy

Appropriately refers for neuropsychological testing in evaluating patients with cognitive/behavioral disorders


Level 4 

• Diagnoses and manages UNCOMMON cognitive/behavioral disorders

Prion disorders

Frontotemporal dementia and its variants (behavioral variant, primary progressive aphasias, Progressive Supranuclear Palsy, Corticobasal degeneration)

Wilson's disease

Dementia with Lewy Bodies/Parkinson's disease dementia

Cognition in ALS

Utilization behavior

Cognitive complications of Psychiatric disorders

Psychiatric aspects of Neurological Disorders

Down Syndrome associated Alzheimer's disease

Adult Attention deficit hyperactivity disorder

Tourette's syndrome and Obsessive compulsive disorder

Posterior cortical atrophy

Multi-infarct dementia including CADASIL

Cognitive outcomes in Coma

Normal Pressure Hydrocephalus

Cognitive complications of systemic disorders: Endocrine, Rheumatological, Cardiac

Cognitive aspects of epilepsy

Childhood Attention Deficit Hyperactivity disorder

Direct and indirect effects of Neoplasms on cognition and behavior

Cognitive effects of Multiple sclerosis and central demyelinating disease


Resources for each Level:

Level 2 Resources:

Core competency lecture: Mental status testing

Inpatient services

Behavioral Neurology Lecture Series

Grand Rounds Core competency lecture: Mental status testing

Core competency lecture: Mental status testing

Outpatient clinics

Self-reading

Neuroradiology cases


Level 3 Resources:

Neuroscience course

Behavioral Neurology course


Level 4 Resources