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Note that the differences (in
red) between Levels 2, 3 and 4 are very subtle:
LEVEL 2
• Obtains a complete and relevant neurologic history
LEVEL 3
• Obtains a complete, relevant, and
organized
neurologic history
LEVEL 4
• Efficiently
obtains a complete, relevant, and organized neurologic
history
Every patient to see, you perform and document the
neurological history. To satisfy level II, you need to
elicit the chief complaint, the history of present
illness, past medical history, social history, and the
review of system. You can easily meet this requirement
by successfully passing the PGY2 chart reviews as well
as being observed performing the neurological history as
part of the clinical skills examinations. During PGY2,
you need to perform both the Ambulatory and the Critical
Care examinations.
For level III, your neurologic history must be
organized. You can satisfy this requirement from
feedback from your attendings in the clinic or on
service who will be reviewing your neurologic history as
part of your notes which they will be signing. In
addition by using the templates available on the
electronic medical records will allow for better
organization of your notes.
your neurologic history must be performed
efficiently. What is his main? a detailed neurological
history in any patient within 30 minutes and ideally
within 15-30 minutes. When assessing the patient for a
brain attack, you need to obtain the relevant history
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