Neurology

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.

Download Syllabus (28 November 2023)
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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, stereotypic movements, tics 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

 

 

 

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