A module which covers a range of brain disorders which are common in adults but which are not otherwise covered in the course. The aim of the module is to equip clinicians with the skills to integrate neurological and psychiatric thinking in the diagnosis and management of these conditions. Conditions covered in this module include Parkinson disease and other movement disorders, multiple sclerosis, delirium, and sleep disorders. The 3-day block of the module covers the most common clinical presentations of functional (non-organic) neurological symptoms, ranging from psychogenic movement disorders to non-epileptic attacks. The diagnosis of somatoform disorders is explained with focus on the role of clinical examination and neuropsychiatric investigation in assisting the differential diagnosis between dissociation, factitious and malingering. Possible underlying mechanisms are explained and available management options are presented according to evidence levels.
Learning Outcomes
By the end of the module students should be able to:
Demonstrate an understanding of the neurobiology of abnormal mental states in common neurological disorders so that they can apply this knowledge to improve patient outcomes. Identify the different presentations of functional neurological symptoms, including psychogenic movement disorders and non-epileptic attack disorder;
Develop a structure for assessment and management of people who have these disorders which reflects a critical understanding of the literature and well-developed clinical reasoning. Understand the differential diagnosis between somatoform disorders, dissociative disorders, factitious disorders and malingering;
Work with both neurological and psychiatric ideas to develop an integrated model of these disorders leading to an enhancement of clinical practice. Understand the methods of investigation and diagnosis, as well as the management options available to patients with somatoform disorders, and apply them to clinical practice;
Provide a critique and synthesis of the existing scientific literature and apply this to practice. Critically appraise the scientific literature on the clinical and research aspects of functional neurological symptoms.
Assessment
33104-01 : One 1500 word essay : Coursework (50%)
33104-02 : Exam-MCQs - 20 questions in 1 hour : Exam (School Arranged) - MCQ (Multiple Choice Questions) (50%)
Assessment Methods & Exceptions
One 1500 word essay (50%); Exam-MCQs - 20 questions in 1 hour (50%)
However, due COVID 19, if circumstances require it (second semester), change modality of assessment from examination (MCQs) to online assignment (1500 words plus tables)
Students who fail to reach the module pass mark of 50% will be required to resit any failed component
