PEDIATRIC EPILEPSY FELLOWSHIP CURRICULUM
The Epilepsy Fellowship Program is a 1-year program that includes inpatient and outpatient experience in the following areas:
- Clinical epilepsy
- Related Disorders
- Work up and treatments
- EEG
- Routine
- Inpatient and Outpatient
- Ambulatory
- Inpatient video-EEG monitoring,
- ICU
- Intracranial EEG monitoring
- Presurgical evaluation of epilepsy
- Peripheral and central neurostimulatory devices,
- Exposure to imaging modalities
- CT scan
- MRI
- PET
- ictal SPECT
- fMRI
- Neuropsychological testing
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Pediatric Epilepsy Fellows will be expected to participate in the epilepsy clinics, reading EEG/ICU EEGs, EMU/LTM, and ICEEGs as well as presenting patients regularly in the weekly surgical epilepsy conference.
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Epilepsy clinic occurs one to two half days per week and is attended by a pediatric epileptologists.
During the clinic experience, fellows are required to have completed the following duties:
- See both new patients and returning patients
- Fully evaluate patients to formulate a diagnosis of the paroxysmal disorder, come up with a diagnostic evaluation and treatment plan, and each patient will be staffed
- Complete outpatient clinic notes
- Follow-up with diagnosing testing results
- Respond to patient phone calls as directed by the MAs to them
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The PCH outpatient EEG laboratory is on 3rd floor of Eccles building and will have a rotating reading schedule (weekly attending reader) that will be updated on a quarterly basis throughout the year. Everyday there will be one EEG attending on duty for non-urgent EEGs. The fellow is expected to read all the routine and non-urgent 24-hour overnight EEGs during the time that is allocated to the EEG reading time.
During the EEG laboratory experiences fellows are required to have completed the following
duties:- Observe EEGs with technicians
- Perform EEG electrode application with supervision by technicians
- Observe two Wada tests and two TMS (transcranial magnetic stimulation) sessions
- Pre-read neonatal and pediatrics EEGs (outpatient, PSG/EEG combos, RTU EEGs),ambulatory EEGs, and prepare a report
- Pre-read EEG –part of all Wada tests and prepare a report
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There are 9 portable units, and 2 intracranial units can be requested by other units in the PCH (including Infant Medical/Surgical unit, Children’s Medical Unit, Children’s Surgical Unit, NeuroTrauma Unit, Rapid Treatment Unit, Pediatric ICU, Neonatal ICU or Cancer/Transplant Unit) for inpatient video-EEG monitoring.
During ICU EEG experience fellows are required to have completed the following duties:
- Pre-read pediatrics and neonatal ICU-EEGs, and prepare a reports
- Interact with the ICU and inpatient neurology team
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The Epilepsy Monitoring Unit (EMU) is located in the Pod D of NeuroTrauma Unit (NTU) in PCH. It has 4 rooms that are designated for Epilepsy Monitoring.
During the EMU rotation fellows are required to have completed the following duties:
- Pre-read all scalp video-EEGs and make a reports
- Become familiar and gain expertise in different electro-clinical syndromes by interacting with patients and become familiar and gain expertise in Antiepileptic medication usage by adjusting patients daily AEDs
- Interact with the neurology residents about the changes in patient’s antiepileptic medication regimen and plan
- Pre-read all invasive intracranial EEGs and prepare a report5.Interact with the neurosurgery/PICU/NICU residents about the changes in patient’s antiepileptic medication regimen and plan
- Participate in decision to implant the location of intracranial electrode location and making the montage
- Participate in bed site cortical mapping/presurgical localization of eloquent cortex and prepare report
- Participate in bedside extra operative motor mapping using Transcranial Magnetic Stimulation
- Participate in intraoperative speech and motor mapping and central sulcus identification
- Participate in intraoperative electrocorticography and spike hunting
- Participate in determination of the area to be resected and be present in the OR during critical parts of resection
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CONFERENCE
FREQUENCY
WEEKDAY
TIME
*Pediatric Neurology Ground Rounds Weekly
Wednesday
12:00-1:00 PM
Pediatric Neurology Division Meeting Monthly
Wednesday
10:15-11:30 AM
*Pediatric Epilepsy Management Conference Weekly
Monday
8:30 AM - 10:00 AM
*EEG Review Conference Weekly
Thursday
12:00-1:00pm
Pediatric Grand Rounds Weekly (Sept-May)
Thursday
08:00-09:00 AM
Pediatric Research In Progress Weekly (Sept-April)
Friday
12:00-1:00 PM
Resident-led Pediatric Morbidity and Mortality Conference Weekly
Tuesday
12:00-1:00 PM
John Carey Foundations Series (JCFS) Weekly (Sept-June)
Thursday
12:00-1:00 PM
*Safety & QI Activities VARIES
*Clinical Neurophysiology / Epilepsy Fellow Lecture Weekly
Fridays
12:00-1:00 PM
Epilepsy Pipeline Monthly
Mondays
10:30-11:30 AM
Epilepsy Surgical Case Conference Bi-Monthly
Mondays
9:30 - 10:30 AM
*Epilepsy Journal Club Monthly
Thursday
12:00 -1:00 PM
Neurology Grand Rounds Weekly
Wednesday
9:00 -10:00 AM
American Academy of Neurology (AAN) Meeting Annual (April)
American Epilepsy Society (AES) Meeting Annual (December)
Epilepsy Symposium Annual (March)
Child Neurology Society (CNS) Meeting Annual (October)
*Mandatory for Pediatric Epilepsy Fellows