EEG/Epilepsy Track Details

Site Director LIJMC:     Sean T. Hwang, MD    

Description: 
The role of the fellow is progressively expanded over the course of the year. 

Initial clinical duties include rounds on the epilepsy inpatients, covering the epilepsy clinic and learning the basic concepts of reading and interpreting EEG.  As competency is assessed by direct observation, the training advances and the fellow begins to read studies independently and to formulate reports, with faculty review and constructive critique. 

Mastery of interpretation of the EEG is expected to be developed in the following areas: interictal and ictal patterns in all age groups including neonates through the elderly, diverse seizure types / epilepsy syndromes, non-epileptic attacks, patterns associated with diverse medical conditions including coma and brain death, and status epilepticus.  Appropriate literature in the form of established texts and journal articles are discussed, along with a formal lecture series.  Teaching responsibilities include the supervision of the neurology residents during their elective rotations through the EEG lab, and leading a weekly EEG review session. 

The fellow is expected to become involved with a greater degree of resident supervision, inpatient consultations, a higher volume of routine and continuous (elective and critical care based) EEG, evoked potential studies, sleep studies, IOM, conference preparation for operative planning for surgical epilepsy cases for refractory epilepsy, invasive electrode monitoring, electrocorticography, cortical electrical stimulation mapping and to participate in decision-making for surgical resection. 

The fellow is expected to gain some familiarity with commonly utilized studies such as neuropsychological testing, Wada tests, and functional imaging with PET and SPECT studies.  The fellow is asked to participate in critical review of the literature, and to select an independent research project and quality control initiative of their choosing. 

Duties and responsibilities are allocated progressively pending assessment of the fellow's degree of competency, based on review of reports, presentation and formulation of clinical plans for cases on daily clinical rounds, a yearly clinical examination evaluation, and on formal quarterly reviews.  The fellows are expected to take the in-service examinations, sponsored by ACNS and AANEM for self evaluation.