Curriculum
We have a flexible curriculum. Fellows divide their time between interpreting inpatient long term video EEG, managing the inpatient epilepsy service, outpatient clinic, and elective time. Additionally, our curriculum incorporates structured fellow education through weekly lectures, workshops, journal clubs, and a reading curriculum.
Inpatient Experience
- Service time managing patients admitted to the epilepsy monitoring unit
- Review scalp and intracranial EEG data, write monitoring reports, and lead inpatient rounds for both the pediatric and adult epilepsy monitoring unit services
- 1 week blocks with one full day off on the weekend
- Fellow listed as first call for EEGs on the weekend
- Attending back-up available at all times
Typical day on service
- 8 a.m. – 9 a.m.: Round on the inpatient epilepsy service
- 9:30 a.m.: Review Video EEG results with the team
- Fellow runs all rounds and leads the team
- Neurology residents and Psychiatry interns also rotate on the service.
Video EEG Monitoring Experience
- Time dedicated to interpretation of continuous video-EEG monitoring
- 5-day blocks with the weekend off
- NeuroICU and off-service continuous EEG consultations
- Dedicated attendings on service at all times to teach and review the consult video EEGs
Outpatient Experience
- One-half day of continuity clinic per week
- Ability to work with core faculty in their specialty clinics throughout the year
- Fellow given priority for new patient referrals
- If the fellow does a clinical neurophysiology fellowship the year prior, this continuity clinic spans a two-year period.
- Rotations in outpatient epilepsy can be considered as electives
- Fellows are offered the ability to participate in adult and pediatric dietary therapy clinics, tumor-related epilepsy clinic, tuberous sclerosis clinic, and neuromodulation clinics (RNS, DBS, VNS)
Electives
Elective blocks (total of up to 4 over the course of the year) intersperse neurophysiology and inpatient blocks and include:
- Neurogenetics
- Neuroradiology
- Neurosurgery
- Neurocritical Care
- EEG (routine)
- Camp COAST/Camp EAGR (community engagement opportunity at a summer camp for persons with epilepsy)
Research Experience
To facilitate scholarly, mentored activity during fellowship, in their first month of training, fellows are paired with a faculty mentor
- To continue to further pursue ongoing research interests/activities
- To develop a research question/project, which is appropriate for conduct and completion within the fellowship framework
- To complete an evidence-based review of a relevant clinical topic of sufficient quality for publication in the peer-reviewed literature
Didactics and Conferences
Clinical Neurophysiology/Epilepsy “Bootcamp”
An 8-week series held on Friday afternoons in July and August combining lectures, video material, worksheets, and demonstrations aimed at learning the fundamentals of clinical neurophysiology for both clinical neurophysiology and epilepsy fellowships.
Clinical Neurophysiology and Epilepsy Friday Noon Conference
A weekly lecture series beginning in September to review advanced topics in clinical neurophysiology and epilepsy care for both fellows and faculty.
Patient Review Conference
This bimonthly multidisciplinary conference reviews the available data for patients who are candidates for epilepsy surgical resection. The team consists of the epileptologists, neurophysiologists, neuroradiologists, psychosocial team, and neurosurgeons.
Research In Progress Meeting
This monthly meeting is a sounding-board for the fellows and faculty to present their research proposals and receive feedback to optimize their projects.
Clinical Neurophysiology and Epilepsy Fellows Journal Club
Fellows present and discuss evolving topics in clinical neurophysiology and epilepsy to better inform our current practice at the University of Rochester