Introduction and Goals
The goal of this advanced EEG rotation is for the senior resident to enhance his or her skills in reading not only routine studies, but also continuous monitoring studies and scalp and intracranial EEGs. The resident will integrate EEG findings with imaging data such as fMRI, PET, SPECT, and bedside mapping. Residents will offer preliminary readings of most EEG studies, and review all studies with the attending physician.
Objectives and Evaluation Matrix
As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation.
| Rotation Objectives | ||
| Upon completion of the curriculum, residents will . . . | ||
| # | Description | Milestones |
| 1 | Interpret routine outpatient and inpatient EEGs | PC9, MK1, MK2 |
| 2 | Interpret inpatient continuous EEGs | PC5, PC6, PC9, MK1, MK2 |
| 3 | Describe placement and interpretation of intracranial EEG monitoring in the evaluation for epilepsy surgery | PC3, PC4, PC9, MK1, MK2 |
| 4 | Interpret EMU continuous video EEG studies, including understanding seizure semiology and electrographic localization of seizures. | PC3, PC5, PC9, MK1, MK2 |
| 5 | Demonstrate professionalism and proficiency communication with Neurophysiology Technologists and ordering providers. | PC10 |
Schedule and Work Hours
At the start of rotation, please coordinate with the attending and EMU staff for the day on which cases to follow.
Attend Epilepsy Conference Friday 8:30-9:30 am.
Optional but recommended: Pediatric Epilepsy Conference in AFCH 7th floor Thursday 12-1 pm.
Suggested References
Atlas of EEG in Critical Care, Hirsch and Brenner. 2010. Review Chapters 2 (encephalopathy) and 4 (periodic patterns) in particular.
Current Practice of Clinical Electroencephalography, 4th Ed. Ebersole, et al. Review chapters 13, 14, and 17 for intracranial monitoring and cEEG in the ICU.
In addition, a selection of pertinent textbook readings can be coordinated with the attending physician on each day of the rotation.
Latest revision: 05-14-2021
