Clinics

Introduction

Outpatient Epilepsy and Neuromuscular Clinic time will be in accordance with the Fellow’s training emphasis and in consideration of other prior clinical background. Weekly Neuromuscular clinic is required for the EMG rotation weeks regardless of fellowship emphasis (80%, 50%, 20% EMG).

Half-day Epilepsy clinics may be waived depending on Fellow’s prior clinical background if emphasis on EEG-Epilepsy is 50% or less.

Goals

The goal of the clinics is for fellows to learn to provide longitudinal care to epilepsy patients.

Objectives and Evaluation Matrix

As with all of the individual rotations described in this section, the specific objectives of the continuity clinic are reflected in the entrustable professional activities and individual milestones. These form the basis for the fellow’s evaluation, which is completed by his or her clinic attending twice each year. (Please see the section End-of-Rotation Evaluations for the list of milestone abbreviations).

Schedule

These clinics alternate between the UW and VA, according to clinic space needs.

If a clinic must be cancelled for a vacation, professional conference, etc., then this must be requested at least 60 days in advance. This allows the department to review the request internally and still comply with the UW and VA hospitals’ policies, which require 45 days’ notice.

Latest Revision: 10/28/2022, Aaron Struck, MD

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Epilepsy Clinics Rotation Objectives

Epilepsy Clinics Rotation Objectives

Upon completion of the curriculum, fellows will . . .

EPA #EPA DescriptionMilestones
1Evaluate patients who have been diagnosed with epilepsy or have symptoms consistent with epilepsy, formulate their cases, and propose appropriate diagnostic and therapeutic plansPC1, PC2, PC3, MK1, MK3, SP3, SP4, PR1, IC1, IC3, IC5
2Appropriately order and interpret neuroimaging, EEG, and laboratory studiesPC3, MK3
3Counsel patients and their families regarding their diagnoses, prognoses, and treatment optionsPC1, PC2, PC3, MK1, MK3
4Clearly document and place orders in Health Link and follow up on the results of testsPC1, PC2, PC3, MK1, MK3

Neuromuscular Clinic

Neuromuscular Clinics Rotation Objectives

Upon completion of the curriculum, fellows will . . .

EPA #EPA DescriptionMilestones
1Evaluate patients who have been diagnosed with neuromuscular disease or have symptoms consistent with neuromuscular disease, formulate their cases, and propose appropriate diagnostic and therapeutic plansPC1, PC2, PC4,PC5, MK1, MK2, SP3, SP4, PR1, IC1, IC3, IC5
2Appropriately order and interpret neurophysiology and lab studies and muscle biopsy MK3
3Recognize basic pathologic abnormalities in muscle and nerve biopsiesPC1, PC2, PC3, MK1, MK3
4Counsel patients and their families regarding their diagnoses, prognoses, and treatment optionsPC1, PC2, PC3, MK1, MK3
5Clearly document and place orders in Health Link and follow up on the results of testsPR2, IC5
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