Epilepsy Monitoring Unit (EMU)


The Epilepsy rotation combines outpatient EEG reading, epilepsy monitoring unit and outpatient clinic experiences in a 1-week block. This is a foundational experience with close daily interactions with the attending and other members of the team including inpatient hospital staff and EEG technicians. Daily EEG readings include routine studies and analysis of EMU patient data, which may include scalp or intracranial EEGs, integration with imaging data such as fMRI, PET or SPECT, and bedside mapping which when available will take precedence over other duties.  Fellows provide preliminary readings of most EEG studies and review all studies with the attending physicians. Fellow will be responsible for preparing presentation for the Friday epilepsy conference.

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  • The fellow will be able to recognize and provide appropriate treatment for various epilepsy syndromes as well as the treatment of status epilepticus.
  • The fellow will understand the basic principles of EEG from electrode placement, amplifiers, and digital signal processing.
  • The fellow will be able to determine common EEG artifact, benign variants, normal background patterns in awake, drowsy and sleep states.
  • The fellow will be diligent and thorough in hand-offs. The fellow will maintain a professional demeanor during all interpersonal communications.
  • The fellow will effectively communicate with treating providers about EEG findings and interpretation of these findings within a patient’s clinical context.
  • The fellow will be involved in improving the quality of the care of epilepsy patients and others with critical neurological illness through QI projects, scholarly activities, and/or participation in weekly multi-disciplinary EEG/epilepsy conferences which include peer-review and practice improvement.
  • The fellow will be professional in verbal communications and in timely reporting of EEG studies and notes.
  • The fellow recognizes that he/she is part of a treatment team and participates within the treatment group effectively. The treatment groups include neurology/neurocritical care, neuroradiology, neurosurgery, and EEG technologists.

Objectives and Evaluation Matrix


EMU Rotation Objectives

Upon completion of the curriculum, fellows will . . .

EPA #EPA DescriptionMilestones
1Interpret routine outpatient and inpatient EEG in adultsPC3, MK3
2Interpret continuous video inpatient EEGs, including providing assistance in the management of inpatients with seizure disorders including status epilepticusPC1, PC2, PC3, MK1, MK3, SP3
3Understand seizure semiology and electrographic localization of seizuresPC1, PC2, PC3, MK1, MK3
4Describe placement and interpretation of intracranial EEG monitoring in the work-up for epilepsy surgeryPC1, PC2, PC3, MK1, MK3
5Develop a treatment plan for patient admitted to the epilepsy monitoring unitPC1, PC2, PC3, MK1, MK4
6Demonstrate professionalism and  communicates  effectively with Neurophysiology Technologists, nurses, ordering providers and other team membersSP3, PR1, PR2, PR3, IC4, IC5
7Participate in family meetings regarding goals of care and help negotiate conflicts among family members and the treatment teamIC1, IC2, IC3



EMU (Epilepsy Monitoring Unit)Name of shift/clinic/conf.
Monday – AMVA Epilepsy Clinic
Monday – PMEMU Admissions, Inpatients, Outpatients, VA EEG
Tuesday – AMEMU Admissions, Inpatients, Outpatients, VA EEG
Tuesday – PMClinic
Wednesday – AMEMU Admissions, Inpatients, Outpatients, VA EEG
Wednesday – PMUW Epilepsy Continuity Clinic
Thursday – AMEMU Admissions, Inpatients, Outpatients, VA EEG
Thursday – PMClinic
Friday – AMEMU Admissions, Inpatients, Outpatients, VA EEG
Friday – PMEMU Admissions, Inpatients, Outpatients, VA EEG

Fellow will also be aiding with reports/rounding on EMU patients in the VA and at the UW.


Attend per conference requirements. Participate in weekly Epilepsy book club.

Work Hours

Standard work hours

Latest Revision: 04/20/2023, Smitha Holla, MD