DEPARTMENT OF NEUROLOGY
University of Wisconsin School of Medicine and Public Health

Long-Term Monitoring (LTM)

Introduction

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 inpatient bedside and continuous EEG studies at both UW Hospital and Meriter Hospital (low volume). Meriter readings are performed at the UH. Fellows are not physically at the Meriter facility. Fellows provide preliminary readings of most EEG studies and review all studies with the attending physicians (synchronous and asynchronous review). They will also help guide any residents that are on the rotation.

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Goals

  • The fellow will be able to recognize and provide appropriate treatment recommendations 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

 

LTM Rotation Objectives

Upon completion of the curriculum, fellows will . . .
# Description Milestones
1 Interpret routine inpatient EEG in adults PC3, MK3
2 Interpret continuous video inpatient EEGs, including aiding in the management of inpatients with seizure disorders including status epilepticus PC1, PC2, PC3, MK1, MK3, SP3
3 Understand seizure semiology and electrographic localization of seizures PC1, PC2, PC3, MK1, MK3
4 Demonstrate professionalism and communicate effectively with Neurophysiology Technologists, nurses, ordering providers and other team members SP3, PR1, PR2, PR3, IC4, IC5
Additional Milestones
PC7, PC9, SP4, PR1, PR2, PR3, IC2

Schedule: EEG / EMG Track

Approximately 13 weeks

LTM (Long-Term Monitoring) Name of shift/clinic/conf.
Monday – AM Reading inpatient UH EEG
Monday – PM Reading inpatient UH EEG
Tuesday – AM Reading inpatient UH EEG
Tuesday – PM EMG Clinic
Wednesday – AM Reading inpatient UH EEG
Wednesday – PM Reading inpatient UH EEG
Thursday – AM Reading inpatient UH EEG
Thursday – PM Reading inpatient UH EEG
Friday – AM Reading inpatient UH EEG
Friday – PM Reading inpatient UH EEG

 

Schedule: EEG / IOM Track

Approximately 13 weeks

LTM (Long-Term Monitoring) Name of shift/clinic/conf.
Monday – AM Reading inpatient UH EEG
Monday – PM Reading inpatient UH EEG
Tuesday – AM Reading inpatient UH EEG
Tuesday – PM  Reading inpatient UH EEG
Wednesday – AM Reading inpatient UH EEG
Wednesday – PM UH Epilepsy Clinic
Thursday – AM Reading inpatient UH EEG
Thursday – PM Reading inpatient UH EEG
Friday – AM Reading inpatient UH EEG
Friday – PM Reading inpatient UH EEG

 

Conferences

Attend per conference requirements. Participate in Epilepsy book club.

Work Hours

Standard work hours

Suggested References

Cascino, G. D., Sirven, J. I., & Tatum, W. O. (2021). Epilepsy, (2nd ed.). Wiley.

Husain, A. M. (2023). Current practice of clinical electroencephalography (5th ed.). Lippincott Williams & Wilkins.

Additional books and journal articles are available in the fellowship Box folder.

Latest Revision: 12/26/2025, Smitha Holla, MD