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). Fellows provide preliminary readings of most EEG studies and review all studies with the attending physicians. 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 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 . . .

EPA# 

New EPA Description

 

Milestones

 

1Interpret routine inpatient EEG in adultsPC3, MK3
2Interpret continuous video inpatient EEGs, including aiding 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
4Demonstrate professionalism and communicate effectively with Neurophysiology Technologists, nurses, ordering providers and other team membersSP3, PR1, PR2, PR3, IC4, IC5
Additional Milestones

PC7, SP4, PR1, PR2, PR3, IC2

Adult Epilepsy Fellow Schedule

LTM (Long-Term Monitoring)Name of shift/clinic/conf.
Monday – AMVA Epilepsy Clinic
Monday – PMReading inpatient + outpatient UW EEG
Tuesday – AMReading inpatient + outpatient UW EEG
Tuesday – PMReading inpatient + outpatient UW EEG
Wednesday – AMReading inpatient + outpatient UW EEG
Wednesday – PMUW Epilepsy Clinic
Thursday – AMReading inpatient + outpatient UW EEG
Thursday – PMReading inpatient + outpatient UW EEG
Friday – AMReading inpatient + outpatient UW EEG
Friday – PMReading inpatient + outpatient UW EEG

Pediatric Epilepsy Fellow Schedule

LTM (Long-Term Monitoring)Name of shift/clinic/conf.
Monday – AMReading inpatient UH EEG
Monday – PMReading inpatient UH EEG
 
Tuesday – AMReading inpatient UH EEG
Tuesday – PMReading inpatient UH EEG
Wednesday – AMReading inpatient UH EEG
Wednesday – PMContinuity
Thursday – AMReading inpatient UH EEG
Thursday – PMReading inpatient UH EEG
Friday – AMReading inpatient UH EEG
Friday – PMReading inpatient UH EEG

Conferences

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

Work Hours

standard

Latest revision: 06/10/2024, Aaron Struck, MD and Andrew Knox, MD