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The curriculum is flexible, and any of these areas may be emphasized,
depending on your individual interests and needs.
Clinical Training
Throughout the fellowship, you will alternate between rotations
in the EEG laboratory and epilepsy services.
EEG Rotations
A basic knowledge of EEG provided by a previous one year clinical
neurophysiology or EEG fellowship is assumed. During the time spent
in the EEG lab, you will interpret a large number of EEG records
from adults and children with epilepsy and other disorders. You
will be given increasingly independent responsibility to oversee
complex problems, take emergency call, oversee and perform prolonged
EEG and surgical monitoring, teach new residents, and present lectures
and seminars.
There is a strong emphasis on EEG of seizure disorders. You will
be exposed to a variety of seizure problems, the monitoring techniques
used to evaluate patients with seizure disorders (including prolonged
monitoring and ambulatory monitoring), and techniques used for recording
during surgery.
Epilepsy Rotations
During the time spent on the epilepsy service, you will care
for patients on the inpatient epilepsy monitoring service, and see
patients in the epilepsy outpatient clinic and the hospital epilepsy
consulting service.
The schedule of clinical activities is designed to achieve a balance
between outpatient and inpatient care, and to ensure that you have
experience with different aspects of epilepsy care. You will work
with both adult and pediatric patients, and will be involved with
drug therapy and/or surgical treatment for new-onset seizures or
for refractory epilepsy. You also will participate in:
- Amytal testing
- Drug trials
- Intraoperative monitoring
- Video EEG recordings
The rotations are designed so you will have gradually increasing
responsibilities in these areas. By the end of your fellowship,
you should be able to perform these activities independently.
Didactic Training
Clinical conferences, lectures, lecture-demonstrations, seminars,
small discussion groups, and one-on-one instruction are all an integral
part of Mayo Clinic's fellowship programs. You will have the opportunity
to attend conferences in the EEG laboratory and a weekly epilepsy
surgery conference.
Opportunities for teaching and research also are available.
Research Training
You are encouraged to complete at least one investigative
project during your training. The type of research project you select
will depend on your interests and capabilities and the time available
in your program. Opportunities are available for collaborative studies
with other clinical and basic science sections at Mayo Clinic.
Epilepsy research is conducted at all three Mayo Clinic sites.
Mayo Clinic research led to significant developments in MRI techniques
that are now used widely in the selection of patients for epilepsy
surgery.
When you complete your research, you will be expected to present
it at a scientific meeting or prepare it for publication in a scientific
journal. This experience teaches you how to comprehend and critically
evaluate other reported investigations and gain insight into the
conduct and principles of research.
Also see:
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