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Clinical Training
The educational curriculum is designed to provide intensive
exposure to all aspects of epilepsy and clinical neurophysiology,
with an emphasis on pediatric epilepsy. While on clinical rotations
at our pediatric hospital, you will work in conjunction with a clinical
neurophysiologist to interpret routine and video EEGs. You
will take an active role in the evaluation of potential candidates
for epilepsy surgery.
During your clinical training, you will see infants, children and
adolescents with:
- Intractable seizures
- Multiple medication failures
- Episodes of altered consciousness or behavior
The consultation and diagnosis will include:
- Confirmation of epileptic condition
- Determination of seizure type(s) so that appropriate
medications can be prescribed
- Determination of seizure focus for which a surgical
therapy might be offered
You will consider the uses, benefits and feasibility of:
Anticonvulsant Therapy
- Anticonvulsant medications
- Investigational therapies
- Traditional therapies
- Surgical interventions
- Lobectomy
- Focal cortical resection
- Hemispherectomy
- Corpus callosotomy
- Ketogenic diet
- Vagus nerve stimulator
Monitoring and Testing
- Continuous video-EEG monitoring with:
- 24-hour technical support
- Scalp electrodes
- Intracranial electrodes (subdural or
depth)
- Anatomical imaging
- Magnetic Resonance Imaging (MRI)
- Computed Tomography (CT)
- Functional Imaging
- Functional Magnetic Resonance Imaging
(MRI)
- Positron emission tomography (PET)
- Single photon emission computed tomography
(SPECT)
- Neuropsychological testing
- Somatosensory Evoked Potentials (SEP)
- Memory and speech localization (Wada)
- Functional cortical mapping
- Magnetic Source Imaging (MSI) somatosensory
mapping
- MSI epilepsy source localization
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 clinical neurophysiology programs.
You will have the opportunity to attend weekly conferences in epilepsy,
EEG, child and adolescent neurology and Neurosciences Grand Rounds.
Research Training
You will be required to complete at least two investigative
projects during your training. The type of research project you
select will depend on your professional interests and capabilities,
as well as the time available. Opportunities are available for collaborative
studies with other clinical and basic science sections at Mayo Clinic,
which may include:
- Clinical electrophysiology
- Epilepsy neuroepidemiology
- Epilepsy genetics
- Neuroinformatics
- Behavioral co-morbidity of childhood epilepsy
You will be encouraged to identify and begin your research projects
by the second month of training. Significant dedicated research
time is provided to facilitate completion of your study.
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.
Additional Training
To prepare for the Pediatric Epilepsy Fellowship, Mayo
Clinic in Rochester offers clinical neurophysiology and neurology
training programs.
Or, at the conclusion of the Pediatric Epilepsy Fellowship Program,
you may wish to continue your graduate medical education through
the Mayo Clinic College Medicine. The school offers advanced academic
degrees, including masters or doctorate.
If you pursue these advanced degrees, you will continue to receive
in-depth, daily, one-on-one training with a consultant. You also
will also have the opportunity to increase your own supervisory
and administrative skills. Contact the program director for more
information about these opportunities.
Also see: Education at
Mayo Clinic .
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