Throughout the fellowship, you will alternate between rotations in the EEG laboratory and epilepsy inpatient and outpatient services.
A basic knowledge of EEG provided by a previous one year clinical neurophysiology or EEG fellowship is preferred. EEG experience is included in your training. 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.
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 presurgical and intraoperative electrocorticography studies.
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
- 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.
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 multidisciplinary epilepsy surgery conference. In addition, a patient problem-oriented Journal Club for epilepsy and EEG meets on alternate months.
You also can attend other weekly seminars and conferences in neurology, neuropathology and pediatric neurology.
Opportunities for teaching and research also are available.
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.