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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 .

  • ART940259