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Clerkship site: Harborview Medical Center
Preceptor: Shahin Hakimian, M.D.
Course description: Medical students will
receive an introduction into epilepsy and the use and interpretation
of the electroencephalogram and other clinical studies used
to assess it. Each student will be under the direct supervision
of several of the faculty epileptologists and clinical neurophysiologists.
Electroencephalography is particularly valuable in confirming
the diagnosis of and forming the basis for the classification
of the different types of human epilepsy. Expanded use of
the EEG includes electrocorticography, where direct recording
of the brain’s electrical activity is obtained at the
time of epilepsy surgery and helps to guide the removal of
abnormal brain tissues. EEG linked to video-audio systems
is the basis for long-term epilepsy monitoring, where clinical
and electrical events during a given seizure are correlated
for patient management and care. The results of long-term
epilepsy monitoring are frequently utilized to guide epilepsy
surgery.
This clerkship is also designed to give experience and training
in the evaluation and treatment of epileptic seizures and
other spells. Will include working one on one with Epilepsy
Center faculty in the outpatient setting, managing patients
during long video EEG monitoring, and attendance at Epilepsy
Center conferences and lectures. Experience in pediatric epilepsy
can be arranged as appropriate. Participation in research
can also be arranged on an individual basis as a separate
experience.
Goals and objectives:
- Acquire a familarity with the clinical role of EEG.
- Benchmark: Students will learn the
clinical indications for EEGs, and learn how the results
are applied in clinical decisions.
- Curriculum: One day will be spent under
the supervison of an EEG technologist observing how to
apply electrodes and run the recorder. Three afternoons
per week will be spent reviewing EEGs with the fellows
and attendings. A copy of the EEG chapter from Baker and
Baker Neurology (this is no longer copyrighted) will be
provided on the first day.
- Learn to take care of patients with epilepsy.
- Benchmark: Understand the different
causes and treatments for epilepsy. How does epilepsy
affect the daily lives of this population? .
- Curriculum: One half-day per week
will be spent in clinic seeing patients. Most of the experience
in clinic will be shadowing attendings. You will join
the inpatient team on daily morning rounds. A selection
of relevant textbooks will be available for borrowing.
- Epilepsy conference presentation.
- Benchmark: Each week the epilepsy
neurologists and neurosurgeons get together to discuss
patients. The student will understand the general reasons
to choose medical vs. surgical therapy.
- Curriculum: Present one patient at
epilepsy conference, and participate in case management
discussion. The specific case to be presented will be
selected by the inpatient epilepsy attending.
- Inpatient monitoring.
- Benchmark: Understand the reasons
for admitting patients for long-term monitoring.
- Curriculum: Join rounds every morning.
Admit and follow at least one patient at a time and write
daily progress notes.
Absentee policy: This clerkship can be taken
for 2 weeks or 4 weeks. For a 2-week clerkship, you are expected
to attend every day. In the event of an urgent situation necessitating
an absence, you must discuss this with your preceptor in advance,
if possible. For a 4-week clerkship, please see Absentee/Work
Hours Policies in menu at left.
Mini-CEX: No requirement.
Patient log: No requirement.
Pocket syllabus: None
Student evaluation: Discussed at site.
Course evaluations: Discussed at site.
Final exam: No requirement.
Grading policy: Discussed at site.
Contact information: See corresponding tab.
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