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Sinai Epilepsy Monitoring Unit (EMU)

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Epilepsy Survival Guide

Resident/Fellow EMU Survival Guide

Abbreviated Resident Guide

Location

EEG Laboratories

Location: Annenberg 2nd floor Neurophysiology

Time: Every day 8am – 4pm.

Fellows and residents are encouraged to watch the EEG technologists perform at least 2-3 hookups early on and then do your own measurements/electrode placements on 1-2 patients early in your training (July). Residents rotating through the epilepsy service are encouraged to spend one PM session in the EEG laboratory to observe EEG placements.

Daily Workflow

7-8AM: Arrive by 7AM and begin pre-rounding on patients admitted to the EMU and any active epilepsy consults.

8-9AM: Attend morning report (attendance is mandatory).

9-10AM: Participate in interdisciplinary team rounds (IDT rounds) in 8W conference room. Read at least one long-term monitoring study and draft an EEG report.

10-11AM: EEG rounds with epilepsy fellow and attending, where patients will be discussed, EEGs will be reviewed, and EEG reports will be reviewed, revised, and signed.

11AM-12PM: Bedside rounds with epilepsy fellow and attending.

12-1PM: Attend noon conference (attendance is mandatory).

1-5PM: Follow-up on clinical work, finish progress notes, and follow-up on long-term monitoring studies or read new routine EEG studies. New epilepsy consults or new admissions should be seen and staffed with the epilepsy fellow/attending. Update sign-out templates in anticipation for sign-out to the short call resident at 5PM.

Educational Conferences

Epilepsy Surgery Conference: Wednesday 4-5:30PM

Teaching Rounds: Wednesday 1-2PM, 1st week - ICU EEG, 2nd week - faculty lecture series, 3rd week - interesting EEGs, 4th week - fellow's journal club

Resident EEG Noon Conference: Friday 12-1PM, biweekly during 2nd week of the block