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Goals and Objectives for Neurophysiology (PGY-3)

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Description of rotation:

The neurophysiology rotation is the neurology resident’s chance to learn the theoretical and practical aspects of nerve conduction studies (NCS), electromyography (EMG) and electroencephalography (EEG) under the guidance of neurophysiologists and epileptologists.

Goals

  1. To teach the basic concepts necessary to interpret nerve conduction studies (NCS), electromyography (EMG), electroencephalography (EEG), and evoked potential reports.

  2. To provide an understanding of how to incorporate electrophysiologic and neurophysiologic studies into the workup and management of patients with neurologic complaints.

Objectives

The resident will:

  • Develop their history-taking and neurological examination skills in epilepsy patients by accompanying the precepting epileptologist to see consultations, inpatients on their service and outpatients (Patient Care)

  • Develop their history-taking and neurological examination skills in neuromuscular neurology by observing the neurophysiology fellow and precepting neuromuscular specialist while they see patients in consultation (Patient Care)

  • Learn the basic technical and clinical aspects of interpreting EEGs by reading outpatient routine, extended ambulatory, inpatient routine and inpatient extended EEGs with the precepting epileptologist (Medical Knowledge)

  • Learn the basic technical and clinical aspects of interpreting NCS/EMG by observing these tests performed by a technician, neurophysiology fellow and precepting neurophysiologist (Medical Knowledge)

  • Learn the basic technical and clinical aspects of interpreting evoked potentials (VEP, SEP, BAER) by observing these tests performed by a technician, neurophysiology fellow and precepting neurophysiologist (Medical Knowledge)

  • Use self-evaluation to guide self-directed learning in neurophysiology topics (Practice-Based Learning and Improvement)

  • Become aware of the legal and ethical complexities of caring for patients with seizures and epilepsy (Systems-Based Practice)