2017-2018 M3/M4 Course Syllabi
Neurology
COURSE NUMBER:
10 01 16
TITLE:
EPILEPSY
The student will learn to evaluate and treat patients with epilepsy as well as become familiar with the various diagnostic techniques available. A short clinical review paper will be written during the rotation.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP)

Fourth year medical student.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4 wks
DIRECTOR:
Heather McKee, MD

(513)558-4076
STETSON, 2342
ADMINISTRATIVE SUPPORT PERSON:
Christine Gates
chris.gates@uc.edu
513-558-5440
Stetson, 2354
INSTRUCTOR:
Roy McKay, PHD
SITE(S):
University Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/03/2017 - 07/28/2017 1
2 07/31/2017 - 08/25/2017 1
3 08/28/2017 - 09/22/2017 1
4 09/25/2017 - 10/20/2017 1
5 10/23/2017 - 11/17/2017 1
6 11/27/2017 - 12/22/2017 1
7 01/02/2018 - 01/26/2018 1
8 01/29/2018 - 02/23/2018 1
9 02/26/2018 - 03/23/2018 1
10 03/26/2018 - 04/20/2018 1
11 04/23/2018 - 05/18/2018 1
12 05/21/2018 - 06/22/2018 0

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
University Hospital Epilepsy Monitoring Unit 9:00 a.m.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Observe surgical diagnostic tests
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Chris Gates - Administrative Support
TEACHING:
60% Attending Physician
20% Senior Resident
20% Other Faculty
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
40% Clinical work performance evaluations
25% Attitude, e.g., professionalism, motivation etc
35% complete a clinical review paper; neurosurgical procedures; video monitoring, EEG evaluation
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :
  1. Interact in a professional and courteous manner with patients.
  2. Interact professionally with staff and be an integral part of the epilepsy team.
  3. Show interest, initiative and self-motivation in learning.
Curricular Resources :

 Selected reading from:

Atlas of EEG, Seizure Semiology, and Management, Misulis, 2013

Current Practice of Clinical Electroencephalography, Ebersole and Pedley, 2003   

EEG Primer, Fisch and Spehlmann's 1999

Other Resources: AAN Continuum:Epilepsy, Pediatric EEG-Videos, 

Epilepsy Section videos, EEG in Epilepsy 


Knowledge/Skills:
  1. Discuss the epidemiology and etiology of epilepsy.
  2. Know the treatment for status epilepticus.
  3. Be able to give a differential diagnosis and management plan for patients with epilepsy.
  4. Address the ethical issues related to pseudo seizures vs. epilepsy and pregnancy with epilepsy.
  5. Be knowledgeable about mechanisms and side effects of epileptic medications.
  6. Be able to critically analyze and assess literature appropriate to epilepsy.
Main Course Topics :
 Epilepsy: Classification
    Etiology & Epidemiology
    Evaluation/Diagnostic Procedures - Invasive vs. Noninvasive
    Treatment
    Medication: Side effects
    Mechanisms
  Ethical issues: Pseudo seizures; Pregnancy
  Seizures:  Differentiate between Epilepsy, Seizures and Pseudo seizures
    Medication:  Side effects
    Mechanisms
Objectives:

Other Resources - Audiovisuals:
   Epilepsy Section Videos
   EEG in Epilepsy
Other Resources - Computer resources:
   Economics of epilepsy (computer program)
   Perspectives on Epilepsy (computer program)
Other Resources - Other :
   Video Monitoring
   EEG Records
   Ambulatory EEG Monitoring
Procedures:
  1. Evaluate EEG's.
  2. Be familiar with video-EEG monitoring.
  3. Be familiar with pre surgical evaluation.
  4. Be familiar with radiology diagnostic procedures.
  5. Be familiar with clinical approach to epilepsy and patient safety at home.

SAMPLE WEEK

Monday:
8:00AM 10:00AM Outpatient Aring Neurology Clinic in MAB
10:00AM 12:00PM Outpatient Aring Neurology Clinic in MAB
12:00PM 1:00PM Lunch
1:00PM 3:00PM EEG/reading/Video/EEG EMU Rounds
3:00PM 5:00PM EEG/reading/Video/EEG EMU Rounds
Tuesday:
8:00AM 8:30AM EMU/possible Wada
8:30AM 11:00AM EMU/possible Wada
11:00AM 12:30PM Lunch
1:00PM 5:00PM EEG/reading/Video/EEG EMU Rounds
Wednesday:
8:00AM 9:00AM Grand Rounds
9:00AM 10:00AM Lecture
10:00AM 12:00PM Outpatient Aring Neurology Clinic in MAB
12:00PM 1:00PM Lunch
1:00PM 5:00PM EEG/reading/Video/EEG EMU Rounds
Thursday:
8:00AM 9:30AM Epilepsy Conference
9:30AM 12:00PM Outpatient Aring Neurology Clinic in MAB
12:00PM 1:00PM Lunch
1:00PM 5:00PM EEG/reading/Video/EEG EMU Rounds
Friday:
8:00AM 11:00AM Video/EEG EMU Rounds
11:00AM 12:30PM Lunch
12:30PM 5:00PM Reading/Research Procedures/Surgery
SCHEDULE NOTE:

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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