2024-2025 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. Student will participate in history, physical examination, and EEG interpretation of epilepsy patients.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP)

Fourth year medical student. 
Any prior neurology training is acceptable as a prerequisite.
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:
Kelli Miller
mille8k7@ucmail.uc.edu
513-558-7964
Stetson, 2369
SITE(S):
UCMC - Epilepsy
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 0
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 0
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
13 04/07/2025 - 05/02/2025 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:
You will receive an email with detailed information prior to start of elective

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Ambulatory
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Lecture
  • Patient Presentation--Learner
  • Peer Teaching
  • Problem-Based Learning (PBL)
  • Research
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
  • Team-Building
  • Ward Rounds
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.
TEACHING:
50% Attending Physician
30% Senior Resident
5% Other Faculty
15% Fellow Physician
FEEDBACK:
ASSESSMENT:
 The student is assessed based primarily on clinical performance with patient care and EEG knowledge. The student presents either an oral presentation on a relevant topic or a clinical or research project.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Oral Patient Presentation
Participation
Research or Project Assessment
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
 Selected reading from:

  1. Atlas of EEG, Seizure Semiology, and Management, Misulis, 2013
  2. Current Practice of Clinical Electroencephalography, Ebersole and Pedley, 2003   
  3. EEG Primer, Fisch and Spehlmann's 1999
  4. Other Resources: AAN Continuum: Epilepsy, Pediatric EEG-Videos, 
  5. Epilepsy Section videos, EEG in Epilepsy
Instructional Methods:
Primarily clinical experience, inpatient and outpatient
Knowledge/Skills:
  1. Develop an understanding of the epidemiology and etiology of epilepsy.
  2. Gain basic knowledge of the definition and basic treatment for status epilepticus.
  3. Develop skills to be able to form a differential diagnosis and management plan for patients with epilepsy or events that are non-epileptic.
  4. Address the ethical issues related to psychogenic non-epileptic events vs. epilepsy.
  5. Develop basic knowledge of mechanisms and side effects of epileptic medications.
  6. Be able to critically analyze and assess literature appropriate to epilepsy.
  7. Obtain basic EEG reading skills.
  8. Participate in the epilepsy monitoring unit and epilepsy clinic.
Main Course Topics :
 Epilepsy: Classification
    Etiology & Epidemiology
    Evaluation/Diagnostic Procedures - Invasive vs. Noninvasive
    Treatments: Medications used and Side Effects
    Ethical issues: Non-epileptic events
   Seizures:  Differentiate between epileptic seizures and non-epileptic events, psychogenic or otherwise
Procedures:
  1. Evaluate EEG's.
  2. Be familiar with video-EEG monitoring.
  3. Be familiar with pre-surgical evaluation and surgical evaluation.
  4. Be familiar with radiology diagnostic procedures.
  5. Be familiar with clinical approach to epilepsy, patient safety at home, and non-epileptic events.

Video Monitoring
EEG Records
Ambulatory EEG Monitoring
Remediation Plan:
 Self-directed assignments will be provided.

SAMPLE WEEK

Monday:
8:00AM 12:00PM EMU/EEG reading
12:00PM 1:00PM Lunch/Lecture
1:00PM 5:00PM Outpatient Clinic UCGNI or EMU/EEG reading
Tuesday:
8:00AM 12:00PM EMU/EEG reading/possible Wada
12:00PM 1:00PM Lunch/Lecture
1:00PM 5:00PM Outpatient Clinic UCGNI or EMU/EEG reading
Wednesday:
8:00AM 12:00PM EMU/EEG reading/possible Wada
12:00PM 1:00PM Lunch/Neurology Grand Rounds
1:00PM 5:00PM Outpatient Clinic UCGNI or EMU/EEG reading
Thursday:
7:30AM 9:00AM Epilepsy Surgery Conference
9:00AM 12:00PM EMU/EEG reading
12:00PM 1:00PM Lunch/Lecture
1:00PM 4:30PM Outpatient Clinic UCGNI or EMU/EEG reading
Friday:
8:00AM 12:00PM EMU/EEG reading
12:00PM 1:00PM Lunch/Lecture
1:00PM 4:00PM Outpatient Clinic UCGNI or EMU/EEG reading
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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