- Fellows rotate through the Pediatric Epilepsy Monitoring Unit, Long term EEG monitoring/ICU monitoring service and one month adult neurophysiology. They will have their own half day supervised continuity epilepsy clinic once a week. Fellows will have opportunity to pursue a variety of electives from sleep medicine to Intra Operative Neuro Monitoring.
- Pediatric EMU (epilepsy monitoring unit) rotation: the fellow is involved in the clinical care of epilepsy patients admitted for various reasons, including long-term video EEG monitoring for characterization of clinical seizures/events, both noninvasive (phase 1) and invasive pre-surgical (phase 2) evaluations, and admissions for seizure exacerbations. The fellow interprets all inpatient long-term monitoring studies from EMU with an attending epileptologist. The fellow also accompanies the surgical epileptologist to the operating room for intraoperative electrocorticography (ECOG), placement of intracranial electrodes (SEEG), or for resective epilepsy surgeries with post resection ECOG. They will have exposure to the WADA testing and assist in extra-operative functional brain mapping. The fellows will have the opportunity to learn advanced techniques in image post-processing which includes various MRI modalities (T1, DIR/FLAIR/T2, DTI fiber tracking, etc), functional imaging (PET and SPECT), electrode co-registration and extraction, multimodal viewing, and visual and statistical interpretation. They will be actively involved in presentation of these epilepsy surgery patients in the epilepsy surgery conferences which occur on weekly basis.
- LTVM rotation: The fellow provides EEG interpretation for all inpatient non EMU EEGs to learn about acute neuromonitoring, recognize sub clinical seizures and management of status epilepticus in critically ill patients. Here the fellow will have a great opportunity to learn about the EEGs of neonates and patients who have complex neurological issues from TBI to metabolic encephalopathy.
- The adult neurophysiology rotation: Emory adult epilepsy center is one of the top centers in the country with world famous epilepsy surgeons and one of the largest epilepsy team. The fellow will have exposure to adult EMU and adult intracranial monitoring (ICM) patients, mainly stereo-EEG at Emory University Hospital.
- The elective rotation: the fellow has dedicated time in Polysomnography/Sleep Medicine, Intra-operative Monitoring, EMG/NCV and include Ketogenic Diet clinic.