Notice! Confluence will be undergoing system maintenance on Mondays from 5pm to 7pm. During this time the system may be unavailable.
- Check in with the rotation coordinator (Dr. Beimer) before or at the very beginning of the rotation for an overview of responsibilities (if Dr. Beimer is not available, see Dr. Mihaylova)
- E-mail Ramesh Kushwaha at email@example.com and request to be added to the "Natus EEG reading group"
- When you are going to write your EEG reports, you will need to access the Reading Work List of EEG studies: How to add Reading Work List link in MiChart
Helpful learning aides
- AES EEG Learning Curriculum (AESELC) - A free self-paced online EEG course comprised of nine mini-courses containing didactic lectures, multiple-choice quizzes, and structured EEG assessment tools that feature case-based scrollable EEG samples. Learners can interpret the EEG and compare their interpretation to that of an expert in the field.
Logon to the AAN website and go to https://www.aan.com/education-and-research/online-learning-programs/
Go into the "Online Learning Center" and search for a course titled "Neurolearn: Interpretation of Normal Adult EEG: Normal Patterns and Common Artifacts". This reviews some basics and has interactive modules, quizzes, and a final self assessment. This will take a few hours, but is recommended by other residents to do early in the rotation.
- Search YouTube for "EEG Basics". There are several short videos by Jeremy Moeller, MD that go over some useful things and reinforce the AAN modules
- There are numerous EEG/Epilepsy books that you can borrow from the EEG fellows reading room (located in the EEG/EMG lab in UH South) -- highly recommend "Reading EEGs: A Practical Approach" by Greenfield/Geyer/Carney (high yield in chapters 1-6)
- Intro to EEG
- Epilepsy for the RITE
- EEG Cheat Sheet
- Full EEG syllabus and additional reading
- During the current COVID-19 pandemic, you may work from home or elsewhere virtually to allow for social distancing
- If staffing EEGs remotely, Zoom will be used to share screens and review together
- Epilepsy Fellows are responsible for teaching and supervision; the resident should page the fellow on the corresponding adult or pediatric epilepsy service for questions that should not wait until rounding with the attending
- Fellows may also be physically located in the following locations:
- Adult epilepsy fellows reading room (on 4B in UH)
- Pediatric epilepsy fellows reading room (near the neuro faculty offices of Mott, 12th floor)
- EEG lab fellows reading room (in the EEG/EMG lab in UH South)
- The typical daily schedule involves reading a mixture of adult and pediatric routine EEGs
- You are responsible for deciding what EEGs you will read and need to page the EEG reading attending that day to coordinate a staffing time, which will usually be in the afternoon (1-5 pm)
- You can read all adult, all pediatric, or a mixture of adult and pediatric EEGs on any given day (if you read both, you will need to coordinate 2 different staffing times)
- It is recommended that you read a blend of both throughout your rotation, but you should not go for more than a week without reading either adult or pediatric EEG (ideally reading anywhere from 50/50 to 70/30 or 30/70 between adult and pediatric, depending on your preference to meet your learning priority)
- Attendings may reach out to you and suggest reading certain studies
- Fellows read STAT EEGs as they will be paged when these are ordered (and marked as STAT EEG in the Natus database by technicians)
- The fellow may ask you to read the stat EEG, in which case it needs to be staffed immediately with the attending
- You are not required to read LTM studies, ACR studies, or Evoked Potential testing
- You are encouraged to read LTM EEG during the rotation at some point - contact the fellows on either adult or pediatric epilepsy services to be assigned a long-term EEG monitoring study to get exposure to this type of recording
- Your typical day starts between 8:30-9 am, because the first EEGs are usually scheduled for 8AM
- There are no weekend responsibilities and generally speaking you are to read studies that are still recording up until 5PM on week days (this may mean you are finishing your last review just after 5:00 pm and staffing shortly thereafter)
- Generally speaking, you are not responsible for reading EEGs during the following times (but if there are only a few studies that day you can help read them later in the afternoon):
- Continuity clinic (Monday morning for adult neurology residents and variable for pediatric neurology residents)
- Wednesday morning didactic conferences (e.g. Patient Conference, Grand Rounds, QA, business meetings, etc.)
- Protected academic time – Wednesday afternoons (by default)
- You may choose to substitute the default Wednesday PM with another AM half-day off at your discretion (e.g. Tuesday AM, Thursday AM, Friday AM), as long as it allows you to staff EEGs that same afternoon
- The suggested alternate day is the opposite half day as your continuity clinic (e.g. Monday PM for adult residents and variable for pediatric neurology residents)
- Notify the Epilepsy attendings of any changes to the default half-day off
- EEG-related conferences (available remotely by Zoom or Blue Jeans - contact Dr. Beimer for links):
- 12:00 PM - Epilepsy Didactic Conference, F2556 UH South
- 12:00 PM - Epilepsy Didactic Conference, F2556 UH South
- 10:00 AM - Epilepsy Work Rounds (does not occur every week), F2556 UH South
- 1:30 PM - Pediatric EEG tech review, Peds Epi
- 2:30 PM - Refractory Epilepsy Conference, DeJong Library
Pro Tips (READ THESE)
- You should check the EEG schedule to plan your daily arrival/reading strategy – this can be found by changing your MiChart context to "UHH EEG" (for adult studies) or "MH EEG" (for pediatric studies).
- Using the Natus software you are able to read EEGs that are actively in progress, but for planning purposes keep in mind that it takes several minutes for the techs to setup the study (there can be delays) and most run for 30-120 minutes.
- You can access Natus on the computers in the reading rooms where it is natively installed. Alternatively, you can login to vplaces.med.umich.edu –> launch the "Neurology APP Launcher" –> select the "Natus" box.
- If you are reading/staffing an inpatient study, you should page either the Neuro/Peds Neuro consult team or the primary inpatient team with the results.
- If possible, the Peds Neuro clinic appreciates having prelim EEG results prior to/during their patient's clinic appointments.
- Read this – Generating an EEG report.