Block Schedule:

Example Schedule Template for ACGME Epilepsy Fellow by 4-week block (total of 13) rotations:

*First rotation will include time for orientation and education for general instrumentation. It is meant to orient the fellows to the clinical sites, teach general instrumentation principles and begin the process of becoming experts in EEG interpretation. Orientation for the fellow will take place in the first week and will include learning the NCH, NWCH, Novak, UH, CSOC, and JH electronic medical record systems.

**Regardless of the rotation, the epilepsy fellow will have a half-day continuity clinic every week.

 Notes:

• There are two elective rotations (each 4-week) of the fellow’s own choice.
• There is one 4-week block for vacation.

Thus, a total of 13 blocks (52 weeks) will include the time spent (physically) at NCH (24 weeks), at Novak Center (12 weeks), UH (4 weeks), elective (8 weeks), and vacation (4 weeks).

Available Electives: Research, Outpatient Clinic Rotation. Core rotations (Pediatric EMU/EEG, LTM (c-EEG), or Adult EMU/EEG) will also be offered as an alternative elective rotation.

Norton Children’s Hospital (NCH, site #1): This site is an acute care hospital for children, which has a 4-bed epilepsy monitoring unit (EMU) with an epilepsy surgery program and facilities for real-time EEG monitoring in inpatient floor and ICU beds, intracranial EEG monitoring, and EEG/EP lab. It contains several conference rooms for weekly epilepsy surgery conferences, didactics, and weekly journal clubs. The neurodiagnostic lab at NCH contains an EEG reading room and a lounge for residents, fellows, and faculty. It contains several office/workstations with EEG reading capacity for faculty and fellows.

Norton Woman and Children Hospital (NWCH, Site #2): This site is an acute care hospital for children. It contains an inpatient EMU (2 beds) and EEG/EP lab. This is a satellite clinical site. The EEGs performed in this hospital will be read remotely by the fellow while on NCH EMU, LTM or outpatient rotation. The fellow will not go to this hospital physically.

University Hospital and affiliated Chestnut Street Outpatient Center (UH and CSOC, site #3): UH is an acute care hospital that has a 5-bed EMU and facilities for real-time continuous EEGs (cEEG) in ICU beds, cEEG with download to servers every 24 hours in non-ICU beds, NIOM, intracranial EEG monitoring and Wada testing. It contains several workstations with EEG reading capacity and the ability to access medical charts. CSOC is the location of the Neurology Department outpatient practices for the Epilepsy division. In addition to patient exam rooms and faculty offices, it contains an EEG laboratory. Ambulatory EEG monitoring is performed.

Jewish Hospital (JH, site #4): This site is an acute care hospital with facilities for EEG, and cEEG. The EEGs performed in this hospital will be read remotely by the fellow while on adult EEG rotation at UH. The fellow will not go to this hospital physically.

Norton Children Medical Group, Novak Center (Site #5): This site is the location of the Neurology Department outpatient practices for the Child Neurology division. In addition to several patient exam rooms, it contains an EEG laboratory. It contains a lounge for faculty, fellows, and resident. It contains several workstations with remote EEG reading capacity and the ability to access medical charts. It contains a conference room for Grand Rounds, resident/fellow, and faculty meetings.

All Adult Neurology faculty members have offices at the adult neurology outpatient location. All Child Neurology faculty members have offices at the child neurology outpatient location