The residents in the Neurology Residency Program at Yale-New Haven Hospital and Yale University School of Medicine rotate regularly through the Epilepsy Program and gain training and experience in inpatient and outpatient aspects of epilepsy, diagnosis, evaluation and treatment. In this role, they spend most of their daily time in the company of the epilepsy fellows and/or attendings where they join in on inpatient rounds, review video EEG recordings utilizing multiple types of electrodes.
They evaluate, admit and present patients to the attending and fellow and the rest of the team and discuss diagnostic impressions and approaches. Similarly, they examine outpatients and take patient histories in the epilepsy clinics. In these settings, they learn about the international classification of epilepsies and seizures, the older and newer antiepileptic drugs, the diagnostic modalities used to assess type of epilepsy and their interpretations, appropriate treatment, and possible surgery. The responsibility of neurology residents, as distinguished from epilepsy fellows in these settings, is more limited.
They are not required to prepare detailed EEG monitoring reports, nor are they required to present patients at epilepsy conferences for patient review, evaluation and planning of interventional approaches. Nevertheless, they are involved in every aspect of inpatient and outpatient diagnosis and care and ultimately achieve a deep and broad understanding of epilepsy and the multiple facets, consequences, diagnostic approaches and treatments. The residents also have the opportunity to observe a variety of ongoing clinical trials involving epilepsy, predominantly of treatment with newer antiepileptic drugs and newer surgical (stimulation) approaches.