NDT 221 - EEG Clinical Practice II

Five lessons of this course provide an introduction to other neurodiagnostic modalities. 

The course requires 24 hours of on site virtual lab with the program Medical Director. 

The course requires 16 hours of clinical per week.

1. Provide patient care while demonstrating professional behaviors, attitudes, and values.
2. Perform EEG safety practices.
3. Produce a quality diagnostic exam.
4. Report findings to the proper personnel.
5. Discuss the requirements of the registry exam.

A. Learning Objectives

1. Have knowledge of the common indications for auditory, visual, and somatosensory evoked potentials.

2. Understand the anatomy, physiology, and pathology of selected sensory organs, nerves, and nerve pathways.

3. Understand the generators of evoked potentials.

4. Understand the principles of stimulation and accurate placement of recording electrodes.

5. Understand the principles of measuring waveforms and distances used in evoked potential studies.

6. Be familiar with the criteria for significant changes occurring during evoked potential recordings.

7. Have knowledge of the clinical correlations of evoked potential abnormalities.

8. Understand the concepts of near-field and far-field potentials.

9. Have knowledge of artifacts encountered during evoked potential studies and basic techniques for troubleshooting.

10. Be familiar with the concept of amplitude and latency measurements.

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing: EP, LTM, IOM, PSG, and NCS”

a. Chapter 2: i. Pages 13-14 Anatomy of the Visual System ii. Pages 19-20 Recording Electrodes, Normal VEP in Full Field Monocular Stimulation iii. Pages 23-29 Abnormal VEP, VEP and Clinical Correlates, Other Testing

b. Chapter 3: i. Pages 31 and figure 3-1, 3-2 Anatomy of Auditory Pathway ii. Pages 35-46 Recording Electrodes, Normal BAEP, Electrocochleogram, Factors that Affect BAEP, Evaluation of the BAEP, Clinical Application of BAER

c. Chapter 4: i. Pages 51-52 Anatomy of the Sensory System, Somatosensory Evoked Potentials ii. Pages 55-57 Generation Mechanism of Far-Field Potential, Physiological Factors that Affect SSEP iii. Pages 70-79 Abnormal Criteria, Abnormal Correlates of SSEP Abnormalities

2. Complete the links and quiz in this module

II. Module 2

A. Learning Objectives - PSG

1. Accurately recognize all sleep stages.

2. Accurately explain the indications for monitoring PSG.

3. Discuss the electrode selection and montages used in PSG.

4. Measure and apply electrodes according to guidelines.

5. Prepare patient and instrument calibrations according guidelines.

6. Obtain a ten minute baseline recording.

7. Explain common sleep disorders and treatment.

8. Perform the Multiple Sleep Latency Test and the Maintenance of Wakefulness Test (MWT).

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing”

a. Chapters 12, 13, 14 and 15

2. Complete the links and quiz in this module

III. Module 3

A. Lesson 3: Learning Objectives - NCS

1. Identify basic peripheral nerve and muscle anatomy and physiology.

2. Describe general scope of neuromuscular disorders.

3. Explain stimulation and accurate placement of recording electrodes.

4. Define the principles of measuring waveforms and distances used in routine nerve conduction studies.

B. Assignments and Readings

1. Read: “Practical Guide for Neurophysiologic Testing”

a. Chapter 16

2. Complete the links and quiz in this module

IV. Module 4

A. Lesson 4: Learning Objectives - IONM

1. Have knowledge of the common indications for intraoperative neurophysiological EEG, evoked potential and neuromuscular monitoring.

2. Be aware of the criteria for significant changes during intraoperative monitoring.

3. Have a general understanding of the effects of common anesthetic agents.

4. Have a general understanding of the effects of physiological variables on monitoring results.

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing”

a. Chapters 5, 6 & 7

2. Complete the links and quiz in this module

V. Module 5

A. Lesson 5: Learning Objectives - LTM

1. Understand the indications for long-term monitoring for epilepsy and basic LTM procedures including:

a. Ambulatory EEG

b. Monitoring with surface leads and intracerebral leads using video/EEG

c. Continuous EEG - intensive care monitoring

2. Have knowledge of the instrumentation for long-term monitoring.

3. Have knowledge of treatment options for epilepsy.

4. Recognize common seizure patterns.

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing”

a. Chapters 8, 9 & 10

2. Complete the links and quiz in this module

VI. Clinical Check-Offs and Requirements

A. Program Requirements

1. Complete a minimum of 25 patient entries (logs) in Trajecsys throughout the summer clinical rotation.

2. Complete 3 check-offs throughout the rotation (with a 4th completed on the same patient as the final exam).

B. Check-Off Schedule

1. Check-Off 1

2. Check-Off 2

3. Check-Off 3

4. Check-Off 4 (In addition to the Final Exam)

Grading Scale

91-100%     =  4.0   Excellent

86-90.9%    =  3.5

81-85.9%    =  3.0   Good

76-80.9%    =  2.5   Satisfactory and Passing

71-75.9%    =  2.0   Not Passing

66-70.9%    =  1.5

60-65.9%    =  1.0

0-59.9%      =  0.0  
Mandatory Course Components:
I. Module 1

A. Learning Objectives

1. Have knowledge of the common indications for auditory, visual, and somatosensory evoked potentials.

2. Understand the anatomy, physiology, and pathology of selected sensory organs, nerves, and nerve pathways.

3. Understand the generators of evoked potentials.

4. Understand the principles of stimulation and accurate placement of recording electrodes.

5. Understand the principles of measuring waveforms and distances used in evoked potential studies.

6. Be familiar with the criteria for significant changes occurring during evoked potential recordings.

7. Have knowledge of the clinical correlations of evoked potential abnormalities.

8. Understand the concepts of near-field and far-field potentials.

9. Have knowledge of artifacts encountered during evoked potential studies and basic techniques for troubleshooting.

10. Be familiar with the concept of amplitude and latency measurements.

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing: EP, LTM, IOM, PSG, and NCS”

a. Chapter 2: i. Pages 13-14 Anatomy of the Visual System ii. Pages 19-20 Recording Electrodes, Normal VEP in Full Field Monocular Stimulation iii. Pages 23-29 Abnormal VEP, VEP and Clinical Correlates, Other Testing

b. Chapter 3: i. Pages 31 and figure 3-1, 3-2 Anatomy of Auditory Pathway ii. Pages 35-46 Recording Electrodes, Normal BAEP, Electrocochleogram, Factors that Affect BAEP, Evaluation of the BAEP, Clinical Application of BAER

c. Chapter 4: i. Pages 51-52 Anatomy of the Sensory System, Somatosensory Evoked Potentials ii. Pages 55-57 Generation Mechanism of Far-Field Potential, Physiological Factors that Affect SSEP iii. Pages 70-79 Abnormal Criteria, Abnormal Correlates of SSEP Abnormalities

2. Complete the links and quiz in this module

II. Module 2

A. Learning Objectives - PSG

1. Accurately recognize all sleep stages.

2. Accurately explain the indications for monitoring PSG.

3. Discuss the electrode selection and montages used in PSG.

4. Measure and apply electrodes according to guidelines.

5. Prepare patient and instrument calibrations according guidelines.

6. Obtain a ten minute baseline recording.

7. Explain common sleep disorders and treatment.

8. Perform the Multiple Sleep Latency Test and the Maintenance of Wakefulness Test (MWT).

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing”

a. Chapters 12, 13, 14 and 15

2. Complete the links and quiz in this module

III. Module 3

A. Lesson 3: Learning Objectives - NCS

1. Identify basic peripheral nerve and muscle anatomy and physiology.

2. Describe general scope of neuromuscular disorders.

3. Explain stimulation and accurate placement of recording electrodes.

4. Define the principles of measuring waveforms and distances used in routine nerve conduction studies.

B. Assignments and Readings

1. Read: “Practical Guide for Neurophysiologic Testing”

a. Chapter 16

2. Complete the links and quiz in this module

IV. Module 4

A. Lesson 4: Learning Objectives - IONM

1. Have knowledge of the common indications for intraoperative neurophysiological EEG, evoked potential and neuromuscular monitoring.

2. Be aware of the criteria for significant changes during intraoperative monitoring.

3. Have a general understanding of the effects of common anesthetic agents.

4. Have a general understanding of the effects of physiological variables on monitoring results.

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing”

a. Chapters 5, 6 & 7

2. Complete the links and quiz in this module

V. Module 5

A. Lesson 5: Learning Objectives - LTM

1. Understand the indications for long-term monitoring for epilepsy and basic LTM procedures including:

a. Ambulatory EEG

b. Monitoring with surface leads and intracerebral leads using video/EEG

c. Continuous EEG - intensive care monitoring

2. Have knowledge of the instrumentation for long-term monitoring.

3. Have knowledge of treatment options for epilepsy.

4. Recognize common seizure patterns.

B. Assignments and Readings

1. Read: “Practical Guide for Clinical Neurophysiologic Testing”

a. Chapters 8, 9 & 10

2. Complete the links and quiz in this module

VI. Clinical Check-Offs and Requirements

A. Program Requirements

1. Complete a minimum of 25 patient entries (logs) in Trajecsys throughout the summer clinical rotation.

2. Complete 3 check-offs throughout the rotation (with a 4th completed on the same patient as the final exam).

B. Check-Off Schedule

1. Check-Off 1

2. Check-Off 2

3. Check-Off 3

4. Check-Off 4 (In addition to the Final Exam)
Equivalent Courses:
NA