Epilepsy Center | Clinician Resources

Referrals

We welcome your referrals of any patients who have seizures or epilepsy. We generally recommend that any child who has failed first line treatment be referred to a specialized epilepsy center, especially if they have failed two medications or have an abnormality on the MRI.

Poduri Lab
Ann Poduri, MD, of the Epilepsy Genetics Program charts the genetic underpinnings of certain epilepsy syndromes.

Clinical Neurophysiology / Epilepsy Fellowship Program

The Division of Epilepsy and Clinical Neurophysiology of the Department of Neurology at Boston Children's Hospital offers an ACGME accredited fellowship program in Clinical Neurophysiology/Epilepsy with an optional second year for research. The fellowship program trains academically-oriented physicians to become comprehensively trained pediatric clinical neurophysiologists and epileptologists who are familiar with the state-of-the-art diagnostic and therapeutic methods in the field.

Those who enter our fellowship have typically completed their training in child neurology. By the end of their year of training, fellows are eligible to take the Clinical Neurophysiology subspecialty boards of the American Board of Psychiatry and Neurology, if they have previously completed an accredited residency program in Neurology. Currently, four first-year positions are offered every year.

Content of the fellowship

The fellowship is divided into four rotations, covering each of the major services of the Division of Epilepsy and Clinical Neurophysiology.

  1. Outpatient: Two weeks of reading all outpatient and ambulatory EEGs (excluding inpatient long-term monitoring studies). These studies are read first by the fellow, then they are all reviewed and interpreted the same day with an attending neurophysiologist. We perform over 6,000 such studies per year. This rotation also includes a half-day continuity epilepsy clinic, supervised by the Division Chief.

  2. Inpatient Epilepsy Service: Two weeks are spent on the inpatient Epilepsy Service and Epilepsy Monitoring Unit. During these two-week blocks, the fellows are involved in the clinical care of epilepsy patients admitted for various reasons, including long-term video EEG monitoring for characterization of clinical seizure episodes, both noninvasive and invasive pre-surgical evaluations, and admissions for seizure exacerbations or initiation of the ketogenic diet. During this rotation, the fellows interpret all inpatient long-term monitoring studies with an attending epileptologist. They also go to the operating room for intraoperative electrocorticography, placement of intracranial electrodes, or for resective epilepsy surgeries, and assist in extra-operative functional brain mapping.

  3. Epilepsy Consult Service: The Epilepsy Consult Service sees epilepsy consultations in the hospital, including Intensive Care Units and Emergency Department, outside of the EMU, and provides EEG interpretation for all inpatient non-EMU EEGs. This two-week rotation has intensive exposure to ICU monitoring and continuity of EEG interpretation and clinical correlation on critical care patients.

  4. Elective Rotation: The fourth rotation is dedicated to multiple elective opportunities as well as four weeks in adult EEG held at the Beth Israel Deaconess Medical Center, another Harvard-affiliated teaching hospital. Electives are plentiful and include dedicated time in polysomnography/sleep medicine, MEG, computational neurophysiology, radiology research laboratory and other projects.

  5. Weekly teaching conferences throughout the year include the multidisciplinary Epilepsy Surgery Conference (at which the fellows present the cases), EEG case conference, book club, clinical epilepsy lecture and clinical neurophysiology lecture. In addition, there is a monthly journal club, epilepsy grand rounds, and the widespread lecture and seminar schedule available through the department of neurology at Boston Children’s Hospital and Harvard Medical School including neurology grand rounds, neuroradiology, and neuropathology.

Application information

Interested individuals should contact:

Phillip L. Pearl, MD
Director, Division of Epilepsy & Clinical Neurophysiology
Boston Children's Hospital
300 Longwood Avenue
Boston, MA 02115
Phone: 617-355-2413
FAX: 617- 730-0463

A C.V. should be provided, as well as indication of the year for which the individual would like to be considered. Appropriate candidates will be asked to provide three letters of recommendation and to come to Boston for a set of interviews. Positions are often filled 18 months in advance.

Boston Children's Hospital is the primary pediatric teaching hospital of Harvard Medical School

END Technology Program

The Electroneurodiagnostic (END) Technology Program for medical personnel at Boston Children's Hospital is a 12-month instruction program in the art and science of clinical neurophysiologic technology. The program runs from June to June, Monday-Thursday.

Our program trains technologists in EEG, evoked potentials, epilepsy monitoring, sleep technology and related fields.

We also provide three additional months of optional training in Sleep and Long Term Monitoring (LTM).