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Faculty of Neurophysiology

Welcome to the IICMS Faculty of Neurophysiology

News

Save the date! Paediatric Epilepsy Study Day

When: Friday, 17th November 2017

Where: The Education Centre, Tallaght Hospital

 

Organised by the Neurophysiology Department in Crumlin Hospital topics will include but are not limited too:

  • Paediatric Epilepsy
  • Seizure semiology
  • Maturation of the EEG during childhood
  • Practice points on acquiring a paediatric EEG

 

This day is free for all 2017 IICMS members but places are limited. Lunch will be provided on the day. Information on guest speakers and registration will follow shortly.


Spinal Cord Injury: Information Day for Health Care Professionals

The Spinal Cord Interdisciplinary Team at the National Rehabilitation Hospital will host a one day event on spinal cord injury on Friday the 22nd of September 2017 from 09.00 - 16.30

Provisional Programme:

 

  • Aspects of SCI diagnosis, treatment and community needs
  • Choice of lectures on specialised SCI topics
  • Lunch time information stands
  • Choice of workshops
Course fee of €50.00 (includes lunch and refreshments) and registration can be returned to Yvonne Waters, Finance Department, National Rehabilitation Hospital, Dun Laoghaire, Co Dublin
For enquiries please contact Ronan or Jean

 

ILAE 7th Annual Expert Epilepsy Day

The 7th Annual expert epilepsy meeting of the Irish Chapter of the ILAE will take place on Friday 15th September in Clontarf Castle. This year the annual Kirker Lecture is integrated into the expert day. This year’s Kirker Lecture will be delivered by Greg Cascino from the Mayo Clinic.

 

Other topics include an update on Epilepsy Nursing projects by Yvonne Owen, Jarlath Varley & Cora Flynn, a talk on newly recognised clinically important monogenic epilepsies by Norman Delanty, a talk on Paediatric Epileptic encephalopathies by Amre Shahwan, a talk on FutureNeuro by David Henshall, an update on clinical use of Brivaracetam by Wim Van Paesschen, an imaging talk and finally the Kirker lecture.

For more information or to register please contact Andrew Moss

 

2017 CPD funding!!

Applications are now being accepted for funding for the following courses:

 

  • ABRET exams in EEG and ASET course material
  • ABRET exam in EP and ASET course material
  • RCPI diploma in syncope and related disorders (9 month programme)
The closing date for applications is Friday the 2nd of June 2017. Please get in touch for an application form if you are interested in applying.

 

Neuroscience Conference - Beaumont Hospital, May 12th

Professor Hans Luders, Professor of Neurology at University Hospitals Cleveland Medical Centre, will deliver a lecture titled "The Epileptogenic Zone" at the Dublin Neuroscience Conference on Friday the 12th May at 8.30am. The conference will be held in the Richard Carmichael Lecture Theatre in Beaumont Hospital.

Professor Luders will also chair an EEG review meeting at 2.00pm that same day in the Centre of Education in Beaumont Hospital. During this 1 hour meeting interesting EEG cases will be discussed by Prof. Luders and his Neurophysiology colleagues in Beaumont.

 

 

IICMS 2017

 

The IICMS Annual Scientific Meeting/AGM will take place on Friday April 7th at the Sheraton Hotel, Athlone. Last years event was a great success and was oversubscribed with very positive feedback obtained. The extra space provided by the new location allowed us to cater for many more companies and we hope to bring at least the same quality and quantity this year. A lot of work has already gone into the preparations but if you feel there is something you can add to the programme then get in touch!

Registration required for the 7th annual ISCN meeting....

Registration is now required for the 7th annual ISCN meeting being held in the Mater Misericordiae University Hospital next Friday the 21st of October 2016. Please send your name, contact details, institution and position to info@iicn.ie

Submission date extended.....

The submission date for presentations for the ISCN meeting has been extended until Friday the 16th of September. Please send the presentation title and author to Dr Amre Shahwan and Dr Valerie Reid.

Call for abstracts!

 

The ISCN are holding their annual meeting this year in The Mater Hospital on Friday the 21st of October 2016. Abstracts are now being accepted. The last day for submission of abstracts is Thursday the 1st of September 2016.

 

Abstracts can be e-mailed directly to either Dr Amre Shahwan from Temple Street Children's Hospital or Dr Valerie Reid from The Mater Hospital.

 

2016 CPD funding is now available! See below to find out whats on offer...

 

  • 12th European congress on Epileptology and 2 teaching courses - Prague 11-15th Sep
  • Third master class in intraoperative neuromonitoring for spinal surgery - UK 23rd Sep
  • Electrophysiology of vision - Moorefield's March 2017
  • 10th triennial teaching course in clinical neurophysiology - Wadham College, Oxford 26-31st March 2017
  • ABRET EEG exams and course material from ASET
  • ABRET EP exam and course material from ASET
If you are interested in availing of funding for any of the above please contact either Christine or Eileen by 5.00pm on Friday the 29th of July 2016.

For more information please see the links below:

 

 

Long Term Monitoring Day - hosted by Beaumont Hospital

A date for the IICMS study day for LTM has been set for January 15th 2016. If you are interested in attending please fill out the attached registration form and return it to aoife.lavin@cuh.ie

Students are welcome to attend so if you have any 3rd or 4th year students being mentored, please bring this CPD day to their attention. If they wish to attend, we ask that they also fill out a registration form so we can keep an eye on numbers.

We are hoping to open the floor to interesting short cases at the end of the meeting. If you have something you would like to submit please contact Emma Irving at emmairving2@beaumont.ie

Places are limited so please register early to avoid disappointment. Looking forward to seeing you there!

Registration form here Agenda here

Neurophysiologic Intraoperative Monitoring (NIOM) day - Stewarts Hospital

The IICMS are holding a study day focusing on Neurophysiologic Intraoperative Monitoring (NIOM) for Orthopaedic Spinal Surgery and Neurosurgery on Friday, November 27th 2015 in Stewarts Hospital, Palmerstown, Dublin 20 .

There will be presentations from those providing an NIOM service as well as two guest speakers, Mr Pat Kiely, Consultant Orthopeadic Surgeon and Ms Lindsay Henderson, Highly Specialised Clinical Physiologist, Royal Hospital for Sick Children, Edinburgh.

This is a great opportunity to learn more about NIOM! Neurophysiologic Intraoperative Monitoring (NIOM) is a relatively new but rapidly growing subspecialty. If you want to learn more about NIOM, then this is a study day not to be missed. For a provisional agenda click here.

Tea/Coffee and light lunch will be provided. Registration for IICMS members is free. Places are limited so please register your interest early.

Enquiries can be made to jacinta.kearns@olchc.ie

We look forward to seeing you there.

Please forward all applications, available here to christine.mcevoy@amnch.ie

Classification of Status Epilepticus

The ILAE is pleased to announce that the Task Force on Classification of Status Epilepticus has published its report on the definition and classification in the October edition of Epilepsia. This report will significantly change our concept of the condition and the approach to treatment. Traditionally status epilepticus has been classified by clinical presentation: convulsive, non-convulsive or focal. It is simple but with little insight into cause or prognosis. The new classification begins to address these limitations by using factors that do influence outcome: clinical presentation, cause, pathophysiology (EEG) and the patient’s age. It also includes two other key issues: when does a prolonged seizure become status epilepticus and how long does it take before the continued seizure activity reduces the chances of a good recovery? These two times highlight the urgency for treatment.

It is important to put this classification to use. First and foremost it changes the concept of status epilepticus from a single entity into the more important and realistic view that the condition is a complex combination of cause and consequence that may require a more tailored approach. As new studies on status epilepticus are developed this classification will become a means of stratifying outcome risk and lead to a more useful evaluation of treatments which ultimately should be aimed to improving outcomes. The classification is available online and open access here.

Full details of 31st International Epilepsy Congress 2015, Istanbul

Full details of the 31st International Epilepsy Congress (IEC) which will take place in Istanbul Turkey, between September 6th and 10th 2015 are available now.

The IEC Organising Committee are providing you with the opportunity to submit proposal(s) for up to two 90-minute session(s) to form part of the scientific programme.  Prior to submitting your proposal we suggest you refer to the recommendations as set out in the Co-Chair’s letter.

Proposals must be submitted using the official Session Proposal Form and are to be received no later than Friday 22nd November 2013.

If you require any information about this congress please contact the 31st IEC Congress Secretariat, Ph: 00353-1-2056720   E: istanbul@epilepsycongress.org

 

New Epilepsy Monitoring Unit opened in Beaumont Hospital

The epilepsy monitoring unit (EMU) at Beaumont Hospital is a vital component of the epilepsy programme, including the national surgical programme.

Patients are admitted to the unit where they are video-taped and have their EEG continuously recorded during their stay.  EEG and video-recorded clinical features are correlated to confirm diagnoses and to localise a seizure focus. During their stay in the EMU patients may have their anti-epilepsy medication carefully reduced or withdrawn to increase the possibility of recording seizure activity.  There is an increasing demand on this service with long waiting times.

The epilepsy monitoring unit (EMU)  re-opened on June the 17th 2013 following closure for refurbishment and expansion. With a full complement of staff  in the clinical neurophysiology department and dedicated EMU staff nurses the unit has the capacity to monitor 4 patients which will greatly enhance access to this important resource.

The EMU has undergone specialised refurbishment with high definition cameras, capacity for multiple video feeds as well as the most up to date EEG acquisition systems.  In addition the refurbishment has benefitted greatly from the information technology department with large server space and capacity for remotely accessing the video EEG data. The unit was designed  to ensure patients are safe during their admission and that risks of seizure are minimised.

We hope that the new EMU will deliver a world class service to patients in a timely and cost effective manner and will meet the growing demand for epilepsy monitoring in this country.

 

Thinking of doing ABRET?

The American Board of Registration of Electroencephalographic and Evoked Potential Technologists is the professional body with whom Clinical Neurophysiology Scientists can undertake accredited exams in Ireland.
The exams for EEG are comprised of Part I and Part II.

Part 1 examination

is weighted in approximately the following manner:

  • I. Patient History - 10%
  • II. Common Neurological Disorders - 25%
  • III. Patient Preparation and Care - 25%
  • IV. Basic EEG Concepts - 30%
  • V. Instrumentation  - 10%

 

The Part 2 examination

is weighted in approximately the following manner:

  • I. Effects of Neurologic Disorders on EEG - 20%
  • II. Considerations in the Recording - 10%
  • III. EEG Recording and Pattern Recognition - 40%
  • IV. Modification of Recording Strategy - 30%

 

 

And the examinations for evoked potentials comprises one exam which is weighted in approximately the following manner:

  • I. Pre-Study Procedures - 20%
  • II. Performing the Evoked Potential Study - 65%
  • III. Post-Study Procedures - 10%
  • IV. Ethics and Professional Issues - 5%


Details of eligibility for exams and procedure as well as some sample questions can be found on the ABRET website

 

Further Education

Distance Learning

Clinical Neurology  PG Dip, University College London:

“[This] Diploma offers a working knowledge of the scientific basis of common neurological disorders/areas and awareness of major recent research developments in this field. Those taking the programme will be encouraged to examine evidence critically and to gain a knowledge of the statistical basis of the subject.”
Core Modules:
Stroke and Epilepsy – Basic (C)
Neurodegeneration and Neuro Inflammation – Basic (C)
Infections, Headache and other Neurological Conditions – Basic (C)
Neurology and Neurosurgery – Basic (C)
Stroke and Epilepsy Intermediate – Intermediate (D)
Neurodegeneration and Neuro Inflammation – Intermediate (D)
Infections, Headache and other Neurological Conditions – Intermediate (D)
Neurology and Neurosurgery – Intermediate (D)

Teaching and Learning:
Delivered through online sessions using multimedia with interactive features including videos, interactive graphs and tables, as well as illustrations and text. Assessment is through Multiple Choice Questions and structured case reviews.

For Further info:  http://www.ucl.ac.uk/prospective-students/graduate/degrees/taught/tppionscnd01


Graduate Certificate in Clinical Neurophysiology, Charles Stuart University, Australia
Core Modules:

The course of 32 points duration, contains the following 4 X 8 point subjects:

BMS239 Clinical Measurement
BMS301 Medical Science Special Topic
BMS321 Clinical Neuroscience
BMS329 Clinical Neurophysiology

Course Duration: 0.5 years, part time study.

Further Information: http://www.csu.edu.au/handbook/handbook13/postgraduate/GCClinicalNeurophysiology.html


Full/Part time Courses

NHS Healthcare Scientist Training Programme
“The NHS Healthcare Scientist Training Programme (STP) is a comprehensive work-based training programme. The programme equips healthcare scientists with up-to-date knowledge and skills to care for patients in the 21st century.”
“As part of the modernised national training scheme, NHS trusts are funded to offer salaried training posts in life sciences, physical sciences and biomedical engineering, or physiological sciences throughout England.”

Training Options:
STP trainees are paid a salary while they are training.
Postgraduate training for the STP leads to a specifically commissioned and accredited master's degree and certification of achievement of work-based training following one of nine themed pathways:
•microbiology (infection control and epidemiology, mycology, virology, toxicology, bacteriology and parasitology)
•blood sciences (clinical biochemistry, haematology/transfusion science, immunology)
•cellular sciences (histopathology, cytopathology, reproductive science)
•genetic sciences (genetic science, bioinformatic genomics)
•neurosensory sciences (audiology, neurophysiology, ophthalmic and vision science)
•cardiovascular  respiratory and sleep sciences  (cardiac science, respiratory and sleep science, vascular science, critical care science)
•gastrointestinal physiology and urodynamic sciences
•clinical engineering (rehabilitation engineering, clinical measurement and development, medical device risk management and governance), reconstructive sciences (maxillofacial prosthetics)
•medical physics (radiation safety physics, radiotherapy physics, imaging with ionising radiation, imaging with non-ionising radiation, clinical pharmaceutical science)
•informatics (genomics, physical sciences, health infomatics)

Teaching and Learning:
“Learning is delivered through approved and accredited three years of workplace-based training, with the first year in a range of settings before specialization in the last two years of training. Scientist trainees will also be required to undertake a specifically commissioned master's degree in their chosen area.”

For Further Information:  http://www.nhscareers.nhs.uk/explore-by-career/healthcare-science/training/nhs-scientist-training-programme-(stp)/

 

MSc Clinical Physiology (Neurophysiology), Middlesex University
“You will develop practical skills to carry out experimental research and the critical evaluation and analysis skills required for literature reviews; assessing essential facts, concepts, principles and theories; legal requirements for human experiments and ethical issues relating to research with human subjects and human tissue relevant to your research.

Skills Lab - we provide students with a designated skills lab for multi-disciplinary clinical physiology run by practitioners. We have EMG (nerve and msucle testing), EEG and audiology (brain-stem potentials) all based in our bespoke science centre. The lab will be used as part of the taught sessions but students will be able to use it for independent study and research with the support of specialist technicians.

Unique module on 'leadership and management' - provides students with these essential skills that sit alongside clinical requirements which make the difference to career progression from practitioner to chief or principle neurophysiologist. You will be able to understand and apply the principles of leadership and management, health and safety, quality control, research and statistical methods in your professional life.

Cutting edge research - the research that is conducted at Middlesex impacts on how diagnostics are implemented in practice. What we teach will guide students into research directions which in the short term will have an impact on the way data is interpreted and diagnostics are implemented.”

Teaching and Learning:
“You will attend practical laboratory sessions, lectures and seminars, and carry out your own study and research in your spare time, which will include the use of online resources.”
“As well as practical and theoretical exams and your research project and dissertation, methods of assessment will also include written assignments, including laboratory reports, and presentations. You’ll receive regular feedback on your work, including your assessed work, and will also be asked to evaluate your own work.”
For Further Information: http://www.mdx.ac.uk/courses/postgraduate/clinical-physiology-neurophysiology

Managerial Courses:


Msc in Healthcare management, RCSI
“This programme has been designed to facilitate healthcare professionals, managers and administrators to develop the necessary knowledge, expertise and skills which can be applied to various settings within healthcare systems.”
“We expect our graduates will be better able to ensure the delivery and configuration of high quality healthcare services, lead and manage change and development within their organisations and professions. This will require a thorough knowledge and understanding of the complexity of healthcare, business processes, finance, operations management, information technology, marketing, leadership and strategy.”
Teaching and Learning:
“The MSc in Healthcare Management programme is designed to facilitate staff working in the health service. The MSc in Healthcare Management is a part-time programme delivered using a combination of classroom contact days supported by online learning and tutorials. The Postgraduate Diploma requires completion of six learning modules each requiring three contact days.”
“The MSc Degree requires the completion of a dissertation in addition to the six learning modules undertaken in the Postgraduate Diploma and requires eight contact days in year 2. Most participants complete the Postgraduate Diploma in one academic year and the MSc Degree in two academic years.”
“Given the time constraints on participants, the programmes are flexible and can be completed over a five year period.”

Modules:
1.    Managing Organisations and People
2.    Operations & Quality Management
3.    Evaluation, Measurement & Research
4.     Managing Finance in Healthcare Organisations
5.    Leadership & Strategic Management
6.    Quality & Risk Management
7.    Action Learning Sets & Action Research Project
More Information:
http://www.rcsileadership.org/Modules_MSc_Healthcare_Management

Of note:

There are more options of course. These are just a sample of some interesting options now that the Msc in Epilepsy is not offering any 2014/15 enrollment. Comparison websites are also good such as http://www.findamasters.com/.

 

Resources

The ten-twenty electrode system of the International Federation of Clinical Neurophysiology

EEG instrumentation

IFCN standards for digital recording of clinical EEG

IFCN guidelines for topographic and frequency analysis of EEGs and EPs

A glossary of terms most commonly used by clinical electroencephalographers and proposal for the report form for the EEG findings