1.0 Diagnosis
1.1 Demonstrate working knowledge of etiologies for focal and generalized epilepsies in children and adults
1.2 Demonstrate in whom, when and how genetic testing should be applied
1.3 Identify and describe seizure semiology using standardized ILAE terminology and classification systems
1.4 Interpret EEG and describe common EEG patterns in children and adults
1.5 Accurately order and interpret neuroimaging as it pertains to epilepsy
1.6 Decide which patients should receive lab tests and which types of tests should be ordered
1.7 Accurately diagnose and classify epilepsies and epilepsy syndromes using the most recent ILAE classification
1.8 Recognize common non-epileptic paroxysmal events (e.g. PNES, syncope, parasomnia)
1.9 Identify patients at high risk of cardiac death: recognize semiology, risk factors and initial management of high risk of cardiac death
2.0 Counseling
2.1 Understand and address the culturally appropriate aspects and consequences of the diagnosis of epilepsy, including stigma
2.2 Provide guidance on specific issues related to epilepsy
2.3 Communicate information about the causes and consequences of the specific type of epilepsy and its treatments
2.4 Counsel patients about medication taper and discontinuation
2.5 Recognize when to refer patients for higher level of care
2.6 Counsel women of childbearing age about the implications and management of epilepsy
2.7 Provide information and explain to a patient the concept of sudden unexpected death in epilepsy patients (SUDEP) and advise on the associated risks
2.8 Provide counseling on issues specific to the elderly with epilepsy
2.9 Provide counseling specific to children with epilepsy and their parents, according to the epilepsy-types
2.10 Provide counseling and information in relation to PNES to patients and families
3.0 Pharmacological Treatment
3.1 Demonstrate up-to-date knowledge about the range of pharmacological treatments for epilepsy
3.2 Recommend appropriate therapy based on epilepsy presentation
3.3 Demonstrate up-to-date knowledge about special aspects of pharmacological treatment
3.4 Demonstrate knowledge about the risks and opportunities associated with drug discontinuation and methodologies for individualized implementation
3.5 Identify patients who are drug resistant according to the current ILAE definition
3.6 Demonstrate knowledge of indications, limitations and risks for ketogenic diets
3.7 Demonstrate knowledge of indications, limitations and risks for vagal nerve stimulation and other neuromodulation techniques
4.0 Epilepsy Surgery
4.1 Demonstrate working knowledge of indications for pre-surgical evaluation
4.2 Describe the importance of early surgical intervention regarding neuro-developmental, cognitive, behavioral and social integration aspects
4.3 Demonstrate working knowledge of advanced techniques for pre-surgical evaluation
4.4 Demonstrate working knowledge of etiologies amenable to surgical treatment and their prognoses in all age groups
4.5 Demonstrate ability to integrate information from multi-modal work-up and estimate risks and benefits of surgical therapy
4.6 Demonstrate working knowledge of post-surgical follow-up
4.7 Demonstrate the value and need for multidisciplinary teamwork
5.0 Emergencies
5.1 Demonstrate the ability to implement emergency treatment plans for children and adults in and outside the hospital setting
5.2 Demonstrate the ability to diagnose status epilepticus in children and adults
5.3 Demonstrate the ability to manage status epilepticus in children and adults
6.0 Comorbidities
6.1 Demonstrate the ability to diagnose and manage cognitive and psychiatric comorbidities
6.2 Demonstrate the ability to diagnose and manage somatic comorbidities
7.0 Biology of Epilepsy
7.1 Demonstrate working knowledge of ictogenesis
7.2 Demonstrate working knowledge of epileptogenesis
7.3 Demonstrate awareness of animal models for focal and generalized epilepsies
7.4 Demonstrate knowledge of bidirectional relationship between epilepsy and psychiatric comorbidities