PSYG09006 2022 Neurophysiology II
The aim of this module is to provide the student with a conceptual and applied understanding of Clinical Neurophysiology and additional neurophysiological diagnostic measurements, which take place in clinical hospital practice today. The Clinical Neurophysiology discipline will include the following subject categories of study for this course; Neuroanatomy, Neuro-pathology, Laboratory based Neurophysiology and Clinical Neurophysiology diagnostic investigations. This module places emphasis on evidence-based practice of Clinical Neurophysiology in the laboratory and hospital-based setting.
On completion of this module the learner will/should be able to;
Apply advanced clinical knowledge and technical skills in Neurophysiology to appraise Neurophyiological conditions and independently perform physiological measurements in the evaluation of patient conditions.
Critically evaluate a range of advanced equipment and techniques appropriate to investigate the presenting Neurophysiological condition, explaining the principles, indications, contraindications, limitations, and potential complications of specific techniques.
Demonstrate competence in the calibration and operation of specialist equipment while undertaking specified investigations in Neurophysiology, aligning with relevant standards and guidelines, and adapting techniques appropriately as required.
Describe how medication used in the treatment of Neurophysiological disorders can affect specific investigations.
Apply reference parameters accurately to interpret advanced diagnostic tests in Neurophysiology, compiling a comprehensive patient history and diagnostic report correlating with disease pathology.
Evaluate treatment options for Neurophysiological disorders and recognise the role of the Neurophysiologist in patient management, suggesting or adjusting therapy as would fall under the practitioners scope of practice.
Communicate specialised knowledge of Neurophysiological conditions and testing procedures appropriately and apply patient-centred skills to patient education.
Portray a professional commitment to reflective practice, revising judgements and behaviour considering reflection
Teaching and Learning Strategies
This module takes a blended learning approach.
Online lectures will expose students to relevant theory.
Lectures will be supported by online tutorials from expert practitioners to guide students using a case study approach, facilitating discussion, peer-teaching & learning, groupwork, problem-based learning and interpretation of measured data.
Experiential learning through hospital-based placement will be guided by specialists synthesising student learning and guiding in the use of clinical equipment and national and international standards to inform practice. An observational competency-based assessment method will be used frequently across this module as a means of formative learning through feedback.
Leaners will be encouraged to commit to reflective practice and revise judgements and behaviour considering reflection.
Students will be directed to supports provided on the University eLearning platform including discussion forums, articles, websites, eLearning activities and recommended reading.
A formal agreement will be made with hospital sites as regards a quantum of protected time for the delivery of clinical education during placement hours to progress scaffolded learning.
Students undertake a final year project (FYP) during this final semester of study in tandem with their ‘major’ hospital-based placement affording learners an opportunity for applied learning through completion of a substantial body of work in a specified topic area independently under supervision.
The Neurophysiology I module is a pre-requisite to this module.
The student must be in attendance & log a minimum of 480 hours on their ‘major’ hospital-based placement in Neurophysiology.
Module Assessment Strategies
This module contains 'must pass' assessments. The minimum ‘pass’ mark for this module overall is 50%, in addition to meeting the minimum attendance requirement.
The student will be assessed on their ability to competently carry out clinical tests within this specialist area, as outlined in the indicative syllabus above and Clinical Training Manuals.
Observational competency-based assessment methods will be used frequently across this module as a means of continuous assessment and preparing students for a final competency assessment.
The students are required to submit an anonymised written case study which is summarised in an oral presentation.
Learners will also maintain a reflective log throughout their placement.
The final written exam will assess students' knowledge to practice through exam questions requiring application of theoretical concepts to practice examples or sample measurement data.
Where a student fails placement, they must repeat that placement.
Where a student fails an element of placement, that component(s) must be repeated.
Where the theory exam is failed, the student should resit that exam at the next repeat sitting.
- Neurophysiological conditions
- Neuroanatomy, neurophysiology, neuro-pathophysiology, relevant pharmacology.
- Sleep and sleep disorders
- Adult, paediatric and neonate epilepsy
- Brain death
- Neurophysiological diagnostic investigation techniques
- Clinical Measurement Techniques: Rationale for choice of technique, Results interpretation, Evidence based practice approach
- EEG basics
- Advanced EEG i.e. EEG telemetry monitoring, ambulatory EEG, EEG in brain death ICU EEG recordings
- Polysomnogram (PSG)
- Intra-operative monitoring (Brain and Spinal Cord monitoring)
- Magnetoencephalography (MEG)
- Evoked Potentials i.e. Visual Evoked Potentials (VEP), SSEPs (Somatosensory Evoked Potentials) and BAERs (Brainstem Auditory Evoked Potentials
- ERGs (Electroretinography)
- EMG (Electromyography)
- Nerve Conduction Studies
The student will complete clinical competency review of the following neurophysiological investigation: Nerve Conduction Studies.
Coursework & Assessment Breakdown
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Case Study Report & Presentation||Continuous Assessment||Assessment||15 %||End of Term||1,2,4,5,6,7,8|
|2||Reflective Log||Continuous Assessment||Assessment||5 %||OnGoing||8|
|3||ONGOING Clinical Competency Practical Assessment||Continuous Assessment||Assessment||10 %||OnGoing||1,3,4,5,6,7|
|4||FINAL Clinical Competency Practical Assessment||Continuous Assessment||Assessment||20 %||End of Term||1,3,4,5,6,7|
End of Semester / Year Assessment
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Neurophysiology II||Final Exam||Closed Book Exam||50 %||End of Semester|
Online Learning Mode Workload
Crossman, A., Neary, D. and Crossman, B., 2018. Neuroanatomy. 6th ed. Elsevier.
Misulis, K. and Head, T., 2003. Essentials of clinical neurophysiology. 3rd ed. Amsterdam: Butterworth-Heinemann.
Andrew S. Blum and Seward B. Rutkove, T, 2007, The Clinical Neurophysiology Primer, Humana Press.
Simon, M., 2010. Intraoperative clinical neurophysiology. New York: Demos Medical Pub.
Kathleen Seidel., Francesco Sala., Jay L. Shils. and Vedran Deletis., 2020. Neurophysiology in Neurosurgery: A Modern Approach. 2nd ed. Academic Press.
Journal of Clinical Neurophysiology