ABPN Epilepsy study plan

Map the core mechanisms of epileptogenesis from insult to chronic seizure state

Distinguish focal from generalized onset at the cellular and network level

Explain how excitation/inhibition imbalance arises from ion channel, receptor, and transporter defects

Relate the major neurotransmitter systems (glutamate, GABA) to seizure initiation and propagation

Build a one-page diagram linking channelopathies to clinical epilepsy syndromes

Connect cortical anatomy and neuronal circuits to the seizure semiology they produce

Correlate basic EEG rhythms and normal variants with their underlying generators

Identify the 10 most common EEG patterns seen in focal and generalized epilepsies

Practice recognizing activation procedures and their expected EEG effects

Classify EEG findings by frequency, amplitude, and morphology using standard terminology

Differentiate epileptiform discharges from normal variants and artifacts

Interpret the role of each imaging modality (MRI, CT, PET, SPECT, MEG) in epilepsy workup

Identify common structural causes of epilepsy on imaging descriptions

Explain when advanced imaging changes management

Take a structured epilepsy history that separates seizure types and clarifies onset

Differentiate syncope, psychogenic nonepileptic events, and sleep disorders from seizures

Apply the ILAE classification framework to assign seizure and syndrome types

Select and justify appropriate diagnostic testing for a new seizure presentation

Document a differential diagnosis with the discriminating features for each alternative

Match antiseizure medication mechanisms to seizure types and syndromes

Compare adverse effect profiles and monitoring requirements across major ASMs

Outline titration, switching, and withdrawal strategies

Manage drug interactions and special situations such as pregnancy and hepatic/renal impairment

Formulate a treatment plan for a patient with refractory seizures

Identify candidates for epilepsy surgery using presurgical evaluation criteria

Explain the presurgical workup: video-EEG, imaging, neuropsychology, and Wada testing

Compare surgical approaches and their expected outcomes and risks

Describe nonpharmacologic options including ketogenic diet, VNS, RNS, and DBS

Weigh risks and benefits when recommending a nonpharmacologic treatment

Adapt epilepsy management for pediatric, elderly, and pregnancy populations

Address comorbid psychiatric conditions including depression, anxiety, and psychosis

Counsel on SUDEP risk, driving restrictions, and lifestyle safety

Identify psychosocial barriers to adherence and quality of life

Apply transition-of-care principles for adolescents moving to adult care

Integrate all domains through timed mixed-topic practice questions

Review and remediate every missed item by domain

Rehearse high-yield facts for each domain under time pressure

Consolidate weak areas into a final review list