Abstract: To analyze the educational tasks and current problems of epilepsy teaching during clinical clerkship and internship for medical students and to optimize training strategies. A narrative review of epileptology education standards, medical education guidance and relevant studies were conducted focusing on curricular objectives, clinical exposure, electroencephalogram(EEG) education, emergency training, assessment, faculty development and communication. Current teaching mainly relies on classic lectures, bedside teaching and case discussion. Major weaknesses are fragmented knowledge-oriented objectives, separation of theory from practice, insufficient representative seizure and EEG resources, incomplete feedback loops for emergency training and assessment, limited communication and liberal education. Proposed strategies include competency-based and clinical performance oriented objectives, a spiral curriculum, a progressive video-standardized patient-simulation-real patient pathway, minimum EEG competencies, mastery learning, programmatic assessment and multicenter validation. Aligning objectives, teaching and assessment through observable clinical task may improve graduate students′ clinical competencies in seizure recognition, initial management, communication and thus to promote standardized epilepsy education.

Key words: epilepsy, medical education, clinical clerkship, clinical internship, professional competence