Neurology Site

University of Pittsburgh Headache Fellowship Program

Program Overview:

The Headache Medicine Program is designed to develop the knowledge base and clinical skills of physicians interested in a clinical career in Headache Medicine. It is the expectation that incoming applicants complete an accredited Neurology residency at which time they would have been introduced to the field of Headache Medicine.  The fellowship program is grounded in clinical experiences supervised by academic neurologists devoted to the care of patients with headache and facial pain disorders.  Such experiences will include evaluation and management of new and returning patients seen in outpatient and inpatient settings.  Most patient encounters will occur at Headache Center offices, while patients presenting to the emergency department, for inpatient consultation, and for admission to Presbyterian University hospital will also provide resources for learning.  A weekly conference is conducted at which time the Headache physicians will provide didactic lectures and supervise clinical discussions with the fellow.  A required syllabus for reading will be completed by the culmination of the fellowship year.  A clinical research project or review paper will be required during the academic year, with an expectation for either presentation at a scientific meeting or publication.

Fellows will spend the majority of their time assessing and treating patients with headache and facial pain disorders.  A total of nine 1/2-day clinics will be required each week during outpatient clinical rotations.  These outpatient rotations will be based at the Headache Center, and fellows will be expected to evaluate 8 patients per clinic day (4 new and 4 return visits) under the guidance and supervision of faculty.  There will be a formal inpatient/consultation rotation that will include emergency room consultation when required.  There will be 2 blocks of elective time that can be used for either research or a pain medicine rotation.  Call will not exceed 2 weekends per month.

Goals:

The University of Pittsburgh Headache Medicine Program is designed to develop the knowledge base and clinical skills of physicians interested in a clinical career in Headache Medicine.  We aim to create knowledgeable, skilled, and compassionate experts in Headache Medicine who will be completely prepared to function independently in clinical or academic environments.  Fellows will be expected to pass the UCNS Headache Certification examination upon completion of the training program. 

Objectives:

Fellows completing this training program will be expected to be proficient in the following areas:

Conference/Didactic schedule

A weekly conference will be conducted at which time the Headache physicians provide didactic lectures and supervise clinical discussions with the fellow.  A required syllabus for reading will be completed by the culmination of the fellowship year.  A clinical research project or review paper will be required during the academic year, with an expectation for either presentation at a scientific meeting or publication.

The weekly lecture schedule will include lectures in the following:

  1. Epidemiology & Comorbidity
  2. Anatomy and Physiology
  3. Headache Classification and Diagnosis
  4. Evaluation and Diagnostic Testing
  5. Treatment

There will also be a monthly Journal Club.