The Clinical Neurophysiology Fellowship is accredited by the ACGME and allows fellows to become certified by the American Board of Psychiatry & Neurology for Added Qualifications in Clinical Neurophysiology. The training period is one year, and two funded positions are available to residents who are Board-eligible or certified in Neurology. Fellows can concentrate their training on either EMG/neuromuscular disease or EEG/epilepsy, but they will have training in both disciplines. The program builds upon basic skills learned during neurology residency, allowing the fellow to obtain greater knowledge and skills in clinical neurophysiology. More sub-specialized training is introduced and clinical correlation is stressed with the addition of clinical experiences and didactic sessions.
Specific EMG training includes nerve conduction studies/EMG, pediatric EMG, autonomic nervous system testing, and EMG-guided botulinum toxin therapy administration for movement disorders. EMG/neuromuscular track fellows will spend a minimum of one-half day per week doing outpatient evaluations of patients with neuromuscular diseases, especially myasthenia gravis, peripheral neuropathy, amyotrophic lateral sclerosis, and myopathies, including dystrophies. Fellows also learn to perform needle muscle biopsies and interpret muscle and nerve histopathology.
Specific EEG training includes acquiring an understanding of the principles and interpretation of EEG as well as its clinical correlation. Training includes ambulatory EEG along with the basic concepts and practice of evoked potentials (EPs) and elements of polysomnography (PSG). EEG/epilepsy track fellows will also participate in long-term video-EEG monitoring in the epilepsy monitoring unit (EMU), including electrocorticography and other aspects of invasive monitoring in preparation of patients for epilepsy surgery. These trainees are expected to participate in direct patient care through epilepsy clinics, where they are expected to acquire cardinal skills of comprehensive outpatient care for patients with epilepsy, including those with all forms of medically refractory epilepsy. Upon successful completion of this track, an opportunity for one year subspecialty epilepsy training is offered for 2 motivated candidates.
All fellows receive some training in evoked potentials and may have didactic exposure to sleep medicine. Fellows are encouraged to participate in scholarly activities, including clinical research.