Clinical Neurophysiology

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Overview

The Clinical Neurophysiology fellowship offered at the University of Miami Miller School of Medicine, Department of Neurology, is a comprehensive, clinical, interdisciplinary program in which fellows acquire in‐depth knowledge of clinical neurophysiology including understanding the technology and generation of neurophysiological tests and procedures, interpretation of these procedures, and their application and clinical usefulness. This is an ACGME‐ accredited one‐year fellowship program. Prior to appointment in the program, fellows must have successfully completed an ACGME-accredited program in neurology or child neurology, or a program in one of these specialties that is located in Canada and accredited by the Royal College of Physicians and Surgeons of Canada. Upon completion of the program, trainees are expected to have expertise in all clinical neurophysiological tests and clinical management of related disorders, and the ability to initiate independent clinical research.

ACGME Accredited:  Yes
Residents or Fellows per year:  Three
Duration:   One year
Postgraduate Training Required:   Yes
U.S. Citizenship Required: No

Application are accepted until end of January and can be found here.

The Clinical Neurophysiology Fellowship Program at the University of Miami is designed to allow the fellow to rotate through the EEG and epilepsy services at Jackson Memorial Hospital, Miami Veteran’s Administration Hospital, and the University of Miami Hospital. The fellows are also able to rotate through the EMG/NCV and neuromuscular service at Jackson Memorial Hospital, the sleep and intraoperative medicine services at the Miami Veteran’s Administration Hospital, and the outpatient neurophysiology service at the University of Miami Professional Arts Center. Devoted time for research is also an essential part of this program. The didactic curriculum for fellows includes a variety of neurophysiology lectures with clinical teaching sessions, weekly multidisciplinary epilepsy patient management conferences, weekly EEG rounds with the fellows for the neurology residents in the inpatient service, bimonthly status epilepticus rounds with the fellows and the neurology intensive care team, and monthly journal club meetings covering a variety of different topics in neurophysiology. The didactic lectures cover a wide range of topics, are well-attended by our fellows, faculty and neurology residents. Evaluation of trainees consists of Milestones framework for assessment of the fellow’s development in key dimensions of the elements of physician competency in Clinical Neurophysiology.

Board Exam Requirements
Candidates for the American Board of Clinical Neurophysiology examination must be a physician (M.D., D.O., MBBS, or equivalent) and

  1. have successfully completed residency training in Neurology (including Pediatric Neurology) or related field, preferably in an ACGME or RCPSC training program;
  2. have completed primary board certification in Neurology or related specialty*;
  3. have completed a minimum of 12 months of Fellowship/Research Fellowship training in Clinical Neurophysiology or Epilepsy;
  4. Have a valid license to practice medicine.

*Candidates who have not yet completed U.S. primary board certification, will not be awarded Diplomate status until evidence of certification is presented. International and foreign trained candidates who have not completed a recognized U.S training program will be reviewed on a case by case basis and may be eligible for International Diplomate status.

Educational & Other Experience
The clinical neurophysiology fellowship will give trainees the opportunity to develop expertise in the following areas: electroencephalography (EEG), video‐EEG telemetry, intracranial EEG monitoring, electrocorticography, electromyography (EMG), nerve conduction studies (NCVs), sleep studies, and evoked potential monitoring including intraoperative monitoring. The disease entities in which the fellows will develop expertise in relationship to the neurophysiologic tests include epilepsy, neuromuscular disease and sleep medicine. The fellow will also have the option to develop research skills in areas such as clinical trials and basic neurophysiology.

After completion of the first year of clinical neurophysiology fellowship, the fellow is expected to be competent in interpreting EEGs, EMG/NCVs, evoked potentials or sleep studies, and to have expertise in obtaining a relevant epilepsy, neuromuscular disease and sleep disorder history. The fellow will be able to develop a differential diagnostic list based on historical and physical findings, be able to plan a relevant diagnostic evaluation including neurophysiologic tests, and interpret the diagnostic evaluation in the appropriate clinical setting. In addition, the fellow will be able to emergently manage epilepsy patients, outline a long‐term plan for treatment of the relevant disorders, be able to provide neuromuscular consultations and be a useful resource to general neurologists. The fellow will be able to supervise and teach junior residents and medical students and to interact with consultants in closely related fields such as neurosurgery and cardiology.

Research
Research opportunities are available during fellowship training

Call
On-call responsibilities are distributed accordingly amongst the epilepsy and clinical neurophysiology fellows on EEG/epilepsy rotation. During a given rotation block, one fellow will cover daytime service at Jackson Memorial Hospital while a second fellow will cover daytime service at University of Miami Hospital and a third fellow will cover the Miami VA Medical Center. Weeknight call is triaged by the Jackson Memorial Hospital or University of Miami Hospital/VA fellows. Weekend call alternates between all the fellows.

Teaching Hospitals

  • Jackson Memorial Hospital
  • University of Miami Hospital

Program Directors
Dr. Enrique Serrano
Program Director

Andrea Ruiz, BGS
Program Manager

Prior to appointment in the program, fellows must have successfully completed an ACGME-accredited program in neurology, child neurology, or a program in one of these specialties that is located in Canada and accredited by the Royal College of Physicians and Surgeons of Canada.

Andrea Ruiz, BGS
Phone: (305) 243-2742
Fax: (305) 243-8108
Email: umneurofellowships@med.miami.edu

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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