Epilepsy

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Overview

The epilepsy fellowship provides the fellow exposure to in-depth diagnosis, evaluation and management of epilepsy patients. This will include both inpatient and outpatient exposure.  Fellows will refine skills in interpretation of electroencephalograms (EEGs), composing reports for routine, prolonged and monitoring studies. Through epilepsy monitoring, surgical conference and didactic sessions the fellow will gain progressive knowledge on all areas of the evaluation and treatment of epilepsy patient including intractable patients that may require surgical intervention. They will gain exposure to operative techniques and intraoperative monitoring of epilepsy patients in collaboration with Neurosurgery.

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

Applications are accepted until end of January and can be found here

 

The fellow will participate in the care of adult and pediatric epilepsy patients in inpatient and outpatient areas.  The fellow will rotate between UMH, JMH, and the outpatient clinic at the University of Miami Professional Arts Center (PAC). The fellows will be exposed to wide variety of epilepsy syndromes and seizures at both UMH and JMH, which are two level 4 epilepsy centers providing the highest level of epilepsy care for adult patients in South Florida. The fellow will also have dedicated time on pediatric epilepsy and will spend time with our pediatric epileptologist evaluating pediatric patients and interpreting neonatal and pediatric EEGs.  Additionally, the fellow will be involved in diagnostic evaluations that are part of a pre-surgical evaluation of patients with epilepsy including the mapping of eloquent cortex with electrical stimulation of intracranial electrodes as well as lateralization of language hemisphere with the Wada test.

Board Exam Requirements
To achieve certification in epilepsy, candidates must hold a valid certificate in neurology or neurology with special qualification in child neurology and fulfill all of the following requirements:
Attestation of requisite practice experience, or documentation of successful completion of formal training requirements, as specified in descriptions of the temporary or training pathways.
Must meet all training requirements (if applying through training pathway) by July 31 of the year of the examination.
Must meet the ABPN’s licensure requirements.
Must be certified by the ABPN in neurology or neurology with special qualification in child neurology by December 31 prior to the examination administration.
Applicants may qualify for examination by submitting documentation of successful completion of one year of fellowship training in epilepsy completed in a program accredited by the Accreditation Council for Graduate Medical Education (ACGME). The epilepsy fellow must have satisfactorily completed an ACGME-accredited neurology, child neurology, or ABPN approved neurology combined residency prior to entering the epilepsy fellowship program. Training or exposure to epilepsy given to neurology or child neurology residents as part of their basic neurology or child neurology curriculum does not count toward the one year of epilepsy fellowship training. Training must be completed by July 31 of the year of the examination.

Educational & Other Experience
The fellow will participate in the care of adult and pediatric epilepsy patients in inpatient and outpatient areas.  The fellow will rotate between UMH, JMH, and the outpatient clinic at the University of Miami Professional Arts Center (PAC). The fellows will be exposed to wide variety of epilepsy syndromes and seizures at both UMH and JMH.  The fellow will also have dedicated time on pediatric epilepsy and will spend time with our pediatric epileptologist evaluating pediatric patients and interpreting neonatal and pediatric EEGs.  Additionally, the fellow will be involved in diagnostic evaluations that are part of a pre-surgical evaluation of patients with epilepsy including the mapping of eloquent cortex with electrical stimulation of intracranial electrodes as well as lateralization of language hemisphere with the Wada test.   The didactic curriculum for fellows includes a variety of lectures with 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 epilepsy.   The didactic lectures cover a wide range of topics, and are well-attended by our fellows, faculty and neurology residents.

Research
Fellows will attend bimonthly research meetings.  The fellows will be assigned a research topic to work on during their fellowship year and will discuss their research topic at the research meetings. The fellows will have protected research time one half day of the week. There are faculty members in our Epilepsy Division and in our Department that conduct research and are able to mentor the fellows. Fellows are also invited to attend the Translational Research Boot Camp. This is a grant funded project that University of Miami provides to fellows and junior faculty that are interested in research. This is an intensive five day course that covers research principles, how to design trails, how to write proposal, etc.  The goal is for fellows to present abstracts at annual meetings (AAN or AES meetings) and if possible publish a manuscript of their work in a peer-reviewed journal.

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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