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Multiple Sclerosis and Neuroimmunology

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The Multiple Sclerosis (MS) and Neuroimmunology Fellowship at University of Miami Miller School of Medicine provides one to two -year advanced training in the diagnosis, treatment, and clinical research of patients with immune-mediated disorders of the central nervous system (CNS). We provide excellence in care to patients with MS and other neuroimmunological disorders at our dedicated MS Center of Excellence at the University of Miami, a site by the National MS Society. The center has become a nationally and internationally recognized center for expertise in patient care and research in MS. Our program emphasizes on the development of clinical and research skills pertaining to MS, neuroimmunologic disorders, neuromyelitis optica and related inflammatory demyelinating disorders. We offer opportunities for course work in the design of clinical research studies, statistics, clinical epidemiology, clinical trials design and conduct, as well as basic graduate immunology and more advanced courses in immunology.

Fellows will receive extensive training in clinical evaluations and paraclinical testing related to diagnosis and care of these disorders in a state-of-the-art-clinic that serves culturally diverse patient population. An infusion center where patients receive intravenous drug therapies and a magnetic resonance imaging suite with 3T MRI is available on campus as well. Electives in neuropsychology, physical medicine and rehab can be arranged. There is also opportunity to gain procedural skills in evaluating for and managing baclofen pumps, as well as, botulinum toxin therapy for spasticity. There is also opportunities to work closely with the genetics department and to collaborate in research that performs multiple sclerosis blood tests is involved in developing new tests to detect multiple sclerosis activity and possible gene identifiers.

ACGME Accredited: N/A
Residents or Fellows per year: 1
Duration: 1 -2 years
Postgraduate Training Required: yes
U.S. Citizenship Required: yes

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:
The program has graduated 2 fellows thus far and both have stayed on as Faculty at UM

Teaching Hospitals

  • University of Miami Hospital
  • Professional Arts Center
  • Jackson Memorial Hospital
  • Veterans Affairs Medical Center

Requirements
Prior to appointment in the program, fellows must have successfully completed an ACGME-accredited program in neurology and be eligible for a full Florida Medical license

Application Deadline
Applications available at http://neurology.med.miami.edu/education-and-training/fellowship-programs and accepted until January.

The Multiple Sclerosis curriculum entails:

  • Evaluate patients in the outpatient MS Center and in the inpatient hospitals
  • Become proficient in all MS medications and have knowledge of clinical trails
  • Become proficient in reading magnetic resonance imaging studies and other radiological studies for evaluation of our patients
  • Learn to perform intrathecal baclofen testing to determine suitability of patients to receive a permanent baclofen pump
  • Learn to use botulinum toxin in spastic muscle to relieve spasticity in muscles
  • Present in Journal Clubs
  • Publish articles in peer-reviewed journals
  • Teach medical students and residents one-on-one or in a lecture-hall setting, and assist Neurology Chief Residents with MS curriculum
  • Present materials from research at local or national neurology meetings
  • Fellows participate in weekly Journal Clubs and a formal curriculum on the fundamentals of clinical MS and neuroimmunological care

Board Exam Requirements
Certification not available

Educational & Other Experience
The Multiple Sclerosis fellowship program focuses on the evaluation and management of Immune, Infections and Inflammatory Demyelinating disorders of the central nervous system.

Such disorders include:

  • Multiple Sclerosis
  • Optic Neuritis
  • Transverse Myelitis
  • Neuromyelitis Optica
  • Acute Disseminated Encephalomyelitis (ADEM)
  • CNS Sarcoidosis
  • Autoimmune disorders of the central nervous system such as Lupus, Sjogren’s Syndrome
  • Ongoing care for patients with Multiple Sclerosis
  • Management of disorders requiring monitored infusion therapies

Research
As part of the MS team, the fellow will be involved in all MS clinical trials on-going in the division. Currently the division is conducting 17 clinical trials in MS. There are industry, NIH and investigator initiated trials. The fellow will learn clinical research, clinical trial design and be an active participant as investigator in multi-center clinical trials. As part of the training, the fellow will become familiar with the fundamentals of bio-statistics and become proficient in meeting the requirements of the Institutional Review Board for protocol submission and consenting patients. The fellow will participate in a research boot camp for one week in November.

Call
There is no overnight call. Home call to cover outpatient calls will be shared among fellows and MS faculty.

Kottil Rammohan, M.D.

Kottil Rammohan, M.D.
Program Director

Andrea Ruiz, BGS
Program Manager

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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