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Fellowship Programs




The fellowship programs at the University of Washington are designed to prepare neurogists for an academic career in neurophysiology or epilepsy. In many cases, this would be a two year program combining a year of clinical neurophysiology and a year of epilepsy training.


Clinical Neurophysiology Fellowship

 

The clinical neurophysciology fellowship program at the University of Washington is a one-year, ACGME-accredited fellowship designed to develope clinical proficiency in clinical neurophysiology.

Fellows elect to focus on one of two tracks: EEG or Neuromuscle Disease. The goal of this program is to 1) acquire clinical proficiency in the medical and surgical aspects of epilepsy, interpretation of EEGs, LTM, and EPs (EEG track), or EMG/NCS and neuromuscle disease (Neuromuscle track). Secondary goals are to gain familiarity with the subspecialty not selected for focus, Sleep Medicine, and Intraoperative Monitoring. Exposure to research in clinical neurophysiology is supported and encouraged. Fellows in the EEG/Epilepsy track will be provided a solid foundation for entry into an Epilepsy Fellowship.

The adult EEG track provides for 10 months of hands-on, inpatient clinical exposure to routine and extended EEGs, ICU LTM, EP, and phase I presurgical evaluations under one-on-one supervision and guidance from attending physicians. Nine of the 10 months will be spent in adult EEG training at the University of Washington Medical Center and Harborview Medical Center. One month will be spent studying pediatric EEG at Seattle Children’s Hospital. The remaining two months of the year will be spent on a secondary focus: intraoperative neuromonitoring or neuromuscle disease. Outpatient subspecialty exposure will be acquired through a year-long, half-day continuity clinic in Epilepsy. Didactics include an intense introductory lecture series in the first two month, followed by weekly teaching and work conferences.

The pediatric EEG track is similar to the adult EEG track, but with 9 months of pediatric neurophysiology at Seattle Children’s Hospital and one month of adult EEG/EP at the University of Washington Medical Center. Fellows will also hold a year-long, half-day continuity Epilepsy clinic. The remaining two months will be spent on a secondary interest of choice: intraoperative neuromonitoring or neuromuscle disease at the University of Washington. Didactic schedule parallels the adult EEG track.

The neuromuscle track provides for 10 months of rotations concentrating on EMG/NCS and the management of neuromuscle disease at the University of Washington Medical Center and Seattle Childrens’ Hospital. For the remaining two months, fellows will rotate through adult EEG/EP at the University of Washington Medical Center and Harborview Medical Center. Fellows will also attend the introductory didactic lectures in the first months, followed by EEG/EMG/pathology teaching and work conferences. A weekly half-day continuity clinic under the direct supervision of an attending physician to gain longitudinal exposure to outpatient neuromuscle disease will also be required.

These tracks have some flexibility and schedules can be tailored somewhat to the interests of the individual fellow.

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Epilepsy Fellowship

 

The goal of this fellowship is to acquire clinical proficiency in the medical and surgical management of epilepsy, interpretation of the entire spectrum of EEG studies (outpatient, ambulatory, video-EEG monitoring, ICU monitoring), and additional neurophysiological techniques relevant to epilepsy as electrocorticography and functional mapping by evoked potentials  and cortical stimulation.  Pursuit of research or other scholarly activity is encouraged and supported.

There are adult and pediatric tracks which are mandated by ACGME to include exposure to the other: namely the adult fellow will spend 10 months  (or 44 weeks) at the adult program, and 2 months (or  8 weeks)  in the pediatric program;  vice versa for the pediatric fellow. Adult training takes place at the Regional Epilepsy  Center at Harborview Medical Center, while pediatric training is at Seattle Children’s Hospital, both affiliated with the University of Washington. A 4 week elective period for research or equivalent scholarly activity is offered at the primary site of training.

The fellow works closely with attending faculty in the Epilepsy Monitoring Unit and EEG laboratory. There will be 2 half-day continuity clinics each week. The fellow will take home call for EEG readings on rotation. A didactic schedule to cover essential topics is spread throughout  the year, with weekly teaching and patient management conferences.

A candidate who has already completed or is due to complete a one year ACGME Clinical Neurophysiology Fellowship is preferred. For this reason, we encourage a candidate still in neurology residency to apply for the Clinical Neurophysiology Fellowship at the University of Washington as a first year, before proceeding to the Epilepsy Fellowship in the second year.  Exceptional candidates without prior Clinical Neurophysiology experience are considered.

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Program Details

 

  • One fellow in the adult clinical neurophysiology program, one in the adult epilepsy program, and one in either the pediatric clinical neurophysiology or epilepsy program will be accepted each year.
  • A fellowship prerequisite is completion of an ACGME accredited neurology or child neurology residency by the start date of the fellowship. Canadian citizens enrolled in equivalent accredited Royal College of Physicians and Surgeons Neurology or Child Neurology residency programs are also eligible.
  • Applicants must be permanent residents or citizens of the United States.
  • Three weeks of vacation are available each year.
  • Fellows are expected to comply with ACGME requirements for work hours.


Contact Information

Andrea Cheng-Hakimian, M.D., Director of Clinical Neurophysiology Residency Program

Norman K. So, M.B., B. Chir., MRCP (UK), Director of Epilepsy Residency Program


℅ Alia Calendar, Administrative Assistant to Medical Director
UW Regional Epilepsy Center
Harborview Medical Center
325 Ninth Avenue MailStop 359745
Seattle, WA 98104-2499


Tel: (206) 744-3576
Fax: (206) 744-4409
Email: aliac@uw.edu

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