Clinical Neurophysiology-EMG Fellowship

WELCOME!

The Clinical Neurophysiology (CNP) 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 available to residents who are Board-eligible or certified in Neurology. We offer 2-4 CNP positions annually with one dedicated to the EMG track and one dedicated to the EEG track. For more information about the CNP-EEG track, click here


FELLOWSHIP OVERVIEW:

While the fellowship emphasizes peripheral neuromuscular physiology and neuromuscular disease, the fellows will receive broad training in EEG/epilepsy, autonomics, intraoperative monitoring, and evoked potentials. We emphasize a balanced experience between structured didactics, scholarly activities and clinical experience.

We pride ourselves in maintaining camaraderie and a friendly, open teaching and work environment. The program had a strong faculty base (9 in adult epilepsy, 8 in pediatric epilepsy and 5 in neuromuscular). We take a special interest in career development and subspecialty board preparation for our fellows while balancing life and enjoying all that Pittsburgh has to offer.

Training is primarily based at Presbyterian Hospital of the University of Pittsburgh Medical Center Hospital. Specific EMG training includes nerve conduction studies/EMG, pediatric EMG, autonomic nervous system testing, neuromuscular ultrasound, 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.

Two months are dedicated to EEG training and include acquiring an understanding of the principles and interpretation of EEG as well as its clinical correlation. Training includes all aspects of inpatient and outpatient EEGs. The fellows have the opportunity to participate in long-term video-EEG monitoring in the epilepsy monitoring unit (EMU).

Fellows are encouraged to participate in scholarly activities, including quality improvement projects and clinical research. 


EXAMPLE SCHEDULE:

Here you will find an approximate schedule breakdown for various rotations (rows) experienced in each fellowship track (columns).

Fellowship Tracks
  CNP-EEG CNP-ICU EEG CNP-EMG CNP-Peds Epilepsy Adult Epilepsy Combined Epilepsy Second Year
EMU 1-3 mo. 0-1 mo. x 1-2 mo. 4-6 mo. 5-6 mo. 3-6 mo.(surgical)
EEG 3-6 mo. 3 mo. 2 mo. x 2-3 mo. x 0-1 mo.
ICU EEG 1-3 mo. 4-6 mo. x x 1-3 mo. 1-2 mo. 1-3 mo.
Peds EEG/EMU 0-1 mo. 0-1 mo. x 6-8 mo. 1-2 mo. 4-5 mo. 1-2 mo.
EMG (adult) 2 mo. (vs. IOM) x 9-10 mo. 2 mo. (vs. IOM) x x x
IOM x 2 mo. (vs. EMG) x x x x x
Elective 1 mo. 1 mo. 0-1 mo. 1 mo. 1 mo. 1 mo. 1 mo.
Research x x x x x x 3 mo.

EXAMPLE DIDACTICS

Example Didactics
Monday Tuesday Wednesday Thursday Friday
3:45 - 5:00 PM - MEPMC (Multidisciplinary Epilepsy Surgery Conference) 3:30 - 4:30  PM - Neuromuscular Pathology Conference 4:00 - 5:00 PM - Neurology Grand Rounds 12:00 - 1:00 PM - Epilepsy Lecture
4:00 - 5:00 PM – Neuromuscular Journal Club/ EMG Conference
12:00 - 1:00 PM - Epilepsy/EEG Journal Club, alternates with
EEG Rounds and Epilepsy Board Review 

APPLICATION PROCESS: 

We offer interviews on a rolling basis. Details regarding requirements and the mailing process are included in the application form. Applicants must be either board-eligible or board-certified in Neurology and have completed an ACGME-accredited adult or pediatric neurology residency in the United States

Click here to download the application 


We look forward to hearing from you, and hope that you will visit us soon!

Dr. Alexandra Urban, Program Director, Clinical Neurophysiology and Epilepsy 
Dr. Viji Rajasekaran, Associate Program Director Clinical Neurophysiology and Epilepsy
Dr. David Lacomis, Assistant Program Director, CNP- EMG track

Academic Manager: Samantha Kunvatanagarn, 412-648-2022; essass@upmc.edu