Clinical Neurophysiology Fellowship Program

Clinical Neurophysiology Fellowship Program

The Department of Neurology at University of Louisville offers a 1 or 2-year Fellowship training program in Clinical Neurophysiology. One or two positions are offered each year. The program is designed to prepare the trainee for either an academic career or private practice. During the first year, the fellows are exposed to all aspects of clinical neurophysiology including EEG, long-term epilepsy monitoring, EMG/NCS, muscle and nerve biopsies, chemodenervation, evoked potentials, autonomic testing, intraoperative monitoring and polysomnography. Fellows will have enough flexibility to focus on two of the above areas to obtain in-depth training. The second year of fellowship offers additional training in the Epilepsy track with emphasis on all aspects of presurgical evaluation as well as formulation of an independent research project in the subspecialty of epilepsy. In addition to the hands-on experience in the performance and interpretation of various neurophysiologic tests, the fellows will gain valuable experience in the evaluation and management of patients with epilepsy, neuromuscular disorders and sleep disorders. They will also have ample opportunities to participate in the didactic neurophysiology course, journal clubs and research projects.

Faculty

We have several faculty members who are specially qualified in different areas of clinical neurophysiology:

  • M. Steven Evans, M.D., Professor of Neurology. Board Certified in Neurology and Clinical Neurophysiology
  • Chris Shafer, M.D., Assistant Professor of Neurology. Board Certified in Neurology.
  • Alexi Hernandez, M.D., Assistant Professor of Neurology. Board Certified in Neurology.
  • Martin Brown, M.D., Assistant Professor of Neurology. Board Certified in Neurology and Neuromuscular Medicine.
  • Vasudeva Iyer, MD, Professor of Neurology, and Director of Sleep Disorders Center. Board certified in Neurology, Clinical Neurophysiology, Electrodiagnostic Medicine and Sleep Medicine.

Educational Program

The program includes both didactic and practical training. Fellows are given increasing responsibility depending upon their performance. The first month is spent in observing faculty perform the neurodiagnostic tests. During the next three months the faculty supervise the fellows closely. In the subsequent months, the fellows have more independence and less rigid supervision.

During the second year, the fellows work closely with the faculty but have much more independence. They may also be offered a junior faculty position with additional independent clinical responsibilities in the inpatient and outpatient services.

Fellows are evaluated on an on-going basis during their training with formal evaluations done by the faculty every 6 months. In addition, the fellows are given the opportunity to take the annual in-service examinations offered by the American Clinical Neurophysiology Society and the American Academy of Electrodiagnostic Medicine.

Clinical Responsibilities

During rotations in the different areas of clinical neurophysiology, the fellows will perform and interpret electrodiagnostic studies including nerve conduction studies and EMG, and interpret EEGs, long-term video-EEG monitoring studies, evoked potentials and polysomnograms. They may be asked to supervise the technologist and interpret the intraoperative neurophysiologic monitoring studies. In addition, the fellows will assist the faculty in the evaluation and management of patients in the epilepsy, neuromuscular and sleep medicine clinics as well as the patients admitted for long-term video-EEG monitoring.

Teaching Responsibilities

Fellows help the faculty teach neurology residents during their rotations in the EEG lab, the EMG lab, and the epilepsy monitoring unit. They are also expected to teach students and residents in the clinics, give presentations in the clinical neurophysiology course and participate in the journal clubs.

Facilities

  • University of Louisville Hospital is a tertiary care teaching hospital adjacent to the medical school with various neurodiagnostic (see below) and neuroimaging facilities including MRI, PET, SPECT and angiography.
  • University Hospital Neurodiagnostics Laboratory has facilities for EEG, EMG (3 rooms), evoked potentials and autonomic studies.
  • University Hospital Epilepsy Monitoring Unit has three monitoring beds fully equipped with state-of-the-art digital EEG and video capabilities.
  • University Hospital Sleep Disorders Center is an accredited sleep lab with four beds.
  • Outpatient Subspecialty Clinic is located in a different building within a couple blocks of the University Hospital, and is equipped with three EMG machines, an EEG & EP machine, and a special procedure room for nerve and muscle biopsy.
  • Ambulatory Care Building is adjacent to the University of Louisville Hospital, and has several examining rooms for general neurology clinic.
  • Veterans Administration Hospital is a tertiary care teaching hospital located 3.5 miles from University Hospital with neurodiagnostic facilities including EEG, evoked potentials, EMG, nerve conduction studies and autonomic testing. Its neuroimaging facilities include CT, MRI and angiography.
  • Norton and Kosair Children's Hospitals,both private hospitals located within a block of the University Hospital have neurodiagnostic facilities for adult and pediatric EEGs and evoked potentials.
  • Jewish Hospital, a private hospital located within a block of the University Hospital has neurodiagnostic facilities for EEGs and evoked potentials.

Research Opportunities

The faculty are involved in clinical trials in epilepsy, sleep disorders, stroke, polyneuropathy and movement disorders. The fellows may take active part in these trials.

Louisville

The city of Louisville is located on the Falls of the Ohio River. It is the largest city in Kentucky and the16th largest city in the United States. The metropolitan area has a population of over one million. Louisville has a rich and diverse heritage and displays many contrasts in its culture, architecture, food, language and politics. Originally a center for river commerce, Louisville has developed into an important industrial city in the last twenty-five years.

The city is scenic and has an abundance of historic landmarks, recreational opportunities, cultural events, fine restaurants, fashionable stores and entertainment. Its performing arts association is one of the finest in the country and includes the nationally acclaimed Louisville Orchestra, the Kentucky Opera Association, the Louisville Ballet and Actors Theatre. Other cultural events include touring Broadway shows, children's theatre and more than a dozen fine museums, including the J B Speed Art Museum and the Museum of Natural History and Science. Louisville is also known widely as the home of Churchill Downs, the site of the Kentucky Derby.

Contact

For further information, please contact:
Connie Elgan
Educational Programs Coordinator
University of Louisville
Department of Neurology, HSC-A #113
500 S Preston Street
Louisville KY 40292

Email: cjelga01@louisville.edu

Tel: 502-852-6328
Fax: 502-852-6344