The Clinical Neurophysiology Fellowship is sponsored by the University of California, Los Angeles, for trainees based at Cedars-Sinai. The program, accredited by the Accreditation Council for Graduate Medical Education, is among only a few fellowships in the nation that provide three-month training blocks alternating among electroencephalography (EEG)/epilepsy, electromyography (EMG)/neuromuscular services and intraoperative monitoring. The result is that fellows are exposed to intensive training in all aspects of neurophysiology.
The Cedars-Sinai-based portion of the program is directed by Jeffrey M. Chung, MD. The UCLA-based director of the program is Marc Nuwer, MD, PhD, from the David Geffen School of Medicine.
The program goals include the following:
- Competency in performing and interpreting EMG and nerve conduction studies
- Ability to interpret routine adult, pediatric and neonatal EEGs
- Competency in the interpretation of continuous EEG monitoring for patients in neurology and other intensive care units
- Proficiency in reading adult and pediatric evoked potentials (EPs), including visual evoked potentials, brainstem auditory revoked response, and somatosensory evoked potentials (SSEPs)
- Participation in the Cedars-Sinai Monitoring Unit for Epilepsy, including interpretation of synchronized video/EEG recordings and direct patient care for individuals admitted for telemetries and ictal single-photon emission computerized tomography scans
- Responsibilities in the wide array of intraoperative neurophysiological testing and monitoring studies performed at Cedars-Sinai. These activities include motor strip mapping, direct cortical stimulations for functional and language mapping, SSEP monitoring for spinal surgery, brainstem auditory evoked potentials, and cranial nerve monitoring for skull-based surgery
- Training in repetitive nerve stimulation, single-fiber EMG, pediatric EMGs, pudendal nerve stimulation, EMG-guided Botox injections and performance of needle-punch muscle biopsies
- Acquisition of basic skills such as performing EEGs, EPs and sphenoidal electrode placement
Additional information about this program may be found on the Fellowship Programs page of UCLA Department of Neurology website.