Weill Medical College of Cornell University

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• Clinical Neurophysiology Fellowship
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• Requirements and Application Procedures
• Statement of Educational Goals

Training Activities

EEG/epilepsy fellows are responsible for supervised reading routine EEG's (ca. 1500 per year, including adults, children and infants), evoked potentials (ca. 300 per year), video-EEG's (ca. 600 per year), and participation in related special procedures, such as Wada tests and programming of vagal nerve stimulators. EEG/epilepsy fellows also participate in care of inpatients undergoing video monitoring and in the Comprehensive Epilepsy Center's outpatient clinics. For approximately two months of the year, all EEG/epilepsy fellows have a hands-on role in EMG and related laboratory studies.

Within the EEG/epilepsy track, we offer two subspecialty options: added emphasis in intraoperative monitoring, and added emphasis in pediatric epileptology.

For the position with added emphasis in intraoperative monitoring, one-third to one-half of time will be spent in the operating room, during which the fellow is responsible for supervised performance and interpretation of a variety of studies at the three participating institutions (ca. 300 per year). Studies include cortical mapping via evoked potentials and direct stimulation, EMG monitoring of skull base procedures, single-neuron recording during placement of deep brain stimulators, and EP monitoring of spinal cord procedures. In this position, the second year of training may be devoted fully to EEG/epilepsy, or also include a component of further training in intraoperative monitoring.

For the position with added emphasis in pediatric epileptology, training will concentrate on inpatient and outpatient management of pediatric seizure disorders. Up to 11 months of the year will be spent on the inpatient pediatric epilepsy service (including video-EEG reading), with the remainder on the adult epilepsy service. EEG/EP and EMG activities will be similar to that of the other epilepsy fellows.

For the academic year 2008-2009, we anticipate appointing up to three EEG/epilepsy fellows, including one fellow with special interest in intraoperative monitoring and one fellow with special interest in pediatric epileptology.

EMG/neuromuscular disease fellows are responsible for supervised performance and interpretation of nerve conduction studies, electromyography, and related special studies such as neuromuscular transmission studies (ca. 900 per year) at NewYork-Presbyterian Hospital, The Hospital for Special Surgery, and the Peripheral Neuropathy Center. EMG/neuromuscular disease fellows also see inpatient consults with neuromuscular disease, and participate in the outpatient neurology clinics at The Hospital for Special Surgery and the Peripheral Neuropathy Center. For approximately two months of the year, EMG/neuromuscular disease fellows assume the EEG/epilepsy fellows' role in laboratory studies.

For the academic year 2008-2009, we do not anticipate appointing an EMG fellow.

In addition to the "minor" track rotation, broad training in clinical neurophysiology for all fellows is assured via an extensive didactic program including weekly clinical neurophysiologic teaching conferences that cover the gamut of standard neurophysiologic procedures (EEG, EMG/NCV, EP, sleep studies) as well as investigational neurophysiologic procedures (such as fMRI and MEG). Participation in ongoing Sleep Center activities at NewYork-Presbyterian Hospital is also available.

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