Clinical Neurophysiology Fellowship

Program Overview

The Clinical Neurophysiology Fellowship Program will:

  1. Prepare fellows for the independent practice of clinical neurophysiology, i.e. the measurement and assessment of function of the central, peripheral, and autonomic nervous systems and skeletal muscles for the purpose of diagnosing, monitoring and treating neurological disorders.
  2. Provide fellows with the opportunity to acquire a thorough understanding of clinical neurology, normal neurophysiology and abnormal findings that occur in various neurological disorders so that they can select and apply properly clinical neurophysiological procedures to evaluate and manage patients.
  3. Provide fellow training based on supervised clinical work of increasing responsibility with both inpatients and outpatients in association with a foundation of organized instruction in basic neurosciences and neurophysiology.
  4. Interim Program Director: James Tao MD PhD.
  5. EMG Director: Betty Soliven MD.
  6. EEG Director: James Tao MD PhD.
  7. EMU (Interim) Director: James Tao MD PhD.

Educational Goals & Objectives

  1. CNP fellow education is to include at minimum the proper application of clinical neurophysiological procedures including, but not limited to, EEG, EMG, nerve conduction studies, evoked potentials, epilepsy monitoring, intraoperative monitoring, polysomnography, and autonomic nervous system testing.
  2. Clinical and/or didactic experience is to include, but is not be limited to, the evaluation and treatment of encephalopathies, epilepsies, cerebrovascular disease, demyelinating disorders, tumors, CNS infections, movement disorders, sleep disorders, trauma, myelopathies, neuropathies, neuronopathies, radiculopathies, myopathies, and neuromuscular transmission disorders.
  3. The CNP fellow will obtain direct clinical experience in one of the two major areas of clinical neurophysiology (EEG/Epilepsy and EMG/Neuromuscular) with subspecialization in at least one area.
  4. The level of supervision provided to the CNP fellow and the clinical and teaching responsibilities of the fellow will evolve with his/her skill level, knowledge, and experience. Direct instruction of the fellow by CNP faculty will be replaced in turn by continuous and then selected supervision. Similarly, the CNP fellow will evolve from an assistant in medical student and neurology fellow education to a supervised instructor and finally to an independent instructor.

Supervisory Guidelines

  1. Fellows on subspecialty rotations are supervised by the attending clinical neurophysiologist(s) of that subspecialty for that day.
  2. CNP attendings must inform the CNP fellow scheduled to be supervised on a given day of any changes in the attending schedule for his/her supervision.
  3. If a CNP fellow requires assistance or supervision and the subspecialty attending of the day cannot be reached by the resident, the fellow should contact the laboratory director of that CNP subspecialty.
  4. If a CNP fellow requires assistance or supervision and neither the subspecialty attending of the day or the subspecialty lab director can be reached, the fellow should contact the director of the CNP laboratories.
  5. Ascending levels of CNP fellow supervision are as follows:
    1. CNP Subspecialty Attending (of the day)
    2. CNP Subspecialty Laboratory Director
    3. CNP Laboratories Director.