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Curriculum Overview

The D-H APP Neurology Fellowship Program is driven by hands-on, experiential learning. Core rotations include experience in ambulatory, inpatient and emergency care. A research and quality improvement project is a key component of graduation.

The curriculum integrates didactic training within clinical rotations that feature a mix of practice-based patient care, case-based learning, one-on-one mentoring and supervision, and approximately 8 hours weekly of didactic sessions. Content is aligned with education and practice guidelines supported by the American Academy of Neurology for education of post-graduate residents and fellows. The curriculum includes the following areas of study.

Areas of study

Fellows are taught to master the following major areas in neurological science:/p>

  • Signs and symptoms in clinical neurology
  • The Neurological Exam
  • Localization in Neurology
  • Diagnostic methodology
  • Treatment of neurological diseases
  • Neurodiagnostic studies
  • Lumbar puncture
  • Neuroradiology (CT, MRI, Interventional Radiology)
  • Headache disorders
  • Cerebrovascular disease
  • Infections of the nervous system
  • MS and related disorders
  • Systemic and Metabolic Disease
  • Movement disorders
  • Epilepsy
  • Nerve and Muscle Disease
  • Ataxias
  • Neurological Pain syndromes
  • Dementias and disorders of behavior
  • Critical Care Neurology

Opportunities in sub-specialty care may include:

  • Neurophysiological studies (EMG, NCV; EEG; Evoked potentials)
  • Ultrasonography
  • Neuroophthalmology
  • Neuropsychology
  • Neurootology
  • Neurooncology
  • Traumatic Brain Injury
  • Sleep Disorders
  • Neuro-Rehabilitation
  • Child Neurology
  • Neurological Trauma
  • Clinical Research
  • Neurosurgery

Sample rotations and electives

Cerebrovascular disease

During this rotation, fellows will:

  • Work with members of the cerebrovascular team seeing patients in clinic
  • Work with members of the cerebrovascular team in the hospital, assisting with daily inpatient management, responding to stroke alerts, evaluating eligibility for and facilitating acute stroke treatments, providing patient education, and preparing patients for discharge
  • Gain experience treating a wide variety of hemorrhagic and ischemic cerebrovascular disorders
  • Learn the procedures and applications of cerebrovascular diagnostic tools, including MRI, MRA, MRV, carotid ultrasound, transcranial doppler (TCD) and cerebral angiography
  • Participate in clinical and epidemiological research.

Clinical Epilepsy

During this rotation, fellows will:

  • Provide subspecialty consultations.
  • Evaluate and manage Epilepsy Monitoring Unit patients
  • Evaluate patients before and after epilepsy surgery
  • Gain initial experience with evoked potentials and surgical monitoring
  • See patients referred to the supervising epileptologist
  • Assist with epilepsy drug investigational studies
  • Participate in the epilepsy subspecialty conference

Headache

During this rotation, fellows will:

  • Work with members of the headache subspecialty group seeing patients in the headache clinic
  • Learn the approaches to the evaluation and management of headache disorders
  • Learn local anesthetic procedures and Botulinum toxin injection techniques used in treating head and neck pain
  • See inpatient HA consults

Neuromuscular disease and clinical neurophysiology

During this rotation, fellows will:

  • Evaluate patients with a wide range of neuromuscular disorders
  • Learn basic nerve conduction and electromyographic techniques

Neuro-oncology

During this rotation, fellows will:

  • Care for patients with common and unusual neuro-oncology disorders, learning clinical evaluation and treatment approaches
  • Learn to evaluate and manage patients with primary and secondary brain and spinal tumors and paraneoplastic disorders
  • Attend Neuropathology conferences, and review cases with staff

Neuro-ophthalmology

During this rotation, fellows will:

  • Gain experience in ophthalmology as it relates to general medical and neurological problems
  • Evaluate patients who are referred from the medical and neurological sections of the clinic
  • Do inpatient consults

Neuroradiology

During this rotation, fellows will:

  • Gain experience in interpretation of neuroimaging techniques including MRI, MRA, MRV, cerebral angiography, myelography
  • Attend appropriate neuroradiology conferences

Pain medicine

During this rotation, fellows will:

  • Assess and treat intractable pain problems
  • Become familiar with both medical and invasive approaches to pain

Pediatric neurology

During this rotation, fellows will:

  • Assess and treat children and adolescents with neurologic disease in both inpatient and outpatient settings
  • Attend pediatric neurology conferences as well as appropriate rounds and conferences in the Pediatric department

Sleep disorders

During this rotation, fellows will:

  • Work in the sleep disorders center
  • Learn to read and interpret polysomnograms and multiple sleep latency recordings
  • Consult on a wide variety of sleep disorders

Quality improvement/research

Fellows are expected to devote a portion of their time to research and quality improvement. Goals include gaining experience in research methodology, learning the use of investigative tools, and eventual writing and submission of at least one abstract covering work done in this elective. Proposed projects must be approved by faculty.

Supervision

During rotations, participants will practice autonomously with close supervision and mentorship of attending physicians, residents, physician assistants and nurse practitioners.

You will meet individually with the faculty throughout the program with formalized feedback at three, six and nine months into the program.

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