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Neuromuscular Medicine Fellowships   Washington University, St. Louis   Start Date: July 2011 General ACGME-approved: Neuromuscular Medicine Positions: 4 are available beginning July 2011 1 Fellow: Emphasis on electrodiagnostics Other possible specializations Clinical, Pathology or Research Candidates must have Successfully completed a neurology residency United States practice Medical license Neurology board eligibility Applicants: Please send or e-mail CV Letters of reference: 3 Addresses Alan Pestronk, MD or Muhammad Al-Lozi, MBBS Department of Neurology Washington University School of Medicine 660 S. Euclid Ave., Box 8111 St. Louis, MO 63110 Phone: 314-362-6981; Fax: 314-362-3752 e-mail: Pestronk; Al-Lozi Interviews: March-May 2010 Fellowship Description Rotations available Clinical Neuromuscular Disorders Neuromuscular Electrophysiology & Ultrasound Nerve and Muscle Pathology Other areas required for board certification Elective rotations Research Electrodiagnostic or Laboratory subjects Includes training with attending physicians Fellows participate in Clinical & Electrodiagnostic services Teaching neurology residents Clinical research Conferences Neuromuscular Neurophysiology Pathology Neuromuscular Medicine fellowship duration: 1 year See: Detailed description Additional years often available Clinical, Diagnostic or Basic Research training

Special features of our NM Fellowship Large Clinical experience Over 100 Neuromuscular patients seen each week Outpatient and Inpatient services Exposure to adults and children Active hospital consultation service Neuromuscular teaching conferences: 6 weekly 11 Neuromuscular Attendings Widely varied interests Muscle, Nerve, NMJ, Lab Testing & Rehabilitation Teaching in: Clinical, Laboratory & Research topics Mentoring: Many clinical & research options Electrodiagnostic service 5 Attendings Teaching in: Muscle, NMJ, Autonomic & Nerve Exposure to: Adult & Pediatric NM disorders Muscle & Nerve Ultrasound: Only NM service in the US Over 2,500 studies per year 4 Fellows each year Opportunity to learn from, and with, colleagues as well as attendings Cross-coverage Neuromuscular Laboratory Medicine Teaching in: Neuromuscular immunology & Antibody testing Neuromuscular Pathology Neuromuscular Pathology Lab: Directed by NM Physicians Muscle biopsies: 600 per year Nerve biopsies: 150 per year Specialty testing: Mitochondrial; Immune; Glycogen; Dystrophy Over 10,000 biopsies available for learning and research Weekly teaching conferences: 2 Neuromuscular Genetics Service Large and growing DNA and fibroblast bank 2 New genetic disorders identified in past 2 years Neuromuscular Research 3 Basic Science labs: Muscle; Nerve; ALS 1 Clinical-Translational research lab Clinical Patient Research: Natural History & Therapeutic Trials Neuromuscular Web Site: Extensive learning base Elective Rotation: Allows pursuit of Special Interests Work environment Saint Louis: Family friendly, large city Washington University Neurology: Top-ranked, large department Happy Fellows: See our graduates who are still smiling Outcomes: What happens after fellowship Academic, Neuromuscular medical faculty: 50% Practice: 50%

Washington University is an equal opportunity employer.

Neuromuscular Fellowship

• General: Four fellows per year
  • Fellows share responsibilities and the beeper
    • Alternating 1.5 month blocks
  • The fellow who is on the primary clinical service
    • Makes inpatient rounds with attendings
    • Teachs the resident(s) who are rotating on the service
    • Answers most patient calls: Calls at night and weekends are rare
    • Attends all outpatient clinics
  • The fellows who are off the primary clinical service
    • Attend all outpatient clinics
    • Elective time: EMG, Research, or other activities
    • Attend in neurology resident clinics: 1/2 to 1 day per week
  • Most fellows conduct a clinical or lab research project during optional time through the week
  • Fellows who stay for a 2nd or third year
    • Generally do clinical or laboratory research
    • Maintain a weekly Neuromuscular clinic
    • Perform EMGs at their level of interest
    • Attend in general neurology resident clinics weekly for 6 months of the year
  • Outcome
    • About 50% of our fellows remain in academic settings
    • Most other fellows are now in practice
• Monday
  • EMG-NCS case teaching conference
  • Neuromuscular laboratory meeting
  • Inpatient rounds with residents and attendings
  • Clinical research
  • EMG (Rotating fellows)
  • Patient calls
• Tuesday
  • Inpatient rounds with residents and attendings
  • EMG-NCS basic teaching conference (8 am)
  • Clinical research
  • Pediatric Neuromuscular clinic (Once per month; 30 to 40 patients; 3 attending physicians)
  • EMG (Rotating fellows)
  • Patient calls
• Wednesday
  • Neuromuscular Grand Rounds (Monthly; 8 am): Presentations by fellows
  • Pediatric Neuromuscular Clinic: Weekly 1/2 day; 4 attending physicians
  • Inpatient rounds with residents and attendings
  • Clinical or Laboratory research
  • Muscle & Nerve biopsy (3 pm): Unknowns & Conference
  • Neuromuscular teaching conference (4 pm)
  • Patient calls
  • EMG
• Thursday
  • Outpatient neuromuscular clinic (Weekly; 70 to 90 patients; 7 attending physicians)
  • Clinic patient review conference: Lunch provided
  • Rounds: As necessary
• Friday
  • Neurology Grand Rounds (8 am)
  • Pediatrics Grand Rounds (9:15 am)
  • Inpatient rounds with residents and attendings
  • Journal club (12:30 pm): Pizza, Salad & soda provided
  • Clinical or Laboratory research
  • Resident clinic attending (6 months)
  • EMG (Rotating fellows)
  • Patient calls
• Saturday AM
  • Muscle & Nerve biopsy reading (7 to 15 new biopsies/week)
  • Immunohistochemistry: Immune & Dystrophy-related protein evaluations
  • Antibody evaluations
• Also see: Description of Neuromuscular Division