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Neuromuscular Disease Fellowships July 2009 Positions (2) are available for Neuromuscular Disease Fellowships at Washington University, St. Louis beginning July 2009. The fellowships include training in clinical neuromuscular disorders, nerve and muscle biopsy evaluation, and neuromuscular electrophysiology. ACGME-approved accreditation in clinical neurophysiology is available. Additional years of clinical or basic research training are available. Candidates must have successfully completed a neurology residency, and be board eligible to practice medicine and Neurology in the United States. Applicants: Please send or e-mail CV and 3 letters of reference to: Alan Pestronk, MD 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
EMG/Clinical Neurophysiology Fellowship, July 2009 Washington University/Barnes-Jewish Hospital in Saint Louis offers a one-year, ACGME-approved clinical neurophysiology training with emphasis on EMG and neuromuscular disease. Clinical Neurophysiology fellows are trained to perform and interpret nerve conduction and EMG studies under the supervision of attending physicians, and are required to attend the neuromuscular clinic and pathology conferences. Fellows are expected to participate in teaching the neurology residents and are encouraged to initiate and finish a clinical research project during their fellowship. Fellows also attend and actively participate in the EMG, neuromuscular, and clinical neurophysiology conferences throughout the week, rotate through other areas of clinical neurophysiology, including EEG, Evoked potentials, Somnography and Intraoperative monitoring. By the end of the training year, fellows meet the requirements of the American Board of Electrodiagnostic Medicine, and the subspecialty board of Neurology with Added Qualification in Clinical Neurophysiology. Successful completion of neurology residency in the United States is a prerequisite for enrollment in the fellowship. Interviews are now being conducted. Interested applicants should send a CV and 3 letters of reference to: Muhammad Al-Lozi, MBBS Department of Neurology Washington University in Saint Louis 660 S. Euclid Avenue, Box 8111 Saint Louis, MO 63110 Phone: 314-362-6981; Fax: 314-362-3752
Washington University is an equal opportunity employer.

Neuromuscular Fellowship

• General: Two or three fellows per year
  • First year fellows share responsibilities and the beeper
    • Alternating 2 or 3 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 (Optional)
  • 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; 4 attending physicians)
  • Resident clinic attending (6 months)
  • EMG (Optional)
• Wednesday
  • Neuromuscular Grand Rounds (Monthly; 8 am): Presentations by fellows
  • Inpatient rounds with residents and attendings
  • Clinical or Laboratory research
  • Muscle & Nerve biopsy (3 pm): Unknowns & Conference
  • Neurophysiology teaching conference (4 pm)
  • Patient calls
  • EMG
• Thursday
  • Outpatient neuromuscular clinic (Weekly; ~70 patients; 5 attending physicians)
  • Clinic patient review conference: Lunch provided
  • Rounds: As necessary
• Friday
  • Neurology Grand Rounds (8 am)
  • Pediatrics Grand Rounds
  • Inpatient rounds with residents and attendings
  • Journal club (12:30 pm): Pizza & soda provided
  • Clinical or Laboratory research
  • Resident clinic attending (6 months)
  • EMG (Optional)
  • 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