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Neuromuscular Medicine Fellowships Washington University, St. Louis Start Date: July 2020
General Positions available 4 beginning July 2020 Possible specializations Clinical Electrodiagnostics Neuromuscular Pathology Research Accreditations ACGME: Neuromuscular Medicine UCNS: Neuromuscular Pathology Candidates must have Residency (3 years) US graduates Medical license Board eligible Neurology or Rehabilitation Non-US graduates Temporary Missouri License   can be obtained Applicants: Please e-mail, or send, to us Paperwork Application form CV Letters of reference: 3 Personal Statement USMLE Transcript ECFMG Certificate (if applicable) 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: November 2018 -February 2019 Fellowship Description Standard Rotations Clinical Neuromuscular Disorders Electrophysiology & Ultrasound Clinical Research + Elective time Elective Research Electrodiagnostic Laboratory Nerve & Muscle Pathology Other areas for board certification All include attending supervision Fellows participate in Clinical & Electrodiagnostic services Teaching neurology residents Clinical research Conferences Neuromuscular Neurophysiology Pathology Duration: 1 year See: Detailed description Additional years often available Translational or Basic Research training	Special features of our NM Fellowship The Best Neuromuscular Teaching   (Based on National Self-Assessment exam scores) Top 10%: 69% of our Neuromuscular fellows Top 25%: 92% of our Neuromuscular fellows 2015-16: All 5 NM fellows scored in top 6 in US Large Clinical experience Over 120 Neuromuscular patients seen weekly Outpatient and Inpatient services Exposure to adults and children Active hospital consultation service Neuromuscular teaching conferences: 4 weekly 12 Neuromuscular Attendings Widely varied interests Clinical: Muscle, Nerve, NMJ & Rehab Laboratory Testing Teaching in: Clinical, Laboratory & Research Mentoring: Many clinical & research options Electrodiagnostic service 7 Attendings Areas of NM expertise Muscle, NMJ, Autonomic, Nerve Adult & Pediatric NM disorders Ultrasound: Only US Muscle + Nerve service Over 2,500 studies per year Teaching conferences: 2 weekly 4 to 5 Fellows each year Learn from, & with, colleagues and attendings Cross-coverage Elective time Neuromuscular Laboratory Medicine Neuromuscular immunology Antibody testing Neuromuscular Pathology Neuromuscular Pathology Lab Muscle biopsies: 650 per year Nerve biopsies: 130 per year Directed by Neuromuscular Physicians Specialty testing Mitochondrial Immune disorders Glycogen pathway disorders Hereditary Myopathy proteins Genetics & Exome sequencing Teaching archive 13,000 biopsies for learning & research Weekly teaching conferences: 2 Neuromuscular Genetics Service Large and growing DNA and fibroblast bank 8 New genetic disorders identified in past 5 years Neuromuscular Research 4 Basic & Translational Science labs Muscle: Chris Weihl Neuromuscular Genetics: Matt Harms ALS: Tim Miller Immunology & Pathology: Alan Pestronk Clinical Patient Research Natural History Therapeutic Trials Neuromuscular Web Site: Extensive learning base Elective Rotations: Allow pursuit of Special Interests Work environment Saint Louis: Family friendly, large city Washington University Neurology   Top-ranked, academic, large department Happy Fellows: Graduates who are still smiling Outcomes: What happens after fellowship Neuromuscular medical school faculty: 70% Practice: 30%
Washington University is an equal opportunity employer.

Neuromuscular Fellowship

• General: Four or Five fellows per year
  • Fellows share responsibilities and the beeper
    • Alternating 1 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
  • Most fellows conduct a clinical or lab research project during optional time through the week
  • Fellows who stay for a 2nd or 3rd year
    • Generally do clinical or laboratory research
    • Attend a half-day weekly Neuromuscular clinic
    • Perform EMGs & Newuromuscular Pathology at their level of interest
  • Outcome
    • About 60% 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 & NM attendings
  • Clinical research
  • EMG (Rotating fellows)
  • Patient calls
• Tuesday
  • Inpatient rounds with residents & NM attendings
  • EMG-NCS basic teaching conference (8 am)
  • Clinical research
  • Pediatric Neuromuscular clinic (Once per month; 30 to 40 patients; 2 attending physicians)
  • EMG (Rotating fellows)
  • Patient calls
• Wednesday
  • Neuromuscular Grand Rounds (Monthly; 7:30 am): Presentations by fellows
  • Pediatric Neuromuscular Clinic: Weekly 1/2 day; 3 attending physicians
  • Inpatient rounds with residents & NM 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 (7:45 am)
  • Pediatrics Grand Rounds (9:15 am)
  • Inpatient rounds with residents & NM attendings
  • Journal club (12:30 pm): Pizza, Salad & soda provided
  • Clinical or Laboratory research
  • 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