Baylor College of Medicine Program

The Baylor College of Medicine offers a comprehensive 12-month, ACGME-approved Clinical Neurophysiology Fellowship, designed to equip fellows with extensive skills and knowledge in the field of neurophysiology. Based primarily at the Baylor Comprehensive Epilepsy Center, which is classified as an NAEC Level IV center, and supported by the Peter Kellaway Section of Neurophysiology within the Department of Neurology, the program ensures fellows receive high-quality training in various neurophysiological techniques, including EEG and EMG.

The fellowship provides exposure to both adult and pediatric cases through rotations in several key institutions: Baylor Comprehensive Epilepsy Center, Baylor St. Luke’s Medical Center, Michael E. DeBakey Veterans’ Affairs Medical Center, and Texas Children’s Hospital. This diversified training environment cultivates a well-rounded experience for each fellow.

Curriculum and Rotations

The curriculum includes substantial training in outpatient and inpatient EEG, utilizing advanced techniques such as continuous video EEG monitoring, ambulatory EEG, and quantitative EEG. Additionally, fellows engage in evoked potentials, polysomnography, intraoperative monitoring, electrocorticography, electromyography (EMG), and nerve conduction studies. Each fellow can select a focus track, either emphasizing EEG or participating in a dual EEG/EMG track, tailoring their experience to their professional preferences and aspirations 1.

The structured fellowship clinical schedule consists of 13 blocks, integrating ample clinical rotations, elective experiences, and research activity. The rotation schedule includes dedicated time in both adult and pediatric EEG settings, and fellows will engage in rotations for EMG and inpatient services at the various training facilities 4.

Research Opportunities

Research and scholarly activities are a pivotal component of the fellowship. Fellows are encouraged to collaborate with faculty on research projects and are expected to dedicate approximately half a day each week to scholarly pursuits. Past fellows have notably presented research at prestigious annual meetings, such as those held by the American Epilepsy Society and the American Clinical Neurophysiology Society 7.

Benefits and Support

The fellowship offers competitive stipends, in line with national averages, while the cost of living in Houston remains notably lower compared to other major metropolitan areas. Mental and physical well-being of fellows is prioritized through various wellness programs available to participants 3. Moreover, fellows receive a travel allowance for attending significant conferences, further enhancing their educational experience.

Visa Support and Application Requirements

The program hosts an inclusive stance towards international medical graduates, requiring candidates to possess an MD, DO, or equivalent international training. A completed ACGME-approved residency in neurology, either adult or pediatric, is a prerequisite for application. International applicants must meet specified requirements established by the Office of Graduate Medical Education and the Texas State Board of Medical Examiners, including potential sponsorship for J-1 visas 2.

Competitiveness and Application Process

The Clinical Neurophysiology Fellowship program at Baylor attracts a competitive pool, with an application process coordinated through the Electronic Residency Application System (ERAS). Candidates should submit comprehensive documentation, including a current CV, letters of recommendation, and a personal statement 5. The program's reputation for quality training contributes to its competitiveness, appealing to both DO and IMG candidates.

Training Sites

Fellows will rotate through several significant clinical environments, which provide a rich educational experience. Key training sites include Texas Children's Hospital, which is recognized as one of the leading pediatric hospitals and houses a comprehensive Epilepsy Center; Michael E. DeBakey Veterans Affairs Medical Center, known for its substantial inpatient and outpatient services; and Baylor St. Luke’s Medical Center, the primary adult teaching hospital where extensive inpatient consultations and neurophysiology labs are situated 8.