University of Louisville School of Medicine Program

The University of Louisville Clinical Neurophysiology Fellowship is an ACGME accredited program, designated with program number 1872018001. The program is specifically focused on clinical neurophysiology (CNP), which encompasses the assessment, monitoring, and treatment of neurological disorders related to the central, peripheral, and autonomic nervous systems and muscles through both clinical evaluation and electrophysiological testing. A thorough understanding of normal nerve physiology and the pathophysiological changes that occur in various disorders is a prerequisite for expertise in this specialized field 1.

The fellowship offers flexibility through three distinct educational tracks: the Balanced Curriculum, with equal emphasis on electroencephalography (EEG) and electromyography (EMG); the Epilepsy Curriculum, focused primarily on EEG and epilepsy with secondary emphasis on EMG; and the Neuromuscular Curriculum, which emphasizes neuromuscular disorders and EMG alongside an overview of epilepsy 1.

Training takes place across several accredited sites, including University Hospital, Jewish Hospital, and Norton Children's Hospital, ensuring a comprehensive exposure to varied clinical settings 1.

Program Structure

The fellowship program features a well-structured rotation model, presenting a series of monthly rotations supplemented by longitudinal learning experiences. Educational activities primarily hinge on case-based learning, where clinical exposure and one-on-one faculty mentorship serve as key pedagogical methods. Accompanying this clinical exposure, fellows will engage in relevant lectures, regular conferences, and will have opportunities to teach others, thus reinforcing their knowledge 1.

Self-directed learning is heavily emphasized, encouraging fellows to leverage textbooks, review articles, and web-based resources as integral components of their educational journey. This methodology ultimately fosters the development of lifelong learning habits that are critical for a successful career in medicine 1.

On Call Schedule

The on-call responsibilities for fellows are structured to balance education and clinical duties effectively. CNP fellows do not engage in in-house call; however, they are required to be on home call for six days per week during EMU/EEG rotations, allowing for one day off-duty per week 1.

Faculty Overview

The program is supported by a diverse group of experienced faculty members, each with specialized qualifications in various aspects of clinical neurophysiology. This includes the program director and several board-certified neurologists with expertise in child neurology, epilepsy, and neuromuscular medicine 1.

Fellow Eligibility and Application Process

The fellowship is primarily targeted at adult and child neurologists who have completed an ACGME-accredited residency and possess board eligibility in neurology. Furthermore, ACGME graduates in neurodevelopmental disabilities and psychiatry are also eligible for consideration. International medical graduates are encouraged to apply but are advised that only J-1 visas, EADs, Green Cards, or US citizen statuses are accepted; H-1 visas are not sponsored by the program 1.

Applications are accepted year-round and should include comprehensive documentation such as USMLE or COMLEX scores, a medical school transcript, a Dean's letter, a summarization of residency evaluations, and three letters of recommendation. Ideal candidates typically present with competitive scores above 210 in USMLE I-III, with all exams passed on the first attempt 1.

Competitiveness

The fellowship program is notably competitive, emphasizing a high standard for selection while maintaining an inclusive approach. It welcomes applications from diverse backgrounds, with a focus on merit and alignment of career aspirations with the program's offerings 1.

Research Opportunities

Fellows are encouraged, although not mandated, to participate in clinical research, allowing them to engage deeply with the latest advancements in clinical neurophysiology. This involvement may contribute to their development as future educators and leaders in the field 1.