University of Nebraska Medical Center College of Medicine Program

The Epilepsy Fellowship at the University of Nebraska Medical Center (UNMC) offers specialized training in the field of Epileptology. Set within a Level 4 Epilepsy Center, the program is designed to address the pressing need for experts in epilepsy care, particularly in the Midwest where there is a significant shortage of specialists. This fellowship provides an immersive experience in managing complex epilepsy cases, including opportunities to participate in various diagnostic and therapeutic procedures.

The Epilepsy Center is equipped with an eight-bed Epilepsy Monitoring Unit (EMU) where fellows gain hands-on experience in conducting diagnostic EEGs and presurgical evaluations. The program treats over 300 patients annually, ensuring a comprehensive training experience. Beyond adult care, fellows spend a month with the pediatric epilepsy team at Children's Nebraska, broadening their understanding of epilepsy management across different age groups 1.

Training and Facilities

The fellowship immerses participants in a variety of clinical and research activities, supported by a multidisciplinary team consisting of five board-certified epileptologists and experienced neurophysiologists. Fellows benefit from the presence of dedicated neurosurgeons skilled in robotic-assisted techniques and other innovative modalities including responsive neurostimulation (RNS) and deep brain stimulation (DBS) 1.

The training involves a bi-weekly multidisciplinary epilepsy surgery conference, which allows for collaborative case discussions aimed at optimizing patient outcomes. Furthermore, fellows receive exposure to advanced techniques such as magnetoencephalography (MEG), one of the few centers in the nation offering this cutting-edge technology for epilepsy evaluation 1.

Fellow Learning Opportunities

UNMC provides a robust learning environment for fellows through various educational and research opportunities. Key components of the fellowship include:

• An introductory EEG and clinical bootcamp in July to master fundamental skills before rotations commence.
• Weekly didactics and teaching conferences led by epilepsy faculty, as well as informal EEG reviews.
• Bi-weekly surgical conferences and monthly journal clubs focusing on current research and clinical advancements.
• Scheduled clinics, including an RNS clinic where fellows engage with faculty and field engineers 1.

Fellows have unique opportunities to lead in pre-surgical testing, contributing to the advancement of treatment options. Elective blocks in MEG, neuropsychology, and research are also part of the comprehensive training package.

Research Opportunities

The program promotes extensive research opportunities, encouraging fellows to engage in basic, translational, and clinical investigations. Fellows can participate in multi-faceted projects, securing mentorship to navigate the research landscape, and have the chance to present findings at national conferences and publications 1. Guidance on acquiring intramural funding is also provided, emphasizing the program's dedication to research development.

Application Process

Participation in this fellowship requires applicants to have completed a neurology residency. The program is competitive but is particularly open to International Medical Graduates (IMGs) and Doctor of Osteopathy (DO) candidates. Detailed applications must be submitted through the Electronic Residency Application Service (ERAS), and interviews are conducted based on invitation only 1. The program also provides visa support for eligible candidates, including sponsorship for J1 and H1B visas, thereby broadening access for international applicants.

Omaha and Community Impact

UNMC’s campus is centrally located in Omaha, a vibrant city known for its cultural attractions and dining options. The community offers a high quality of life, complementing the training experience at the university 1. This setting enhances the fellowship experience by allowing fellows to engage with a diverse patient population and participate in locally relevant public health initiatives.