University of Rochester Program

The Clinical Neurophysiology Fellowship program at the University of Rochester Medical Center is an ACGME-accredited fellowship designed to provide extensive training in the diagnosis and management of patients presenting with neuromuscular diseases, epilepsy, and sleep disorders. The emphasis throughout this fellowship is placed on the mastery of electrodiagnostic techniques, a field in which the program holds significant expertise.

This fellowship incorporates a well-structured curriculum that balances clinical experience with academic learning. With a total of two fellowship positions offered each year, fellows can select from at least two basic options for their training: an equal division between EMG/neuromuscular and EEG/epilepsy, or a greater emphasis on EEG/epilepsy. This flexibility allows trainees to tailor their experience based on individual career goals and interests, particularly in relation to further specialization in epilepsy or neuromuscular diseases 1.

Curriculum Overview

The curriculum of the Clinical Neurophysiology Fellowship is designed to ensure comprehensive clinical exposure, with the fellows gaining hands-on experience through diverse outpatient clinic activities and daily evaluations of patients with central and peripheral nervous system disorders. There exists an evidence-based didactic approach in the program with rigorous lecture series focusing on essential topics such as EMG, EEG, epilepsy, and neuromuscular diseases. Additionally, fellows participate in monthly journal clubs which serve as collaborative learning platforms 2.

Clinical Experience and Research Opportunities

The program boasts significant annual lab volumes, having over 2,500 EMGs and more than 3,500 EEGs, which provide ample opportunities for direct clinical experience. Fellows are encouraged to engage in impactful research projects under the supervision of esteemed faculty known for their wide-ranging scholarly interests. The training not only emphasizes practical skills in electrodiagnostic evaluations but also incorporates mentoring through monthly 'research in progress' meetings where fellows can receive insights and feedback on ongoing research initiatives 2, 4.

Equipment and Technological Support

Fellows have access to state-of-the-art equipment for both EEG and EMG procedures. The facilities include modern EEG systems, 7 dedicated Long-Term Monitoring (LTM) stations, and well-equipped EMG laboratories, all coupled with a specialized team of EEG and EMG technologists who support the educational experience of the fellows 3.

Faculty and Mentorship

The Clinical Neurophysiology Fellowship program prides itself on a diverse and highly qualified faculty body dedicated to fellows' educational development. The faculty includes experts in various neurophysiological domains, ensuring that fellows receive mentorship tailored to their individual career aspirations, whether in academic research or clinical practice 5.

Fellow Experience and Quality of Life

The fellowship not only prioritizes academic excellence but also supports fellows’ well-being through a commendable focus on work/life balance. The program cultivates an environment that embraces diversity and inclusion, coupled with community engagement initiatives. Rochester, New York, is recognized for its affordable living costs and vibrant cultural scene, making it an attractive location for trainees 6.

Application Process and Eligibility

Applicants to the program are expected to be nearing completion of a Neurology residency, with strong interests in developing clinical neurophysiology skills. The program follows a specific application cycle where candidates should submit their applications through ERAS, along with letters of recommendation, USMLE or COMLEX scores, and a personal statement. The fellowship is highly competitive and aims to attract candidates with a keen interest in the field of clinical neurophysiology 7.

Visa Support and Document Sponsorship

The Clinical Neurophysiology Fellowship program supports visa sponsorship for qualified international medical graduates. Typically, the program is able to sponsor J-1 and H-1B visa categories, facilitating entry into a comprehensive training environment that is accessible and open to eligible candidates from a variety of international backgrounds 1.