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Number of Fellows: 2 per year

Length: 1-2 years

Accreditation: ACGME (1st year only)

Salary Level: PGY 5 or 6 Level

Program Overview

The objective of this ACGME accredited Epilepsy program is to provide advanced training in Epilepsy and Electroencephalography in candidates with and without prior fellowship training in Clinical Neurophysiology. The program is designed to provide knowledge and skills in the diagnostic evaluation and management of all patients with Epilepsy. The trainee will become proficient in all aspects of diagnostic neurophysiologic evaluations, such as routine and prolonged outpatient and inpatient video-EEG recordings in the ICU and the EMU, including intracranial monitoring (stereo EEG, subdural grids and strips), functional brain mapping with direct cortical stimulation and electrocorticography. Training will be also provided in neuroimaging (MRI, fMRI, PET, SPECT) and neuropsychologic/neuropsychiatric evaluation (including WADA testing) of patients with Epilepsy. Outpatient exposure will include exposure to special population with Epilepsy (pregnant women, elderly, transitional patients from pediatrics), including participation in a dedicated neurostimulation (RNS, VNS) clinic. Inpatient and outpatient exposure to pediatric Epilepsy will be also provided. The fellowship offers a structured educational curriculum with ample opportunities to conduct clinical research and teach trainees, including dedicated research time. Participating fellows are eligible for examination/certification in Epilepsy through the American Board of Psychiatry and Neurology (ABPN).

Emory University serves as a major tertiary referral center for patients with epilepsy for Atlanta and the Southeast.  The faculty provides internationally recognized expertise in epilepsy and seizure disorders.

Clinical services offered by the faculty include:

  • Epilepsy clinic at the Brain Health Initiative, including dedicated neurostimulation clinic (approximately 15,000 encounters per year, including encounters in dedicated neurostimulation clinic)
  • Outpatient (approximately 1100 routine and 330 ambulatory EEGs/year) EEG at Brain Health Initiative and inpatient routine/stat EEG at Emory Main Campus Hospital (approximately 850 cases/year)  and Emory Midtown Hospital (approximately 530 cases/year)
  • Epilepsy monitoring unit at Emory Main Campus Hospital, including dedicated intracranial EEG service (approximately 1600 patient days/year, including 50 intracranial cases, leading to approximately 50 laser ablations/resections and 12 responsive neurostimulation placements per year)
  • ICU EEG monitoring at Emory Main Campus Hospital (approximately 1650 patient days/year)
  • ICU EEG monitoring at Emory Midtown Hospital (approximately 700 patient days per year)
  • Epilepsy rotation at Grady Hospital including Epilepsy Monitoring Unit (approximately 60 patients/year), continuous ICU EEG monitoring (about 650 patients/year), routine inpatient and outpatient EEGs (approximately 1600 cases/year) and ambulatory EEGs (about 50 cases/year).
  • Epilepsy clinic at Grady Hospital (approximately 450 patients/year)

Fellows spend approximately 10 months of their time split between the Emory Epilepsy Monitoring Unit (4 months), the Emory ICU EEG Monitoring Unit (2 months), the Emory Subspecialty Clinic (2 months), the Children’s Healthcare of Atlanta Hospital (1 month) and Grady Hospital (1 month). The remaining time is dedicated to Neuroimaging/Neuropsychology elective time and research. Our program additionally includes exposure to evoke potential/intraoperative monitoring (EP/IOM) for interested trainees (approximately 700 cases/year at Emory hospitals and 120 cases/year at Grady hospital).

Didactic conferences include the following:

  • Clinical Neurophysiology Fellowship Lecture Series (Tuesday and Thursday am, July-October)
  • Weekly Combined Neurophysiology Conference at Brain Health Center Executive Park 12 (Thursday am, October-June)
  • Weekly Epilepsy Conference at Emory (Tuesday am, October-June)
  • Weekly Epilepsy Surgery Conference at Emory (Tuesday am, adult and pediatric)
  • Monthly Epilepsy Focus Research Forum at Children’s Healthcare of Atlanta (Wednesday pm, September-June)

Fellows are additionally offered the annual American Clinical Neuropysiology Society In-Service Exam.

Teaching opportunities include teaching rotating Neurology residents (24 total) and medical students. Research opportunities include genetics and epilepsy, brain imaging, transcranial magnetic stimulation,  studies of epilepsy in special populations (pregnancy, childhood syndromes, and the elderly), EEG monitoring in the ICU, cognitive/behavioral aspects of epilepsy and studies of antiepileptic therapies (drugs, surgical resection, and neurostimulation), novel surgical diagnostic (stereo EEG) and therapeutic (laser ablation, responsive neurostimulation) modalities. There are also opportunities for national conference attendance and poster presentations at the American Epilepsy Society, American Clinical Neurophysiology Society, American Academy of Neurology, Kiffin Penry Mini-fellowship meetings.