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Clinical Neurophysiology with Emphasis in Epilepsy

Number of Fellows: 3 per year

Length: 1-2 years

Accreditation: ACGME (1st year only)

Salary Level: PGY 5 Level

Program Overview

The objective for this one or two year position in clinical neurophysiology with emphasis in epilepsy is to obtain a broad education in the clinical, electrodiagnostic, and pathophysiological aspects of epilepsy. The program provides a strong foundation in general clinical neurophysiology so participating fellows are eligible for examination/certification in Epilepsy through the American Board of Psychiatry and Neurology (ABPN) and "Clinical Neurophysiology with Added Competency in Epilepsy Monitoring" through the American Board of Clinical Neurophysiology (ABCN). In addition to general training in all areas of clinical neurophysiology (see description of the General Clinical Neurophysiology Fellowship), this fellowship emphasizes neurophysiological applications in epilepsy diagnosis and therapy. Didactic instruction and laboratory experience emphasize routine and ambulatory EEG, video-EEG monitoring (in diagnostic and presurgical applications), EEG monitoring in the ICU, evoked potentials (including intra-operative monitoring), and functional mapping with direct cortical electrical stimulation. Training in clinic settings emphasizes epilepsy diagnosis and therapy, with exposure to other paroxysmal and persistent disorders of consciousness, cognition and behavior. 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 clinics at The Emory Clinic
  • Epilepsy monitoring unit at Emory Main Campus Hospital
  • ICU EEG monitoring at Emory Main Campus  Hospital
  • ICU EEG monitoring at Emory Midtown Hospital
  • Epilepsy rotation at Grady Hospital (including epilepsy monitoring unit, 18 NICU beds with ICU EEG Monitoring, routine EEGs)
  • Epilepsy clinic at Grady Hospital

Fellows spend approximately 10 months of their time split between the Emory Epilepsy Monitoring Unit (3.5 months) the Emory ICU EEG Monitoring Unit(3.5 months) and the Emory Subspecialty Clinic (3 months). Trainees spend the remaining 2 months with the EMG Division at which time they have dedicated exposure to outpatient EMG clinics, inpatient and outpatient EMG, as well as associated clinical conferences.

Our program additionally includes exposure to pediatric neurology/epilepsy and evoked potential/intraoperative monitoring (EP/IOM) for interested trainees. 

Didactic conferences include the following:

  • Clinical Neurophysiology Fellowship Lecture Series
  • Weekly Combined Neurophysiology Conference at Emory
  • Weekly epilepsy surgery conference
  • Weekly Clinical Neurophysiology Conference at Grady Hospital
  • Weekly EMG Conference at  The Emory Clinic

Fellows are additionally offered the annual ACNS Inservice exam.

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 effects of epilepsy and studies of antiepileptic therapies (drugs, surgical resection, and neurostimulation).  Opportunities for conference attendance and poster presentations:  American Epilepsy Society, American Clinical Neurophysiology Society, American Academy of Neurology, Kiffin Penry Mini-fellowship