Fellowship Programs
Clinical Neurophysiology: EMG/ Neuromuscular Disease Track (ACGME)
This is a one-year ACGME-accredited fellowship in Clinical Neurophysiology with focus in EMG and Neuromuscular Disease. Up to 3 positions are available per year. There are nine full-time EMG/Neuromuscular staff, with an additional 14 staff in EEG/Epilepsy and Sleep. Over 3000 EMG studies, 8000 EEG studies and 4000 sleep studies are performed annually.
Program Structure
There is a 6-week introductory course in clinical neurophysiology that covers basic neurophysiology, EEG, evoked potentials, sleep studies, EMG, and electro diagnostic problem solving. The balance of the year is spent in the EMG Lab and in the neuromuscular clinics, with one-half day per week devoted to a secondary focus in clinical neurophysiology, either sleep or EEG. In the EMG Lab fellows become proficient in study design, performance and interpretation of nerve conduction studies and the needle electrode examination. Trainees can expect to perform more than 500 EMG studies during their year of fellowship, including the whole spectrum of neuromuscular disease. In the clinics, fellows develop competency in the assessment and management of neuromuscular disorders. In addition, fellows rotate through a multidisciplinary ALS clinic and a myopathy clinic.
A number of conferences occur throughout the year, including Neurology Grand Rounds, EMG case conference, nerve and muscle biopsy review conference, and journal club. Fellows participate in the preparation and presentation of a monthly neuromuscular CPC and neuromuscular seminar. Fellows are encouraged to pick among many available research topics, and work with a staff mentor to complete the project.
Elective time is available to gain exposure to other opportunities in the Neuromuscular Section, including autonomic testing; quantitative sensory testing (QST, QSART, thermoregulatory sweat test); skin, nerve, and muscle biopsy procedures; botulinum toxin injection therapy, single fiber EMG, and Motor Unity Number Estimation.
Contact Person:
Kerry H. Levin, MD
Department of Neurology, S91
The Cleveland Clinic
9500 Euclid Avenue
Cleveland, OH 44195
Tel: 216.444.8370
Fax: 216.445.4653
Email: levink@ccf.org
Neuromuscular Medicine (ACGME)
This is a one-year, ACGME-accredited fellowship in Neuromuscular Medicine. Up to 3 positions are available per year. The Neuromuscular Section of the Department of Neurology includes nine full-time staff physicians. Annually, we see over 400 inpatients and over 3000 outpatients with neuromuscular diseases, and perform over 3000 EMG studies. The Neuromuscular Section also operates an autonomic disorders laboratory (tilt table, valsalva, and pupillometry testing), quantitative sensory testing laboratory (QST, QSART, thermoregulatory sweat testing), quantitative muscle testing laboratory, histopathology laboratory for epidermal nerve fiber analysis, neuromuscular ultrasound laboratory, and skin, nerve and muscle biopsy services.
Program Structure
The program begins with a one-month didactic lecture series, covering basic clinical neurophysiology, EMG, NCS, neuromuscular anatomy, clinical disorders, and neuromuscular histopathology. Thereafter, 50% of the time is spent in clinical neuromuscular disease activities (adult and pediatric neuromuscular clinics, ALS clinic, myopathy clinic, inpatient and critical care neuromuscular consultations), and 40% of the time is spent in the EMG Laboratory. The remaining time is dedicated to nerve and muscle pathology and research. Additional opportunities include nerve, muscle, and skin biopsy techniques, interpretation of epidermal nerve fiber morphology, autonomic studies, QSART, QST, thermoregulatory sweat testing, and single fiber electromyography. Trainees can expect to perform 500 EMG studies during their year of fellowship, including the whole spectrum of neuromuscular disease. In the clinics, fellows develop competency in the assessment and management of neuromuscular disorders. Fellows rotate through a multidisciplinary ALS clinic.
A number of conferences occur throughout the year, including Neurology Grand Rounds, EMG case conference, nerve and muscle biopsy review conference, and journal club. Fellows participate in the preparation and presentation of a monthly neuromuscular CPC and neuromuscular seminar. Fellows are encouraged to pick among many available research topics, and work with a staff mentor to complete the project.
Contact Person:
Kerry H. Levin, MD
Department of Neurology, S91
The Cleveland Clinic
9500 Euclid Avenue
Cleveland, OH 44195
Tel: 216.444.8370
Fax: 216.445.4653
Email: levink@ccf.org