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SUNY Downstate Medical Center

Clinical Neurophysiology Fellowship Training Program

Page Contents

 

Overview

The Division of Clinical Neurophysiology at SUNY Downstate Medical Center has been training neurology residents and fellows for nearly four decades.

 

The Clinical Neurophysiology Fellowship Program at SUNY Downstate Medical Center is an ACGME-accredited one-year fellowship providing training in a broad range of electrophysiological techniques. The aim of this fellowship program is to provide the physician with extensive, high-quality training in clinical neurophysiology. Sufficient flexibility has been built-in to permit maturation of individual talents within the broad range of the clinical neurophysiology field. It is realized that to achieve the goals of training clinical neurologists, as well as accommodating those who will pursue careers as physician-scientists, a wide range of expertise must be represented. The breadth of our staff interests provides such a range of interest and experience. The cornerstone of training is the development of sound clinical judgment, and includes the ability to recognize and treat patterns of neurologic dysfunction, as well as excellent interpersonal skills involving patients and members of the health care team. The primary goals of Clinical Neurophysiology training are to give the fellows adequate exposure and training in EEGs, EMGs, Evoked potentials, intraoperative monitoring and sleep.

 

Applicants to the fellowship must have completed an accredited 3-year residency program in neurology or child neurology in the United States or Canada. On completion of the fellowship, fellows are eligible for certification by the American Board of Psychiatry and Neurology (ABPN) with added qualifications in Clinical Neurophysiology.

 

Fellows elect to major in either EEG/Epilepsy or EMG/Neuromuscular Disorders, and spend approximately four-fifths of their time in their major area. The remainder of their time is spent in the other areas of neurophysiology, including electroencephalography (EEG) or electromyography (EMG), polysomnography, intraoperative monitoring and evoked potentials (EP). Broad exposure to clinical neurophysiology is accomplished by hands-on experience, observation, and didactic lectures. Intensive attending teaching and supervision is provided throughout all rotations. The fellow's responsibility and autonomy is increased progressively as his or her fund of knowledge increases.

 

EEG/Epilepsy

During the EEG/Epilepsy rotation, fellows rotate through the Epilepsy Monitoring Unit, EEG lab, EP lab, and have an option of rotating in the sleep lab. These rotations include exposure to studies of adult, pediatric, and neonatal inpatients and outpatients with a wide variety of neurological disorders. The combined laboratories of SUNY Downstate Medical Center and Kings County Hospital Center (KCHC) perform over 2000 routine EEG studies per year. Long-term video-EEG monitoring is performed in the SUNY Downstate Epilepsy Monitoring Unit, a 6-bed inpatient unit for adults and children with refractory epilepsy, with additional 2 portable video-EEG monitoring units for bedside recording. Fellows also gain experience in clinical epilepsy during this rotation by active participation in the Downstate Epilepsy Clinic and inpatient consultations.

 

EMG/Neuromuscular Disorders

During the EMG/Neuromuscular section, fellows rotate through the EMG laboratories of SUNY Downstate Medical Center and Kings County Hospital Center, ensuring exposure to a broad spectrum of neurophysiological techniques. Trainees perform and interpret EMG and related studies, including motor control physiology, magnetic stimulation, and autonomic nervous system testing. Clinical experience in neuromuscular disorders is acquired through inpatient consultations and participation in the MDA Neuromuscular Clinic at SUNY Downstate Medical Center.

 

Other Activities

A weekly didactic lecture series covers all aspects of clinical neurophysiology. Other weekly or biweekly conferences include Neurology Grand Rounds, an epilepsy management conference, epilepsy conference for neurology residents and fellows, an EEG conference, and neuromuscular conference. Fellows may elect to participate in rotations outside the fellowship program to gain more in-depth experience in sleep, intraoperative monitoring, autonomic function testing, and intracranial EEG. Opportunities are available to individually design fellowships to include clinical or basic science research. Faculty mentoring of the fellows is integral to the program. Web based evaluation utilizing the New Innovations software provide regular evaluations and feedback during the training.

 

Hospitals

Fellowship training involves the following hospital rotations:

  1. University Hospital of Brooklyn / SUNY Downstate Medical Center: The primary center for the training of clinical neurophysiology fellows. The Epilepsy Monitoring Unit at SUNY Downstate provides the major training in epilepsy and diagnoses of epileptic and non-epileptic patients, with prolonged video-EEG monitoring. Routine E.E.Gs are read daily by the fellow, under supervision of an attending, with production of clear concise reports. The Epilepsy clinic is on Thursday afternoons, where the fellow sees and follows patients for the duration of the fellowship (1 year). All the didactic conferences take place here in the EMU conference room. The E.M.G. fellow does EMGs four days a week in the EMG lab on the first floor, under attending supervision. Evoked potentials are performed by the technologist once a week, which are interpreted and reported by the fellow, along with an attending.
  2.  

  3. Kings County Hospital Center: The major affiliate. Provides a source of E.E.Gs and epilepsy patients for the fellow to assess and manage. EMGs are performed two days a week here, under supervision of an attending.

 

Apply For Fellowship

Please mail completed application, curriculum vitae, and three letters of recommendation to:

Geetha Chari, MD

Clinical Neurophysiology Fellowship

Program Director
450 Clarkson Avenue, MSC 118
Brooklyn, NY 11203
Telephone: 718-270-2042
Fax: 718-270-3748
Email: Geetha.Chari@downstate.edu

Kim Kearns
Fellowship Coordinator
SUNY Downstate Medical Center
450 Clarkson Avenue, MSC 118
Brooklyn, NY 11203
Telephone: 718-270-2042
Fax: 718-270-3748
Email: Kim.Kearns@downstate.edu

 

» Download Fellowship Application Form

 

Fellows

Anirudh Kapoor, MD

Medical School

Residency: 

Internship

Clinical Interests

Research Interests

 

Jared Yarnell, MD

Medical SchoolSackler School Of Medicine At Tel Aviv University

Residency:  SUNY Downstate

InternshipSUNY Downstate

Research InterestUroneurology, tms, and tbi