Epilepsy and Clinical Neurophysiology-EEG Fellowships

Munger Clary Heidi Marie
Heidi M. Munger Clary, MD, MPH

We offer both Epilepsy and Clinical Neurophysiology-EEG track fellowship options.  Each fellowship includes one year of training accredited by the Accreditation Council for Graduate Medical Education (ACGME).  A two-year fellowship composed of both options completed sequentially may also be an option, depending upon applicant interest and slot availability.

The Epilepsy Fellowship provides detailed exposure to the full spectrum of electroencephalography (EEG) studies and clinical management of epilepsy. The fellowship emphasizes the comprehensive treatment of epilepsy in children and adults. Fellows will have intensive video-EEG monitoring exposure in a 6 bed Epilepsy Monitoring Unit using state of the art neuroimaging techniques including PET, SPECT, and 3T MRI. The use of MEG has further strengthened our evaluation process of patients with complex epilepsy syndromes. In addition, there is extensive exposure to advanced electrodiagnostic techniques in cortical localization by use of intracranial grid/strip electrodes, stereo-EEG depth electrode arrays, cortical mapping, and many other techniques. Fellows will gain exposure to a wide range of epilepsy surgery techniques including laser ablation, neurostimulation, and traditional resective epilepsy surgery. Fellows will also participate in an active long-term video EEG monitoring service outside the EMU, and will gain exposure to management of epilepsy in the busy outpatient clinics of the Wake Forest Comprehensive Epilepsy Center. Other fellow opportunities include participation in epilepsy drug trials and research studies led by the faculty. Electives will be offered in non-medication therapies for intractable epilepsy (Ketogenic Diet, VNS, RNS and epilepsy surgery), neuroimaging, psychiatry, and neuropsychology. Depending upon fellow interest and prior training, primarily pediatric-focused, adult-focused, or evenly mixed adult and pediatric experiences in clinical epilepsy and EEG are offered.

The training will lead to eligibility for the American Board of Psychiatry and Neurology Certification in Epilepsy. 

Epilepsy Prerequisite:  Each applicant is required to have completed an ACGME-accredited program in neurology, child neurology or neurodevelopment disabilities in the United States or Canada. Applicants must qualify for licensure by the North Carolina Board of Medical Examiners and must be Board Eligible for the American Board of Psychiatry and Neurology.

The Clinical Neurophysiology-EEG Fellowship provides a broad and detailed exposure to a variety of neurophysiologic techniques including the full spectrum of electroencephalography (EEG) and evoked potentials (EP).  This fellowship emphasizes the comprehensive assessment of epilepsy in adults and children. Fellows will have intensive video-EEG monitoring exposure in a 6 bed Epilepsy Monitoring Unit using state of the art neuroimaging techniques in PET, SPECT, and 3T MRI. The use of MEG has further strengthened our evaluation process of patients with complex epilepsy syndromes. In addition, there is extensive exposure to advanced electrodiagnostic techniques in cortical localization by use of intracranial grid/strip electrodes, stereo-EEG depth electrode arrays, cortical mapping, and other techniques. Fellows will gain exposure to the role of neurophysiology in the presurgical evaluation for a wide range of epilepsy surgery techniques including laser ablation, neurostimulation, and traditional resective epilepsy surgery. Fellows will also participate in an active long-term video EEG monitoring service outside the EMU, and a busy routine and ambulatory EEG service.  Opportunities are available to participate in epilepsy drug trials, epilepsy clinics and research studies led by the faculty.  Electives in intraoperative monitoring (IOM), electromyography/nerve conduction studies (EMG/NCS), and sleep are offered, with at least two months concentrated in one of the three elective areas.

Under some circumstances, split EEG/EMG track or EMG track fellowship options may be available.

The Clinical Neurophysiology training will lead to eligibility for the American Board of Clinical Neurophysiology and the American Board of Psychiatry and Neurology Certification in Clinical Neurophysiology.

Clinical Neurophysiology Prerequisite:  Each applicant is required to have completed an ACGME-accredited program in neurology or child neurology, neurodevelopment disabilities, or psychiatry in the United States or Canada. Applicants must qualify for licensure by the North Carolina Board of Medical Examiners and must be Board Eligible for the American Board of Psychiatry and Neurology.

Application Process for Epilepsy and Clinical Neurophysiology Fellowships:

For each fellowship a foreign medical graduates must have passed the E.C.F.M.G. and U.S.M.L.E. exams. Additional information may be obtained by visiting the ECFMG website. The institution sponsors only J-1 visa which you must have at the time of your application.

Submit the Epilepsy Fellowship application or the Clinical Neurophysiology application, your letter of interest, current curriculum vita, and three letters of recommendation (one letter must be from the director of your core residency program) to:

          April Edwards, Fellowship Coordinator, Wake Forest School of Medicine,
          Medical Center Blvd., Winston-Salem, NC 27157

Once your application materials have been received and evaluated, competitive candidates will be contacted directly for an interview.

Thank you for your interest in our programs. If you have any specific questions not covered above, please feel free to contact April Edwards, Fellowship Coordinator at 336-716-7548 or apedward@wakehealth.edu.

Sincerely,
Heidi M. Munger Clary, MD, MPH
Assistant Professor of Neurology
Program Director, Epilepsy and Clinical Neurophysiology Fellowships

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