Neuromuscular Medicine and EMG/Clinical Neurophysiology Fellowships

Overview

The Stanford Neuromuscular Disorders Program offers:

  • Three fellowship positions in Neuromuscular Medicine (NMM)
  • One fellowship position in EMG/Clinical Neurophysiology (EMG/CNP)
     

All positions are ACGME-accredited. Scroll down for application information.

The NMM and EMG/CNP fellowships both offer exceptional training in adult and pediatric neuromuscular disorders, EMG/NCS, neuromuscular ultrasound, neuropathology, and clinical applications of neurogenetics and neuroimmunology.  For pediatric neurologists, either fellowship can be designed with a significant pediatric focus.

Either fellowship program can be coupled with an additional year for advanced research and/or clinical training. Fellows are strongly encouraged to consider this option. The two-year pathway is an excellent opportunity to pursue more in-depth research, gain additional procedural and clinical skills, enroll in courses in education and research, and lay a strong foundation for the fellow’s future career.

Per ACGME requirements, the EMG/CNP fellowship year incorporates two months of training in a separate area of neurophysiology. This may be Sleep/Polysomnography, EEG, or IOM. Training in Sleep/PSG may be arranged with a focus on neuromuscular sleep and respiratory management.

Visit Frequently Asked Questions for information about rotations, training sites, didactics, benefits, and life in the Bay Area.  

The compensation for Stanford housestaff is highly competitive. There are additional stipends to cover conference attendance, housing, moving expenses, cell phone fees, medical licensing, etc. Excellent comprehensive medical, dental, and vision coverage is provided for the entire family. Visit the GME website for information about salary and bonuses.

Clinical Training

Multidisciplinary Neuromuscular/MDA/ALS Clinics: Fellows rotate through robust adult and pediatric clinics with support from the MDA, ALSA, RN, PT, OT, RT, SLP, dietician, social worker, and genetic counselor. Includes our Family Clinics, where related adults and children are seen together. 

Neuromuscular Immunology Clinics: Focus on autoimmune conditions and clinical trials, with support from an integrated pharmacist and respiratory therapist.

Neuromuscular Continuity Clinics: Fellows have primary responsibility for decision making and care coordination. Wide range of “bread and butter” cases and unusual presentations. 

Peripheral Nerve Injury Clinic: Fellows see unusual cases for exposure to peripheral neuroanatomy, precise examination techniques, optimization of EMG/NCS and neuromuscular ultrasound planning, MR imaging, and complex care coordination.

Neurodiagnostic Lab: Fellows see a wide range of common and unusual EMG/NCS cases. Opportunities for exposure to single fiber EMG, laryngeal EMG, and the EMG evaluation of dystonia, myoclonus, and functional disorders.

Neuromuscular Ultrasound: Fellows evaluate adult and pediatric nerve conditions and neuromuscular disorders. 

Inpatient Consultation and EMG Service: Fellows see highly educational inpatient cases in the adult and pediatric hospitals, perform bedside EMG/NCS, and provide teaching and guidance to neurology residents.

Electives: Fellows may pursue opportunities for further study in autonomic clinics and autonomic testing, botulinum toxin injections, evoked potentials, medical genetics, nerve surgery, neurogenetics, palliative care, physiatry, rheumatology, sleep and respiratory medicine, and other related areas.

Clinical Trials: Fellows may participate in many groundbreaking clinical trials for genetic and autoimmune conditions.

Outpatient and Inpatient Training Sites

Research

All fellows are expected to complete clinical and/or QI/QA projects. Support is provided to allow attendance at national and regional neuromuscular meetings, and fellows are encouraged to pursue opportunities for presentations and publications.  There are ample resources for clinical and laboratory research, and the potential for an additional 1-2 years of clinical and/or research training for fellows with specific interests. Past fellows have obtained funding through the Muscular Dystrophy Association and NIH/NINDS R25 program. There is an active and varied clinical trial program and fellows may participate in study visits and meetings.

Didactics

The robust didactic program focuses on cutting-edge topics.  Recurring sessions include:

  • Neuromuscular Didactic Series
  • EMG/NCS and Other Neurodiagnostic Didactics
  • EMG Waveform Review
  • Neuropathology Didactics and Slide Review
  • Journal Watch
  • Fellow Debate Club
  • Challenging Case Conference (CME-accredited)
  • PNS/CNS Neuroimmunology Conference
  • Neurology Grand Rounds
  • Opportunities to attend multidisciplinary conferences focused on peripheral nerve injury, facial nerve injury, neurofibromatosis, epilepsy/EEG, and other topics.

Visit Frequently Asked Questions for information about rotations, training sites, didactics, benefits, and life in the Bay Area.