These rotations have elements of malleability. Following the fellowship year, individuals will have met criteria to take the examination for Certification in the Subspecialty of Clinical Neurophysiology, offered through the American Board of Psychiatry and Neurology. Fellows will have mastered skills in clinical neurophysiology. During the year of fellowship training, we encourage participants to engage in a research project and present their findings at one of the national meetings.
EMG Rotation (5 Months): Our EMG Laboratory is extremely busy, assessing a high volume of patients with a wide range of multiple neuromuscular and various clinical disorders. Currently, we assess over 2,000 patients per year. This experience highlights the fellow learning skills in nerve conduction assessment and intramuscular recordings, all in the setting of didactic lectures and clinical exposure. Fellows have the opportunity to participate in clinics individually specifically focused upon ALS, Myotonic Dystrophy, Muscular Dystrophy, and Myasthenia Gravis.
Fellows will learn basic techniques of NCV assessment, including motor conductions, sensory responses, F Waves, H Reflex Latencies, repetitive stimulations, and single fiber assessments. They will learn assessment of intramuscular recordings, including fibrillations, waveforms, patterns of recruitment, and patterns of disease.
EEG Rotation: This includes a four-month rotation in the Clinical Neurophysiology/EEG lab at Houston Methodist Hospital and a one-month rotation in Pediatric EEG/Epilepsy at Memorial Hermann Hospital. The EEG lab at Houston Methodist is accredited by ABRET (American Board of Registration of Electroencephalographic and Evoked Potential Technologists) and approximately 3500 EEG’s and 400 evoked potentials are performed annually. The epilepsy program is designated level 4 by the National Association of Epilepsy Centers and consists of a multidisciplinary team with clinicians and researchers from the Departments of Neurology, Neurosurgery, Neuroradiology, Psychiatry, Neuropsychology, Pathology and Nuclear Medicine.
Fellows rotate in the EEG, Evoked Potential Lab and in the Epilepsy Monitoring Unit. Fellows also see patients in the Outpatient Clinic, in addition to performing inpatient epilepsy consults. One moth is at Memorial Hermann Hospital, learning pediatric EEG and rotating in the Pediatric Epilepsy Monitoring Unit.
Sleep Rotation: There is a two-month rotation in the Sleep Clinic and Houston Methodist Sleep Disorders Center, a 10-bed AASM accredited sleep laboratory. Fellows interact with different team members of the Comprehensive Sleep Disorders Program, which includes faculty from specialties of Neurology, Pulmonary, Cardiology, Oral Maxillofacial Surgery, ENT, Psychiatry, and Psychology.