Clinical Neurophysiology Fellowship Program

The Clinical Neurophysiology (CNP) Fellowship at Detroit Medical Center and Wayne State University School of Medicine is a 1-year, ACGME-accredited program offering three fellowship positions annually. 

• Current Availability (2027–2028):  

• 2 positions filled 

• 1 position remaining open 

Program Highlights 

• Dual training tracks: 

• EEG / Epilepsy Track 

• EMG / Neuromuscular Track 

• Advanced clinical environment: 

• NAEC-designated Level IV Epilepsy Center 

• 6-bed Epilepsy Monitoring Unit (EMU) 

• Robotic stereo-EEG (ROSA) technology 

• Comprehensive pre-surgical epilepsy evaluation program 

Additional Training Opportunities 

• Integrated 2-year pathway combining:  

• Clinical Neurophysiology Fellowship 

• Epilepsy Fellowship 

Eligibility 

• Applicants must have completed a neurology residency accredited by the ACGME (U.S.) or an accepted international equivalent. 

Application Process 

• The program participates in the NRMP Match 

Clinical Training Experience 

The program offers comprehensive, hands-on training across a wide spectrum of clinical neurophysiology and epilepsy care, including: 

• Long-term EEG monitoring 

• Inpatient monitoring (including ICU settings) 

• Outpatient ambulatory EEG studies 

• Intracranial EEG monitoring 

• Subdural grids and strips 

• Stereo-EEG (sEEG) 

• Advanced treatment modalities 

• Medical management of epilepsy 

• Surgical interventions, including:  

• Resective surgery 

• Laser Interstitial Thermal Therapy (LITT) 

• Neuromodulation therapies:  

• Responsive Neurostimulation (RNS) 

• Vagus Nerve Stimulation (VNS) 

• Functional brain mapping for presurgical planning 

• Epilepsy Monitoring Unit (EMU) 

• Comprehensive diagnostic evaluations 

• Pre-surgical assessments 

• Specialized outpatient epilepsy clinics, including: 

• RNS/neuromodulation clinic 

• Epilepsy in pregnancy 

• Epilepsy in the elderly 

• Ketogenic Therapy 

• Evoked potential studies 

• Neuromuscular training 

• Nerve conduction studies (NCS) 

• Electromyography (EMG) 

• Neuromuscular ultrasound for diagnostic evaluation 

• Procedural experience, including: 

• Botulinum toxin (Botox) injections 

• Skin biopsy 

• Intraoperative neurophysiological monitoring (IOM) 

• 2–4 week rotation at the University of Michigan (UOM) 

Track-Specific Curriculum 

• Daily multidisciplinary EMU rounds (Monday–Friday) in a 6-bed Epilepsy Monitoring Unit 

• anagement of both scalp and intracranial EEG monitoring, including:  

• Subdural grids and strips 

• ROSA-assisted stereo-EEG (sEEG) 

The program offers a comprehensive presurgical evaluation framework, including: 

• High-resolution MRI 

• PET imaging 

• Ictal/interictal SPECT 

• SISCOM analysis 

• Functional MRI (fMRI) 

• Neuropsychological testing 

• Wada testing 

• Neuropathology 

Fellows are actively engaged in every stage of the epilepsy surgery pathway, including: 

• Initial patient screening and evaluation 

• Diagnostic workup and case formulation 

• Participation in multidisciplinary epilepsy surgery conferences 

• Postoperative follow-up and outcome assessment 

This longitudinal involvement ensures a complete understanding of surgical decision-making and outcomes in epilepsy care. 

2. Structured Neuromodulation and RNS Training 

The program provides robust, hands-on experience in neuromodulation therapies, with a particular emphasis on Responsive Neurostimulation (RNS). 

• Fellows participate in dedicated monthly neuromodulation clinics (Thursdays and Fridays) 

• Direct, supervised experience in:  

• RNS device interrogation 

• Adjustment of stimulation parameters 

• Interpretation of stored electrographic data 

This structured approach ensures fellows develop proficiency in advanced neuromodulation management, a key skill in modern epilepsy care. 

Fellows develop proficiency in: 

• Application of ACNS standardized EEG terminology 

• Recognition and management of status epilepticus 

• EEG-based neuroprognostication in critically ill patients 

• Half-day clinic per week 

This clinic fosters continuity of care and allows fellows to: 

• Follow patients over time 

• Develop long-term management strategies 

• Monitor treatment response and outcomes 

• Evaluation and management of complex, drug-resistant epilepsy 

• Identification and selection of candidates for epilepsy surgery 

• Exposure to the full spectrum of epilepsy syndromes and etiologies 

In addition, fellows may choose from a range of specialty epilepsy clinics, including: 

• Epilepsy in pregnancy 

• Epilepsy in the elderly 

• Ketogenic therapy 

• New-onset seizure clinic 

• Tuberous sclerosis complex (TSC) clinic 

This flexible structure allows fellows to individualize their training experience while gaining expertise in specialized patient populations. 

EMG / Neuromuscular Track 

• Outpatient EMG/NCS clinics (4 days/week) at Detroit Medical Center 

• Additional exposure through VA hospital EMG clinics (1–2 half-days/week) 

Fellows will gain exposure to the full spectrum of neuromuscular disorders, including neuropathies, myopathies, neuromuscular junction disorders, and motor neuron diseases.  This high-volume, diverse experience ensures strong preparation for independent EMG practice. 

• Peripheral nerve ultrasound 

• Muscle ultrasound 

• Ultrasound-guided procedures 

• One half-day per week 

• Follow patients over time 

• Correlate clinical findings with EDX and imaging results 

• Develop comprehensive neuromuscular care plans 

In addition, fellows may choose from a range of specialty neuromuscular clinics, including: 

• Diabetic polyneuropathy clinic (with skin biopsy exposure) 

• Charcot-Marie-Tooth (CMT) clinic 

• Neurogenetics clinic  

• Botulinum toxin (Botox) injections for neuromuscular indications 

• Skin biopsies for evaluation of small fiber neuropathy 

Elective Rotation 

The Clinical Neurophysiology Fellowship offers a diverse range of elective opportunities to support individualized training and career development. 

• Fellows may select one elective rotation of 4 weeks duration during the fellowship year 

Available Elective Options 

• Sleep Disorders 

• Pediatric Epilepsy 

• Neuroimmunology 

• Neuroradiology 

• Movement Disorders 

• Neurocritical Care 

• Research 

These electives allow fellows to: 

• Tailor their training toward specific clinical or academic interests 

• Gain exposure to complementary subspecialties 

• Enhance interdisciplinary collaboration and broaden clinical expertise 

Clinical Neurophysiology Didactic lectures: 

Mentoring Program Offers

• Dedicated Faculty Mentorship:
  Each fellow is paired with a faculty mentor who provides individualized guidance and support throughout the program.

• Clinical and Professional Development:
  Ongoing, day-to-day mentorship in clinical decision-making along with structured support for professional growth.

• Scholarly Activity and Research Opportunities:
  Guidance and encouragement to participate in academic projects, including research, publications, and presentations.

• Career Development and Board Preparation:
  Structured involvement in in-service training, board exam preparation, job search strategies, and long-term career planning.

• Conference Participation:
  Active encouragement and support to attend major national meetings such as the American Epilepsy Society (AES), American Clinical Neurophysiology Society (ACNS), and American Academy of Neurology (AAN).

Upon graduation, the fellows will be eligible for the Clinical Neurophysiology board examination offered by the American Board of Psychiatry and Neurology (ABPN). Depending on the fellows’ interest, EMG/Neuromuscular track, Clinical Neurophysiology fellows are also eligible to take the American Board of Electrodiagnostic Medicine. 

For additional information about the program, please contact our fellowship program coordinator:  

Former CNP Fellows: