Clinical Neurophysiology Fellowship Program
Associate Professor of Neurology
- Long term EEG monitoring (including ICUs inpatient and AMB EEGs outpatient)
- Intracranial EEG monitoring (including Grids and StereoEEG monitoring)
- Pharmacological and surgical treatment options (including resections, electrothermocoagulation, and neuromodulation devices)
- Brain mapping
- Epilepsy Monitoring Unit (EMU) for diagnosis and presurgical evaluations
- Outpatient epilepsy clinics (including RNS clinics, pregnancy in epilepsy, epilepsy in elderly, and ketogenic diet)
- Evoked Potentials
- Nerve conduction and EMG studies
- Ultrasound in diagnosis of certain neuromuscular disorders
- Botox injections and skin biopsy
- Intraoperative Monitoring (IOM) 2-4 weeks rotation at the University of Michigan (UOM).
This track provides comprehensive clinical training to develop the skills needed to excel in the epilepsy field. Training includes EEG reading, interpretation and generating reports for outpatient EEGs and ambulatory EEGS, and inpatient EEGs with a focus on intensive care units (ICUs) at Detroit Medical Center (Harper Hospital and Detroit Receiving Hospital).
The Adult Epilepsy Monitoring training unit is an NAEC designated level IV epilepsy center. The center includes six beds for patients who are admitted and focuses on capturing their events or spells for epilepsy diagnosis, and presurgical evaluation for epilepsy surgery treatment options. Fellows will be involved in extensive presurgical evaluations to get the experience in identifying epilepsy patients who can be candidates for epilepsy surgery and to learning the basic concepts of interpretation of imaging tests including MRI,PET, interictal-ictal SPECT, fMRI, and SISCOM, in addition to neuropsychological test, Wada test, intracranial monitoring and neuropathology. We use a robotic surgery (ROSA) for the implantation of stereotactic electrodes for all of our epilepsy cases.
Continuity epilepsy clinic where fellows will be responsible for managing their own patients are held one- half day per week. The fellows will experience how to manage epilepsy patients, handle VNS, as well as selecting and working up potential epilepsy surgical cases in the presurgical evaluation phase.
Specialty epilepsy clinics such as neuromodulation clinics (includes RNS clinics) are held on Thursdays and Fridays throughout the year, while pregnancy and epilepsy clinic, and epilepsy in elderly clinics are held a half day every Wednesday. The fellows will gain essential hands-on experience in RNS programing and interpretation in our epilepsy surgery cases.
Fellows are encouraged to participate in research projects. Fellows will have faculty-fellow mentorship aiming to guide fellows in developing, participate and present research projects at national or international conferences.
This track focuses on clinical training in NCS, EMG and Ultrasound studies in common and rare neuromuscular diseases. Fellows will develop the skills needed to excel NCS/EMG studies reading, interpretation and generating reports for outpatient settings.
Continuity neuromuscular clinic where fellows will be responsible for managing their own patients are held a half-day per week. The fellows will experience how to manage neuromuscular cases. Also, the fellows can join EMG and neuromuscular clinics at the VA hospital held 1-2 half-days per week.
Specialty neuromuscular clinics such as diabetic polyneuropathy clinic (includes hands-on skin biopsies) is held for a half-day per week during the year, while CMT and neurogenetic clinics are held a half-day biweekly.
The fellows will gain essential hands-on experience in Ultrasound training and use in certain types of neuromuscular diseases.
Intraoperative Monitoring (IOM), the fellows will gain training 2-4 weeks per year at the University of Michigan (UOM).
Fellows are encouraged to participate in research projects. Fellows will have faculty-fellow mentorship aiming to guide fellows in developing, participaticipating in and presenting research projects at national or international conferences.
Elective Rotations:
- Sleep Disorders
- Pediatric Epilepsy
- Neuroimmunology
- Neuroradiology
- Movement Disorders
- Neurocritical care
Clinical Neurophysiology fellowship combined with Epilepsy fellowship (2 year fellowship):
Our program offers a one year ACGME-accredited Clinical Neurophysiology Fellowship, followed by a second year of ACGME-accredited Epilepsy Fellowship training.
Clinical Neurophysiology Didactic lectures:
EMG/Neuromuscular lecture series covering EMG and nerve conduction basics, ultrasound utility in different neuromuscular diseases and other clinical neuromuscular topics (Every Friday, 10am-11am).
Epilepsy/EEG lecture series covering EEG basics, seizure types and different semiology, neurodiagnostic studies in epilepsy, epilepsy surgery and neuromodulation devices, antiseizure medication and mechanisms of actions, neuropathology in epilepsy, epilepsy and pregnancy, neuroimmunology in epilepsy, genetics in epilepsy, epilepsy and movement disorders, and other interesting clinical and updated epilepsy topics (Every Thursday 12pm-1pm).
- Weekly epilepsy surgery conference (Every Monday 11:30am-12:30pm), this is a joint conference with pediatric epilepsy).
- Interesting EEG cases conference once monthly on Friday 11:30am-12:30pm.
- Journal club (12:00pm-1:00pm on the first Thursday every other month).
- Attend Grand Rounds every Friday 11:30am-1:00pm (Optional).
- EEG/EMU reading and interpretation teaching sessions.
- Comprehensive Clinical Neurophysiology In-service exam and CNP Board Review sessions designed to prepare fellows who are taking the ABPN Clinical Neurophysiology Board Examination.
- Fellows may attend the annual ACNS, AES, AAN national conferences.
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, Clinical Neurophysiology fellows are also eligible to take the American Board of Electrodiagnostic Medicine.
Research Opportunities
Fellows at Wayne State University can participate in research, from case reports to clinical trials recruitment and management of patients. Feel free to visit our Clinical Research Center.
Application process
Applicants who are interested in applying for the clinical neurophysiology fellowship must have completed an ACGME accredited neurology residency by the start of the fellowship and should be ABPN board eligible. Our program participates in the National Residency Matching Program (NRMP). Please complete the application through the Electronic Residency Application Service (ERAS).
Applicants can find more information by visiting NRMP and ERAS websites.
For additional information about the program, please contact our fellowship program coordinator:
Amy Allemon
Former CNP Fellows:
Hassan Souidan, MD, Detroit Medical Center Wayne State University
Zainab Alalawi, MD, Detroit Medical Center, Wayne State University
Rene Andrade, MD, Detroit Medical Center, Wayne State University
David Chaar, MD, Detroit Medical Center, Wayne State University
Derek Grayson MD, Detroit Medical Center, Wayne State University
Hassan Imtiaz, MD, Detroit Medical Center, Wayne State University
Gabriel Moreno, MD, Detroit Medical Center, Wayne State University
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