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Graduate Medical Education (GME): Clinical Neurophysiology EEG and EMG Track

Fellowship Program Director: Tanya J. Lehky, MD
Fellowship Associate Program Director: Sara Inati, MD

Overview
This is an ACGME-accredited one-year fellowship that provides eligibility for the American Board of Psychiatry and Neurology Certification Examination in the subspecialty of Clinical Neurophysiology. The program is approved to enroll two Fellows each year: one position in an EEG-predominant track (EEG Section) and one position in an EMG-predominant track (EMG Section). The program is affiliated with the Walter Reed National Military Medical Center Neurology program in Bethesda, MD, and Children’s National Hospital in Washington DC. Completion of an ACGME-accredited neurology residency program and a valid, unrestricted U.S. license are required.

Program Structure
The clinical neurophysiology program has two fellowship pathways with major concentration in EEG or EMG and minor concentration in the secondary pathway. Each program is one year in length.

Electroencephalography (Sara Inati, MD):
Fellows in the EEG-predominant track will gain experience and expertise in the evaluation and treatment of epilepsy patients and related neurophysiological techniques, including routine and long term video-EEG monitoring, with both noninvasive and invasive studies, intraoperative monitoring, evoked potentials, and magnetoencephalography. There is an active epilepsy surgery program. Fellows are expected to participate in a research project, usually involving neuroimaging or neurophysiology, with the goal of developing a basic foundation for pursuing independent research in the field of epilepsy. The training period consists of a total of two years, with the second year as an ACGME-certified Clinical Epilepsy fellowship.

Electromyography (Tanya Lehky, MD):
The EMG fellowship position focuses on performing and interpreting electrodiagnostic tests in neuromuscular disorders, neuropathies, and autonomic disorders. Training encompasses a wide variety of techniques including specialized nerve conduction and EMG techniques, transcranial magnetic stimulation, neuromuscular ultrasound, intraoperative monitoring, and autonomic nervous system testing. There are opportunities to participate in a number of clinical trials using a wide spectrum of outcome measures and regularly engage in the electrodiagnoses of complex patients.

Additional Information
NINDS Clinical Neurophysiology Fellowship Program

Application Information
For the EMG position, the application is through the Clinical Neurophysiology Match Program, American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM), Clinical Neurophysiology (EMG) Fellowship Portal l AANEM. The application portal opens in January and closes in May for the following academic year. Inquiries about unfilled positions can be made directly to Dr. Lehky, Program Director, via email (lehkyt@ninds.nih.gov).

For the EEG position, the application is through the ERAS match for Clinical Neurophysiology, under National Capital Consortium (Bethesda) Program, ERAS 2024 participating Specialties & Programs (aamc.org). The application portal opens in November and closes in May for the following academic year. Inquiries about unfilled positions may be addressed to Sara Inati, the Epilepsy Program Director, via email (sara.inati@nih.gov).

The EEG position is integrated part of a two-year program of Clinical Epilepsy and Clinical Neurophysiology; both years are currently ACGME-accredited. Fellows are interviewed for and accepted to both yearlong positions concurrently. A third year is possible for selected candidates.