Department of Neurology

Neuromuscular/EMG

EMGNeurology Fellowship Training
Mark B. Bromberg, M.D., Ph.D., Program Director

PROGRAM DURATION: One year

The fellowship program in clinical neurophysiology provides individuals who have completed an accredited neurology residency program with the skills required to become proficient in the performance and interpretation of electroneurodiagnostic testing as well as experience with diagnosing and treating the underlying neurological conditions. This training allows the fellow to obtain subspecialty certification as described below. We are particularly interested in training individuals for academic careers in clinical neurophysiology. Training is for one year, but provision for an additional training year can be negotiated based upon individual interests. Salary is commensurate with PGY-5 training.

CURRICULUM: Each fellow spends 10 months in his/her area of interest (EMG/Neuromuscular or EEG/Epilepsy) and two (2) months in the other domain.

  • EMG/Neuromuscular: Emphasis in this area of training includes routine nerve conduction and EMG studies with special emphasis on quantitative EMG and special studies including single fiber EMG, motor unit number estimation (MUNE) and quantitative sensory testing. Exposure to neuromuscular disorders occurs in the general neuromuscular clinic as well as special clinics in motor neuron disease, peripheral neuropathy, and the Muscular Dystrophy Association clinic. Pediatric neuromuscular disorders are seen in the MDA clinic and at Primary Children‚s Medical Center. There is a weekly muscle and nerve biopsy reading session. Experience with neuromuscular disorders in hospitalized patients is gained from an inpatient consult service. Two months are spent in the area of EEG and epilepsy to complete the overall curriculum.
  • EEG/Epilepsy: Emphasis in this area of training includes routine EEG and evoked potential interpretation, long-term video-EEG monitoring for differential diagnostic purposes and evaluation of candidacy for epilepsy surgery, intraoperative neurophsyiologic monitoring including evoked potentials, EEG and EMG, and exposure to polysomnography and autonomic functional testing. Training also includes epilepsy clinic and both intra-operative and extra-operative electrocorticography and functional mapping. To complete the overall curriculum, a complete range of electrodiagnostic testing is performed in the EMG laboratory, including routine studies as well as more specialized techniques such as motor unit number estimation (MUNE) and quantitative sensory testing.
  • Research: Completion of a research project in the area of emphasis is required, with the expectation that the results of such research be of sufficient quality and significance to be presented at a national meeting and submitted for publication.
  • Didactics: Several didactic sessions complement the clinical training, including a weekly integrated clinical neurophysiology lecture, a weekly introduction to basic EMG, a weekly clinical review session, and a monthly neuromuscular clinical pathology conference. In addition, the Department of Neurology has a full schedule of teaching conferences.

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ACCREDITATION AND CERTIFICATION OF TRAINEES

This program is accredited by the Accreditation Council on Graduate Medical Education (ACGME). Graduates of the program, after obtaining board certification in neurology, are eligible to sit for examination for Added Qualifications in Clinical Neurophysiology sponsored by the American Board of Psychiatry and Neurology. Fellows who complete the program with an emphasis in EMG/Neuromuscular are eligible for further examination by the American Board of Electrodiagnostic Medicine; those with an emphasis in EEG/Epilepsy may be examined by the American Board of Clinical Neurophysiology.

FACULTY

Mark B. Bromberg, M.D., Ph.D.
Kevin M. Flanigan, M.D.
David R. Renner, MD
Jacinda Sampson, M.D., Ph.D.
J. Robinson Singleton, M.D.
A. Gordon Smith, M.D.
John Steffens, MD
Kathryn J. Swoboda, M.D.

APPLICATION

Applications are accepted 14 months prior to start date. A complete application consists of a University of Utah application form, a current curriculum vitae, a statement of purpose, and three (3) letters of recommendation. Completed applications should be mailed to:

Program Coordinator
Clinical Neurophysiology Fellowship Program
University of Utah Department of Neurology
50 North Medical Drive
Salt Lake City, Utah 84132

Phone: (801) 585-5405
Fax: (801) 581-4192
Email: neuro.residency@hsc.utah.edu