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Clinical Neurophysiology

Clinical neurophysiology (CN) is an area of medicine in which selected neurological disorders are evaluated, monitored and treated using a combination of clinical assessment and electrophysiological testing. The field assesses derangements of normal physiology of the nervous system and uses electrophysiological methods to evaluate the abnormal physiological state. Fellowship trainees in CN acquire a detailed knowledge of the normal physiology and relevant anatomy of the nervous system; the normal and abnormal electrophysiology of the central and peripheral nervous system. They acquire detailed knowledge of electrophysiological testing procedures specifically related to common neurological disorders that affect the nervous system, including epilepsy, neuromuscular disease, sleep disorders, demyelinating diseases, movement disorders, degenerative diseases, conditions that alter mental function, as well as intraoperative evaluation of nervous system function.

The CN Fellowship program at the New York-Presbyterian Hospital (Columbia Campus) offer trainees the choice of two “majors”: EEG/Epilepsy or EMG/Neuromuscular Medicine. At the time of application, applicants select one of these two majors. The majority of their time is then devoted to acquiring extensive knowledge and expertise in that areas. In addition to their major track rotations, fellows are exposed broadly to the field of clinical neurophysiology though actual experience, formal lectures, and observation, including approximately 20% of time devoted to specific rotation in their “minor” areas.

This fellowship is accredited by the American Council on Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS), the certifying bodies for physician training in the United States. Upon successful completion of their training, fellows are eligible for Certification in the Subspecialty of Clinical Neurophysiology by the American Board of Psychiatry and Neurology.

EMG/Neuromuscular Medicine

Fellows in EMG and Neuromuscular Medicine receive one year positions in the EMG Laboratory and in the Neuromuscular Medicine division of the Columbia University College of Physicians & Surgeons. The EMG Laboratory provides all electrodiagnostic testing for both the Neurological Institute of New York and NewYork-Presbyterian Hospital/Columbia University Medical Center. Fellows in training have in-depth exposure to all aspects of electrodiagnosis in the EMG lab, which is continuously staffed by experienced faculty. As both a tertiary care facility and the sole medical center laboratory, the section provides exposure to a wide variety of unusual cases, as well as substantial grounding in the electrodiagnosis of common disorders. Fellows also rotate through the neuromuscular outpatient centers and muscular dystrophy association clinic at the Neurological Institute, where they learn neuromuscular diagnostic and management skills directly from the distinguished neuromuscular faculty. In addition, an extensive didactic program is also in place, which includes a programmed lecture series, dedicated neuromuscular conferences, and EMG morning report, providing 4 to 6 hours of direct didactic instruction per week.

In addition to eligibility for Certification in the Subspecialty of Clinical Neurophysiology by the American Board of Psychiatry and Neurology, fellows successfully completing the program major are eligible for certification by the examination of the American Board of Electrodiagnostic Medicine (ABEM).

EEG/Epilepsy

Fellows in EEG/Epilepsy receive two year positions, during which they acquire extensive experience in electrodiagnostic testing including electroencephalograms, long term video-EEG monitoring, evoked potentials, intraoperative monitoring, and sleep studies. The Columbia Comprehensive Epilepsy Center provides all electrodiagnostic testing for the Neurological Institute of New York, the New York Presbyterian Hospital at the Columbia Presbyterian Medical Center, and the Morgan Stanley Children’s Hospital of New York. Fellows in training have in-depth exposure to all aspects of electrodiagnosis at the Columbia Comprehensive Epilepsy Center, which is continuously staffed by experienced faculty. As both a tertiary care facility and the sole medical center laboratory, the center provides exposure to a wide variety of cases in multiple clinical settings including outpatient clinics, OR, inpatient monitoring unit (adult and child), neuro ICU, as well as other adult and child inpatient services in the hospital. Fellows get exposure to the available electrodiagnostic testing in these clinical settings on different rotations. In addition, an extensive didactic program is in place including a programmed lecture series and dedicated epilepsy/neurophysiology conferences providing 4 to 6 hours of direct didactic instruction per week.

In addition to eligibility for Certification in the Subspecialty of Clinical Neurophysiology by the American Board of Psychiatry and Neurology, fellows successfully completing the EEG/Epilepsy major are eligible for certification by the examination of the American Board of Clinical Neurophysiology (ABCN).

 

EEG/Epilepsy Fellows

Brian Appavu, MD
Santoshi Billakota, MD
Brad Kamitaki, MD
 

EMG/Neuromuscular Fellows

Muhammad Arshad, MD
Artem Kaplan, MD, PhD
Fernanda Wajnsztajn, MD

 

Apply

2018-2019 Clinical Neurophysiology Epilepsy (EEG) application process will begin November 1, 2016, with completed applications due by January 2, 2017.

2018-2019 Clinical Neurophysiology Neuromuscular (EMG) application process will begin January 1, 2017, with completed applications due by February 2, 2017.

All completed applications must be sent to Yakira Nolasco at yn2136@cumc.columbia.edu and must include:

Contact

Yakira Nolasco
Administrative Assistant
Neurological Institute of New York
710 W. 168th Street, Room 1440
New York, NY 10032
tel: 212-305-1326
email: yn2136@cumc.columbia.edu

Carl W. Bazil, MD, PhD
Program Director
Comprehensive Epilepsy Center
Neurological Institute of New York
710 W. 168th Street, Room 1440
New York, NY 10032
tel. (212) 305-1516
email: cwb11@columbia.edu

Louis Weimer, MD
Director, EMG Lab
EMG laboratory
Neurological Institute of NY
710 W. 168th Street, Unit 55
New York, NY 10032
tel. (212) 305-1516
email: Lhw1@columbia.edu

Alison Pack, MD
Director
Comprehensive Epilepsy Center
Neurological Institute of New York
710 W. 168th Street, Room 1440
New York, NY 10032
tel. (212) 305-1742
email: ap390@columbia.edu