Welcome from the program director
Thank you for your interest in MedStar Georgetown University Hospital’s Clinical Neurophysiology Fellowship program. Our training program provides the unique opportunity to gain a breadth of exposure within the field, while developing a strong foundation in the fellow’s primary area of focus. Fellows receive outstanding clinical instruction within an environment of academia.
Shakti V. Nayar, MD
Director, Clinical Neurophysiology Fellowship Program
Our Clinical Neurophysiology program is an ACGME-accredited program. We offer two funded positions for a one-year ACGME-accredited fellowship beginning in July. Both fellows are eligible for board certification in Clinical Neurophysiology by the American Board of Psychiatry and Neurology. One fellow is dedicated to the EMG/Neuromuscular track and one to the EEG/Epilepsy track. Interested fellows have the option for an additional second year of fellowship dedicated to research at MedStar Georgetown University Hospital.
This track focuses on the diagnosis and management of clinical neuromuscular diseases, as well as electrodiagnosis, including electromyography (EMG) and both routine and special nerve conduction studies (NCSs). Fellows participate in the general Neuromuscular clinic. They also engage in weekly multidisciplinary Muscular Dystrophy Association (MDA) and Amyotrophic Lateral Sclerosis Association (ALSA) clinics. They learn to manage myasthenia gravis, neuropathies, muscular dystrophies, inflammatory and non-inflammatory myopathies, ALS, and spinomuscular atrophy (SMA), among other conditions. Fellows are based at Georgetown University Hospital and have the opportunity to rotate at the National Institutes of Health (NIH) and Children’s National Medical Center (CNMC) for additional exposures in pediatric EMG and ultrasound-guided botulinum toxin injections. Fellows also receive training in electroencephalography (EEG) and have the opportunity for electives in intraoperative monitoring (IOM) and sleep disorders. The EMG/Neuromuscular fellow does not take call or have weekend hours. Completion of a research project is expected of all fellows.
This track focuses on the diagnosis and management of Epilepsy patients, as well as routine and special electroencephalography (EEG) techniques. Fellows are provided with in-depth exposure to adult EEG and gain experience in neonatal and pediatric EEG. There is extensive exposure to routine and video EEG monitoring, including long-term studies, intracranial depth and grid electrode recording, and electrocorticography. Additionally, there is some exposure to intraoperative evoked potentials (EPs). The medical and surgical management of Epilepsy are covered in weekly clinics. Fellows have the opportunity for elective time in intraoperative monitoring (IOM), EMG, and sleep disorders. Advanced neuroimaging, including PET and functional MRI are available for seizure focus localization and functional mapping. Completion of a research project is expected of all fellows.