Epilepsy

SPECIAL ANNOUNCEMENT: Fellowship positions for 2015-2016 are filled.

INTRODUCTION

The UNC Epilepsy fellowship training program is ACGME accredited program and organized to provide the intellectual environment, formal instruction, peer interaction and broad supervised clinical experience necessary for fellows to master the knowledge, skills and attitudes essential to the practice of epilepsy and to allow progression into a subspecialty practice, research or teaching career in epilepsy. Central to these goals is the fellow’s attainment of the six core competencies in the areas of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.

During the Epilepsy fellowship in the Department of Neurology at the University of North Carolina Hospitals, the fellow will:

  • Serve as an epileptologist under close faculty supervision for inpatient and outpatient care in epilepsy including EMU services (adult and pediatric), outpatient epilepsy specialty clinic, fellow’s longitudinal clinic, and inpatient subspecialty consultation
  • Interpret EEGs including long term monitoring and routine/ ambulatory EEGs and EPs
  • Participate in all pre-surgical and surgical evaluation for medically intractable epilepsy such as Phase I evaluation, Epilepsy Surgery Conference Presentation, WADA, intracranial EEG monitoring (known as Phase II), ECOG, and functional mapping
  • Participate in other clinical neurophysiology such as IOM and sleep study during electives
  • Teach neurology/ neurosurgery residents and medical students rotating through their Epilepsy/EEG rotation.
  • Complete at least one scholarly project and submit at least one abstract to the national meeting. Fellows will have various opportunities to participate into research projects and encourage publishing a first author manuscript

 

At the end of the fellowship, fellows will be competent to evaluate and manage patients in the full spectrum of seizure disorder and utilize all diagnostic testing with competency in EEG and EPs. The fellow will be able to take the Epilepsy ABPN board as well as the ABCN clinical neurophysiology board

ORGANIZATION OF FELLOWSHIP TRAINING

CLINICAL ROTATIONS:

The foundation of fellow training is the clinical rotations which are overseen by the Neurology Department faculty.  The fellow works closely with the faculty in both the outpatient and inpatient setting.  This gives the fellow an opportunity to observe directly how to provide compassionate, appropriate, and effective patient care, discuss and demonstrate knowledge about related and relevant health care sciences, learn appropriate communication skills, develop professionalism, and develop an awareness of their relationship with the health care system.  The faculty will incorporate these issues into case discussions that serve as the basis for clinical education. 

 

PROCEDURES:

Fellow will develop, with appropriate instruction and feedback, experience in the following procedures:

  • EEG interpretation,
  • Phase I monitoring (presurgical evaluation),
  • Phase II invasive video-EEG,
  • Intraoperative electrocorticography,
  • Intraoperative and extra-operative cortical electrical stimulation studies for functional mapping,
  • Intracarotid amobarbital testing (WADA),
  • Placement of sphenoidal electrodes,
  • Programming of vagal nerve stimulators (VNS) and responsive neurostimulator (RNS),
  • Use of ictal/interictal SPECT, interictal PET and MRI techniques in epilepsy surgery, EPs, and polysomnograms (PSGs), and/or IOM.

 

CONFERENCES:

  • Didactic Lectures: Typically 1st and 3rd Mondays at 1-2pm, POB conference room
  • Book chapter reading and topic discussions: Typically 2nd and 4th Mondays at 1-2pm, POB conference room. Fellows are expected to lead this session.
  • Weekly epilepsy surgery conference: Tuesday at 7:30-8:30am, CNP conference room
  • Bi-weekly resident EEG lectures: Wednesday at 7:30-8:30am, CNP conference room
  • Epilepsy journal club: 2nd and 4th Monday at 12-1pm, POB conference room
  • Neuropathology for epilepsy surgical cases: Typically held for 3-4 times per year on Mondays. Further detail schedule is TBA. The fellow should attend to all of these conferences.

 

SCHOLARLY ACTIVITIES:

Fellows must complete scholarly activities and at least one project during the course of their training.  Teaching of residents, medical students, and allied health personnel will be a required part of each fellow’s education in neurology.  Fellow will participate in the resident didactic lecture series. Research and other scholarly activities by fellows supervised by the faculty are required for graduation. The fellow is required to present at least one abstract in the national meeting and strongly encouraged to publish at least one manuscript during the fellowship. The topics can be chosen by fellows in their interest such as quality improvement, EMU safety, epilepsy surgery, diagnostic and therapeutic treatment projects, other clinical projects, transitional research project, and/or basic science research. The fellow is strongly encouraged to identify research mentors by the 2nd month of training. Fellows are required to attend a national meeting, funded by travel/book fund and/or travel scholarship, during training. 

 

EPILEPSY FACULTY

Core Program Faculty:                                                                                    

Adult Epilepsy:

Albert Hinn, M.D. Director of IOM, Professor

Hae Won Shin, M.D. Director of EMU and Epilepsy Fellowship Program Director, Assistant Professor

Bradley Vaughn, M.D. Chief of Epilepsy and Sleep, Professor                

 

Pediatric Epilepsy:

Yael Shiloh-Malawsky, M.D. Assistant Professor                                                         

Michael Tennison, M.D. Director of CNP, Professor                                                   

               

Adjunctive Faculty:

Eldad Hadar, M.D. Neurosurgery, Surgical Director of Epilepsy Surgery, Vice Chair, Associate Professor

Valerie Jewells, M.D. Neuroradiology, Associate Professor

Arif Sheikh, M.D. Nuclear Medicine, Assistant Professor

Karla Thompson, Ph.D. Neuropsychology, Assistant Professor

Jarrett Barnhill, M.D. Psychiatry, Professor

 

FELLOWSHIP ELIGIBILITY

The Epilepsy fellows must meet all of the following requirements.

  • Be a graduate of an accredited medical school in the United States or Canada or of an international medical school listed by the World Health Organization.
  • Hold an unrestricted license to practice medicine in at least one state, commonwealth, territory, or possession of the United States or province of Canada. If licenses are held in more than one jurisdiction, all licenses held by the physician must meet this requirement.
  • Have satisfactorily completed specialized training requirements in psychiatry, neurology or child neurology in programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME) or certified by the Royal College of Physicians and Surgeons of Canada. This training must adhere to all Board requirements.
  • Have successfully passed all STEP 1-3 examination prior to the fellowship.

 

DURATION OF TRAINING

The UNC Epilepsy Fellowship is a 1 year (12 month) program per ABPN Epilepsy Board Certification Requirement. Any additional time off beyond the allotted 15 work day Paid Time Off (PTO) should be approved by the program director and will have make-up time in order to fulfill the board requirement.  Starting date of the fellowship is July 1 of each year.

 

AVAILABLE FELLOWSHIP POSITIONS

Two (2) fellows per year

 

FELLOW SALARY LEVEL

 PGY 5 or PGY 6 Level, based on core program education requirements

 

HOW TO APPLY TO THE UNC EPILEPSY FELLOWSHIP

Please send your CV, personal statement, and three (3) letters of recommendation to our program coordinator, Hannah Smith via email as an attachment, United States Postal Service or Federal Express (FedEx). One of the letters of recommendation must come from your program director. Applications are accepted beginning 24 months prior to the start date of the fellowship and interviews take place between late fall and early spring until the positions are filled.

Hannah Smith
Program Coordinator
email: rescoord[at]neurology.unc.edu
Phone:919.966.8162
Fax: 919.966.2922

UNC Department of Neurology CB#7025
170 Manning Dr
Chapel Hill, NC 27599