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The goal of the University of North Carolina at Chapel Hill Neuromuscular Fellowship Program is to train the fellow in the skills, knowledge, and attitude necessary to take care of patients with neuromuscular disorders. This is achieved as the fellow interacts with patients under the guidance and supervision of faculty members who give value, context, and meaning to those interactions.

Graded and progressive responsibilities are earned as the fellow gains experience and demonstrates growth in their ability to care for patients with neuromuscular disorders. The objectives of the program will be achieved as the six ACGME core competencies in the areas of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice are attained.

Program Description

The Neuromuscular Fellowship Program offers a unique setting for the fellow to become an expert in neuromuscular medicine. This is made feasible because of 1) a large patient population within UNC Health serving the Research Triangle area, the State of North Carolina and the states surrounding North Carolina and 2) faculty expertise in all aspects of neuromuscular medicine.

At the end of the fellowship, the neuromuscular fellow will be able to expertly evaluate, diagnose and treat patients with a wide variety of neuromuscular disorders. The fellow will know the values of the tests relevant to neuromuscular conditions, their cost and limitations. The fellow will have a background that will enable them to critically appraise data published on neuromuscular conditions, and take the neuromuscular medicine ABPN board as well as the ABEM electrodiagnostic board.

The Neuromuscular Medicine fellow must have successfully completed a residency program in Neurology or Physiatry accredited by the ACGME.

The ACGME Neuromuscular Medicine Fellowship program is one-year long. Fellows who are interested in additional training in clinical research methods are encouraged to pursue an additional year of non-ACGME accredited training.

Outpatient Neuromuscular Clinics

The neuromuscular fellow will spend four to five half days per week in the outpatient neuromuscular clinic with neuromuscular medicine faculty. The fellow will see patients referred for general neuromuscular evaluation, as well as patients in specific subspecialty clinics, including those dedicated to muscular dystrophy association (MDA), peripheral neuropathy, myasthenia gravis, and ALS.

EMG Laboratory

The fellow will spend four to five half days per week in the EMG laboratory learning electrodiagnostic techniques under the supervision of neuromuscular faculty. The fellow will learn routine EMG and NCS for evaluation of common and complex neuromuscular disorders. There is also training in use of neuromuscular ultrasound in the assessment of entrapment neuropathies.

In addition to training in standard electrodiagnostic techniques, the fellow will have the opportunity to have exposure and experience with advanced techniques such as single fiber EMG, quantitative motor unit analysis, and chemodenervation. There is exposure to, and opportunity for training in autonomic testing. The fellow will learn skin biopsy techniques in the evaluation of small fiber neuropathy.

A formal didactic education program covering neuromuscular medicine and electrodiagnostic medicine topics includes:

  • Neuromuscular medicine didactic lectures series
  • Neuromuscular pathology conference
  • Journal Club

The fellow will be trained in the basic principles of research including how research is conducted, evaluated, explained to patients and applied to patient care.

The fellow will be expected to participate in scholarly activity. In addition to being able to participate in resident and medical student teaching, the fellow will be trained on how to review and write a scientific paper.

The fellow will be encouraged to contribute to the scientific community by writing case reports, case series and if possible designing a research study (an additional year of research fellowship may be needed).

UNC allocates adequate educational resources to facilitate the fellow’s involvement in scholarly activities. The faculty is compensated for teaching, research activity and publications.

How to Apply

Thank you for your interest in our program. We will be processing applications and distributing offers through the AANEM portal. Please utilize this portal to send application materials. Required application materials include CV, personal statement and letters of recommendation.

Program Director
Rebecca Traub, MD

Program Coordinator
Ashley Myles
email

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