Fellow, Clinical Neuro Physiology, Mount Sinai West - Full Time, Day

Fellow, Clinical Neuro Physiology, Mount Sinai West - Full Time, Day  

Intraoperative Neurophysiology Research Fellowship Program/Job Description (Two years)

This program aims to provide candidates with theoretical and practical knowledge of intraoperative neurophysiological monitoring for the central and peripheral nervous system. Throughout the fellowship, fellows will observe a variety of surgeries, including neurosurgery, orthopedic surgery, interventional neuroradiology, vascular surgeries, and occasionally neurophysiology in the intensive care unit. By the end of the program, fellows should be able to work independently as intraoperative neurophysiologists and provide their services to various surgical and interventional neuroradiology fields. This is a non accredited fellowship program is open to applicants from all over the world. Fellows when they complete their 2 years fellowship program will be eligible to obtain ABNM board certificate which is the official certification of ASNM for Professionals . 

The program is divided into four semesters (6 months). Every semester, target goals for training and research are described below. 

1st   Semester

Introduction to Intraoperative Neurophysiology:

1. Basic Principle of Intraoperative Neurophysiology
2. Theoretical and practical aspects of methodologies for Monitoring surgeries:

• peripheral nerves
• spinal cord
• cauda equina and brachial plexus
• brainstem
• supratentorial surgeries
• mapping of eloquent areas of the motor cortex

1. Practical implementation of the standard intraoperative neurophysiological technique under supervision. 
2. Research data collection.

2nd   Semester

Introduction to special techniques in monitoring

1. Monitoring of the spinal cord with the D-wave technique
2. Dorsal column mapping using miniature multi-contact electrode
3. Mapping of the corticospinal tract within the spinal cord or ventral aspects of the brainstem
4. Mapping and monitoring of the facial nerve during angio-embolization as well as surgery for the vascular and lymphatic malformation of the face
5. Monitoring facial nerve vascular decompression using the “lateral spreading’ technique
6. Mapping of cranial nerve motor nuclei within the brainstem
7. Monitoring of the corticobulbar tract
8. Mapping of the corticospinal tract within white matter in supratentorial surgeries.
9. Research data Collection-Analysis

3rd   Semester

Continuation of introduction to special techniques in monitoring

1. Monitoring sacral plexus and the spinal cord by bulbocavernosus reflex
2. Pedicle screw mapping
3. Mapping of sacral roots using dorsal root action potential from pudendal nerves (dorsal penile/clitoris nerves or anal afferents)
4. Neurophysiological evaluation of the comatose patients
5. Practical implementation of the neurophysiological technique in intraoperative monitoring with minimal supervision.
6. Research data Collection-Analysis

4th   Semester

1. Practical implementation of the neurophysiological technique in intraoperative monitoring with minimal supervision
2. Research Data Collection -Analysis
3. Writing of Scientific papers based on research.

Scientific Article

The last six months of the two-year fellowship will also be dedicated to analyzing all material learned to commence and advance the research study and writing of a scientific article.

Skills/Educational Requirements

• Medical Doctor Degree
• Specialization in Neurology, Neurosurgery, or Clinical Electrophysiology
• Experience in Clinical Electrophysiology (preferred)
  • Evoked Potentials (MEPs) (SEPs)
  • EMG
  • Nerve Conduction Studies (NCS)
  • Preferably EEG
• Each fellow must obtain a CNIM certification upon completing their first semester (6 months).   

Tutelage

The program is under the guidance of Sedat Ulkatan, MD, DABNM, and Maria J.Tellez, MD, DABNM, who