The Epilepsy Fellowship is intended as a second year of fellowship training after completion of a Clinical Neurophysiology Fellowship (typically at Duke). It is intended for those planning a career in management of refractory epilepsy and/or a career in academics related to epilepsy.
The Duke Epilepsy Fellowship is an ACGME-accredited program that offers advanced training in epilepsy intended for those planning a career in management of refractory epilepsy and/or a career in academics related to epilepsy. . It is intended as a second year of fellowship after completion of a Neurology/Pediatric Neurology Residency and a Clinical Neurophysiology Fellowship.
Trainees will get experience in the clinical management of epilepsy, video EEG monitoring in all age groups, and ICU EEG monitoring. There is also emphasis on advanced topics such as planning, implementation and interpretation of intracranial EEG monitoring, high-density EEG, electrical source imaging, and management of neuromodulation devices. Trainees are also expected to conduct or participate in clinical or translational research related to epilepsy.
The Duke Epilepsy Fellowship is based at Duke University Medical Center (DUMC). Rotations include adult and pediatric epilepsy clinics and video EEG monitoring, ICU EEG, EP/NIOM and electives which can be tailored to a candidate's interest. Trainees also have a large role in planning and implementation of intracranial EEG monitoring cases and QI/PI projects related to epilepsy.
Prerequisites: Completion of a residency in neurology or pediatric neurology, and completion of a clinical neurophysiology fellowship. Most candidates will have completed their clinical neurophysiology fellowship at Duke, but external candidates will be considered based on availability.
Salary Level: PGY-6
Curriculum: The Duke Comprehensive Epilepsy Center has a 15-bed video-EEG monitoring facility. Approximately 50 surgeries are performed every year, including approximately 25 intracranial EEG monitoring cases. Most of the neurologic ICU beds are hardwired for EEG machines, and between five and ten continuous EEG monitoring studies are performed each day. The EEG labs also performs ambulatory EEG monitoring, high-density EEG, and electrical source imaging.
The NIOM laboratory performs approximately 500 cases at DUMC and a similar number at Duke Raleigh Hospital and Durham Regional Hospital. Basic science research in epileptogenesis, pharmacology, and genetics is being done by several faculty. Translational research areas include projects related to electrical source imaging, advanced analysis of intracranial EEG signals and multimodal monitoring. Others are involved with clinical research, including multicenter pharmaceutical and surgical trials.
Prachi Parikh, MD
Duke University Medical Center
Hanes House 298, 315 Drive
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