Nicklaus Children’s Hospital/Cleveland Clinic Foundation Program

Welcome to the Clinical Neurophysiology Fellowship program at Nicklaus Children’s Hospital, which is designed to provide extensive training in the field of clinical neurophysiology. This program emphasizes high-quality, evidence-based practices and innovative training using state-of-the-art diagnostic techniques. With a history of mentoring fellows for over twenty-five years, the faculty has remained committed to producing skilled professionals who take on leadership roles worldwide.

Curriculum

During the Clinical Neurophysiology Fellowship year, fellows receive comprehensive training that includes didactics and hands-on clinical exposure to a variety of neurophysiological techniques. Key areas of focus include:1

• Electroencephalography (EEG)
• Electromyography (EMG)
• Single-fiber EMG
• Nerve conduction studies
• Evoked potentials
• Intra-operative monitoring
• Assessment of movement disorders
• Polysomnography (sleep studies)
• Assessment of sleep disorders
• Tests of autonomic function

Fellows can choose to specialize in various areas, with most selecting epilepsy and EEG as their primary focus. Accredited by AASM as a Pediatric Sleep Disorders Center, the program also benefits from a robust intraoperative monitoring service and opportunities for a focused rotation in Cleveland Clinic Florida’s EMG lab, ensuring well-rounded exposure to essential subspecialties.1

Research and Scholarly Activity

Fellows are invited to engage in research, allowing them the opportunity to develop independent projects or contribute to ongoing studies within the field of clinical neurophysiology. Contributions from previous fellows highlight the program’s impact on pediatric epilepsy research.1

Work-Life Balance

This fellowship program is designed to prioritize the well-being of its fellows. It is structured as a call-free fellowship, ensuring that trainees can maintain a healthy work-life balance while enjoying the vibrant culture and scenic surroundings of Miami.1

Clinical Competency Committee (CCC)

In compliance with accreditation requirements, the Clinical Neurophysiology Fellowship program has established a Clinical Competency Committee (CCC). This committee comprises at least three core faculty members and meets semi-annually to evaluate fellows based on performance data. The committee plays an essential role in monitoring individual progress and ensuring that appropriate recommendations are made for promotion, remediation, and support.1

Application Requirements

Prospective fellows must meet specific prerequisites to apply, including:

• A Doctor of Medicine degree
• Completion of a neurology residency (pediatric or adult) in an ACGME-accredited program
• Fulfillment of qualifications for obtaining a Florida state license (including passing USMLE Steps 1 and 2)
• For international medical graduates, a valid ECFMG certificate is mandatory.

The program offers J-1 visas sponsored by ECFMG, with discussions for other visa types conducted on a case-by-case basis. Required documentation for applications includes:

• Completed Application Form
• Current curriculum vitae with detailed timelines
• Personal statement
• Three letters of recommendation—one should be from the residency program director or department chair.

Compensation

Fellows are compensated comparably to other ACGME-equivalent programs.

Overall, the Clinical Neurophysiology Fellowship at Nicklaus Children’s Hospital represents a robust training opportunity for those looking to specialize in this field, ensuring fellows are well-equipped for both clinical practice and future advancements in neurophysiology.1