The Neuromuscular Medicine (NM) Fellowship Program is a collaborative one-year program with UT Southwestern Medical School and Children’s Medical Center Dallas. One of the first programs to receive subspecialty certification by the ACGME, the Neuromuscular Medicine Fellowship Program offers training in adult and pediatric neuromuscular medicine. Interested applicants can seek training on either track.
Clinical Training in Adult Neuromuscular Medicine
The fellows spend their mornings in the Neurology Clinic – Neuromuscular at the James W. Aston Ambulatory Care Center. Our patients are referred from all over the North Texas region. We see a wide variety of NM diseases such as myasthenia gravis, muscular dystrophy, inflammatory myopathies, peripheral neuropathy, amyotrophic lateral sclerosis, autonomic disorders, paraneoplastic disorders, and muscle channelopathies. Three clinics a week are sponsored by the Muscular Dystrophy Association. In the afternoon, the fellows work in the EMG laboratory at the Aston Ambulatory Care Center. Fellows also have an opportunity to train in performance and interpretation of autonomic studies and single fiber EMG.
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Clinical Training in Pediatric Neuromuscular Medicine
Led by Drs. Susan Iannaccone and Diana Castro, pediatric NM fellows will have the opportunity to interact with a wide variety of patients with NM diseases such as muscular dystrophy, spinal muscular atrophy, rare congenital myopathies, Charcot-Marie-Tooth disease, and myasthenia gravis. Patients are referred primarily from the North Texas region. The patient population totals about 650 unique patients aged 0-21 years. Besides clinics, there are 5-6 pediatric EMGs and 2 pediatric muscle biopsies done per week. In-patients are managed as consults.
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Fellows are instructed on the interpretation of nerve and muscle biopsies at the NM Biopsy Conference on Thursday evenings. Other conferences include the monthly NM Journal Club, the weekly NM and Neurophysiology didactic lecture series, weekly multidisciplinary ALS conference, weekly EMG Review conference, and a monthly CPC conference. At the end of one year of training, the fellows will be competent in the diagnosis and treatment of patients with NM disease, the performance and interpretation of EMGs, and basic reading of muscle and nerve biopsies.
The NM section also organizes the annual Carrell-Krusen Neuromuscular Symposium, a nationally-recognized scientific conference on neuromuscular disorders held in Dallas. The fellows assist in the organization of this conference and often present at this national meeting.