The Neuromuscular Medicine (NM) Fellowship Program is a collaborative one-year program with UT Southwestern Medical School, Parkland Memorial Hospital, and Children’s Health℠ Children’s Medical Center Dallas. There is an optional second year for training in research. 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.
To learn more, contact:
Jaya Trivedi, M.D., at 214-648-9518 or by email@example.com
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 five to six pediatric EMGs and two pediatric muscle biopsies done per week. In-patients are managed as consults.
To learn more, contact:
Susan T. Iannaccone, M.D., at 214-456-5220 or by firstname.lastname@example.org
Applications are generally accepted 24 months prior to the anticipated start of training. This is typically in August of the PGY-3 year for Adult Neurology Residents, or PGY-4 year for Pediatric Neurology Residents. Interviews typically occur thereafter in fall/winter.
Fellows are instructed on the interpretation of nerve and muscle biopsies at the NM Biopsy Conference on Tuesday 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.
The Neuromuscular division is involved in a number of research and therapy studies including treatment and pathophysiological studies for ALS, SMA, Duchenne Muscular Dystrophy, peripheral neuropathies, autonomic failure, myasthenia gravis, inclusion body myositis, Pompe disease, and others. Additionally, UTSW is now one of six NIH-funded Wellstone Muscular Dystrophy Cooperative Research Centers in the country. This grant includes a training core for which the NM fellowship director, Jaya Trivedi, is the PI. One of the goals of this training core is to provide NM fellows an opportunity to perform research in muscular dystrophies. Under this mechanism, the fellows can apply for research grants during their fellowship training.