The Neuromuscular Medicine (NM) Fellowship Program is a collaborative one-year program with UT Southwestern Medical Center, Parkland Hospital, Children’s Health Dallas, and Dallas VA Medical Center. There is an optional second year for training in research. The Neuromuscular Medicine Fellowship Program is accredited for three fellows and offers training in adult and pediatric neuromuscular medicine. Interested applicants can seek training on either track.
The fellows rotate in outpatient clinics at the four collaborative sites. A typical schedule includes E/M clinics in the morning and NCS/EMGs in the afternoons. Fellows also receive training in autonomic testing, SFEMG, skin biopsy and interpretation of nerve and muscle biopsies. At the end of one year of training, the fellows are competent in the diagnosis and treatment of patients with NM disease, the performance and interpretation of NCS/EMGs, and basic interpretation of muscle and nerve biopsies.
In addition to clinical rotation, fellows participate in several didactics:
- Weekly NM lectures
- Weekly EMG review conference
- Monthly NM journal club
- Biweekly neuropathology conference
- Weekly departmental Grand Rounds
The Neuromuscular division is involved in a number of research projects, including treatment and pathophysiological studies for ALS, SMA, Duchenne Muscular Dystrophy, Facioscapulohumeral Muscular Dystrophy, peripheral neuropathy, autonomic neuropathy, myasthenia gravis, inclusion body myositis, Pompe disease, and others. Additionally, UTSW is 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.
The NM section organizes the annual Carrell-Krusen Neuromuscular Symposium, a nationally recognized conference. The fellows have an opportunity to present their research findings at this symposium and also at the annual AAN and AANEM conferences.
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Clinical Training in Pediatric Neuromuscular Medicine
Led by Drs.Diana Castro and Susan Iannaccone, pediatric NM fellows will have the opportunity to evaluate patients with NM diseases such as muscular dystrophy, spinal muscular atrophy, rare congenital myopathies, Charcot-Marie-Tooth disease, myasthenia gravis, and other immune-mediated NM disorders. Patients are referred primarily from the North Texas region. The patient population totals about 650 unique patients aged 0-21 years. Besides E/M clinics, there are five to six pediatric EMGs and two pediatric muscle biopsies done per week. In-patients are managed as consults.
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