Dear Fellow Applicant:
Thank you for your inquiry about the MUSC Fellowship in Clinical Neurophysiology.
The
program offer one year of study, incorporating electroencephalography and epilepsy,
electromyography and neuromuscular diseases, evoked potentials and intraoperative
monitoring.
At the conclusion of one year of training, fellows are qualified to sit for examination by the
American Board of Psychiatry and Neurology for Special Qualification in Clinical
Neurophysiology.
With additional focus on EMG or on EEG, fellows may also meet
requirements to sit for examination by the American Board of Electrodiagnostic Medicine or the
American Board of Clinical Neurophysiology.
Faculty and staff in the program includes neuromuscular specialists, pediatric epileptologists
and adult epileptologists, in addition to a neuropsychologist, and neurosurgeons who
specializes in functional neurosurgery, adult and pediatric epilepsy coordinators, and nursing
staff. Current faculty/staff include the following:
Jonathan Edwards, Director, Comprehensive Epilepsy
Robert Turner, M.D., Director, Pediatric Epilepsy Program
Jonathan Halford, M.D., Adult epileptologist
Mark T. Wagner, Ph.D., Neuropsychologist
Steven Glazier, M.D. Division Chief of Neurosurgy (Epilepsy Surgery)
Gabriel Martz, M.D., Adult Epilepsy
David Stickler, M.D., Director of Neuromuscular Services
Ken Nozaki, M.D., Neuromuscular
Jerome Kurent, M.D., MPH, Neuromuscular
Steve Takacs, M.D., Neurosurgeon (functional neurosurgery)
Paul B. Pritchard, III, M.D., Adult Epileptologist
Samir Karia, MBBS, Pediatric Epilepsy
Mrs. Olivia N. Burch, Coordinator, Residency and Fellowship Programs
Clinical activities of the combined programs include adult and pediatric epilepsy clinics, vagus
nerve stimulator (VNS) clinics, video-EEG (VEEG) monitoring (inpatient and outpatient), and
outreach clinics. We offer all treatment modalities, including pharmacological treatment, vagus
nerve stimulators, and surgical treatment. We are fortunate to have superb interventional
neuroradiology and an outstanding program and research in functional MRI. The exposure to
peripheral neurophysiology involves the performance and interpretation of electrodiagnostic
studies performed in the MUSC EMG laboratory including specialized testing of neuromuscular
junction physiology.
Additional clinical activities include expose to patients in the
neuromuscular specialty clinics (Myasthenia Gravis Clinic, MDA Clinic, MUSC ALS Clinic).
The current fellowship is a one-year term, but it is possible to extend that time to two years
through participation in research projects. Applicants are asked to designate a preference for
either the EEG or EMG track.
Positions for the Fellowship are available beginning July 1.
Interested applicants are
requested to complete the enclosed application and return it to us along with two letters of
recommendations, one of which should be from your Neurology program director, as well
as an official transcript. International medical graduates should also submit a copy of their
USMLE scores. Please submit all papers without paper clips or staples.
Candidates whose credentials and interests qualify them for further consideration will be invited
to interview with our faculty and staff. Typically such visits are scheduled between October
and December.
If you have further questions after you have submitted your application,
please feel free to contact Olivia N. Burch via E-mail (burchon@musc.edu). Thank you again
for your interest in our program.
Sincerely,
David E. Stickler, M.D.
Director, Clinical Neurophysiology Fellowship
MEDICAL UNIVERSITY OF SOUTH CAROLINA
DEPARTMENT OF NEUROSCIENCE
FELLOWSHIP APPLICATION
APPLICANT NAME
Last Name
First
Middle
FELLOWSHIP TYPE
This application is being made for (please check one):
□ Vascular Neurology
□ Clinical Neurophysiology
□ EEG Track or □ EMG Track
Training period for which applying:
□ Neuroscience ICU
Start date
End date
PERSONAL DATA
Other names used:
Present Address
Street
City
State
Zip code
City
State
Zip Code
Permanent Address
Street
Telephone
Home
Work
Mobile
Fax
Email:
Date of Birth:
Place of Birth:
Citizenship:
Social Security Number:(optional)
If not a U.S. Citizen, type of Visa:
EDUCATION
(Mo/Yr)
(Mo/Yr)
(Undergraduate School)
(Major)
(Degree)
(Mo/Yr)
(Medical School)
(Degree)
(Mo/Yr)
(Residency)
(Specialty)
(Mo/Yr)
(Other GME, if applicable)
Area of Training
TO
(Mo/Yr)
TO
(Mo/Yr)
TO
(Mo/Yr)
TO
OTHER EDUCATION, TRAINING OR HOSPITAL RESEARCH
(Mo/Yr)
(Mo/Yr)
TO
(Mo/Yr)
(Mo/Yr)
TO
(Mo/Yr)
(Mo/Yr)
TO
(Mo/Yr)
(Mo/Yr)
TO
If Foreign Trained, Have You Taken:
ECFMG Exam Yes
No
Where__________________ Date______________ Certificate
#_________________
BOARD CERTIFICATION
Please Indicate Any Areas of Board Certification
Board
Area of Certification
Date of Certification
Honors, Awards, Publications, Presentations, Memberships, Leaderships/Research Experience
Please include this information in your CV
LETTERS OF RECOMMENDATION AND/OR REFERENCES
Please list the individuals who will be writing the letters for you and forwarding them to the Medical
University of South Carolina. At least three are required.
Reference #1
Name
Institution
Reference #2
Name
Institution
Reference #3
Name
Institution
For your application to be complete and considered, please submit the following items: Fellowship
application, personal statement, CV and three letters of recommendation.
I hereby certify that all of the information on this application is accurate, complete and current to the best of my
knowledge, and that this application is being made for serious consideration of training in the Fellowship program
indicated.
Signature
Date
Attached a recent photograph:
Mail completed form to:
Olivia N. Burch
Residency Program Coordinator
MUSC/Divison. Of Neurology
96 Jonathan Lucas St., #309, MSC606
Charleston, SC 29425