Department of Neurology and Neurosurgery Division of Neurology 96 Jonathan Lucas Street Suite 301 CSB, MSC 606 Charleston, SC 29425 www.musc.edu Dear Fellow Applicant: Thank you for your inquiry about the MUSC Fellowship in Clinical Neurophysiology. The program offers 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 Neurophysiology. Special Qualification in Clinical 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 specialize in functional neurosurgery, adult and pediatric epilepsy coordinators, and nursing staff. Current faculty/staff include the following: Jonathan Edwards, Director, Comprehensive Epilepsy Leonardo Bonilha, M.D., Ph.D., Adult Epileptologist Ramin Eskandari, M.D. (Pediatric Epilepsy Surgery) Jonathan Halford, M.D., Adult Epileptologist Samir Karia, MBBS, Pediatric Epilepsy Jerome Kurent, M.D., MPH, Neuromuscular Ekrem Kutluay, M.D., Adult Epileptologist Paul B. Pritchard, III, M.D., Adult Epileptologist Katherine Ruzhansky, M.D., Neuromuscular Alex Vandergrift, M.D. Neurosurgery (Adult Epilepsy Surgery) Braxton Wannamaker, M.D., Adult Epileptologist David Walsh, M.D. Pediatric Epilepsy Mrs. Jerri O’Banner, Program Coordinator, 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, 2015. 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 February and April. If you have further questions after you have submitted your application, please feel free to contact Jerri O’Banner via E-mail (stanleyj@musc.edu). interest in our program. Sincerely, Jonathan C. Edwards, M.D. Jonathan C. Edwards, M.D. Director, Clinical Neurophysiology Fellowship Thank you again for your MEDICAL UNIVERSITY OF SOUTH CAROLINA DEPARTMENT OF NEUROLOGY FELLOWSHIP APPLICATION APPLICANT NAME Last Name First Middle FELLOWSHIP TYPE This application is being made for (please check one): □ Clinical Neurophysiology EEG Track □ Clinical Neurophysiology 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) TO (Mo/Yr) (Mo/Yr) (Mo/Yr) TO (Mo/Yr) (Mo/Yr) TO (Mo/Yr) TO (Mo/Yr) 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