Fellowship in Clinical Neurophysiology at Northwell Health
The Department of Neurology at Northwell Health offers a one-year clinical neurophysiology program to study elect neurologic disorders involving the central, peripheral and autonomic nervous systems. Under the leadership of S. Murthy Vishnubhakat, MD, this ACGME approved program provides fellows with extensive training and expertise in the core competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and system-based practice.
The program includes one track: EEG/ (3) Epilepsy and EMG/ (9) neuromuscular disease. During the year of training, nine months are spent in the fellow’s area of concentration and the remaining three months in the EEG Lab. Trainees are also exposed to pediatric clinical neurophysiology, and intra-operative methods.
Long Island Jewish Medical Center is a NY State Certified Level 4 Comprehensive Epilepsy Center serving nearly 7 million people in the New York metropolitan area, including Queens—one of the most ethnically and culturally diverse regions of the world. LIJMC is the highest volume surgical epilepsy center in the Long Island region. The Epilepsy/EEG division at LIJMC houses a clinic, a testing laboratory, reading stations, routine EEG machines, and equipment for visual and auditory evoked potentials used for both inpatient and outpatient testing. Between the two locations, the adult divisions have four hardwired inpatient VEEG beds, equipment for intracranial monitoring, and a dozen portable units for the continuous VEEG monitoring of ward and ICU patients. North Shore University Hospital is planned to become the future home for surgical implantation and monitoring.
Cohen Children's Medical Center has four hardwired inpatient VEEG monitored beds, and additional portable VEEG monitoring units, with additional studies from the neurocritical care service at North Shore University Hospital.
The Sleep Center at North Shore University Hospital is equipped with eight rooms for overnight patient stay with sleep monitoring equipment, a control room, and a reading station.
Program director: Surya M. Vishnubhakat, MD
The role of the fellow is progressively expanded over the training period. Introductory training includes understanding basic principles of electronics, electrical safety, ethics, OHSA and HIPPA regulations.
At the beginning of the training, waveform recognition and the performance of basic studies is done under the direct supervision of the site director and other faculty. Once proficiency is noted the fellow performs all studies independently under indirect observation of the program director. Patient evaluation, diagnostic formulation, study design and accuracy, report writing and management are discussed. Methods of evaluation include direct observation, multiple choice questionnaires, literature review, and direct assessment of the fellow’s ability to teach other residents during their elective rotation. Mastery of interpretation of nerve conduction studies, reflex studies, blink reflex studies, needle electromyography, single fiber EMG, autonomic testing, and spinal, visual and brain stem auditory evoked responses is anticipated.
The fellow performs the EMG/NCS including obtaining clinical history, examination of the patient, electrode placement, needle insertion and personally interprets the results under the supervision of the program director. Each study or case is discussed by the director with the fellow in detail, with appropriate formulation, literature citation and current management. As the training advances, progressive independent responsibilities are assigned to the fellow with appropriate intensive clinical monitoring by the program director, including constructive critique. All fellows must participate in the teaching of residents during their rotation through the EMG lab.
Quarterly evaluations include all six core competencies and feedback. By the end of six months, 200 independent studies are expected from the fellow and thereafter greater responsibilities are assigned. In-service examinations are sponsored by American Association of Neuromuscular and Electrodiagnostic Medicine and the American Clinical Neurophysiology Society for self evaluation. The results are discussed with the fellows and appropriate remedial measures are taken to improve their knowledge base. Participation in clinical research is expected.
Applicants interested in the clinical neurophysiology training program at Northwell Health should submit applications to the program director or coordinator. Contact information is below.
No applications are reviewed after March 1.
Essential application information includes:
• House staff application (Click to download)
• Personal/career statement
• Curriculum vitae
• Three (3) letters of recommendation
Applicants must have completed a neurology residency program by the start date of the fellowship program. They must also be board-eligible or board-certified in Neurology and must have a non-restricted NYS Medical License at the time of appointment.
Please submit applications to:
Jiselle Petrusky, C-TAGME
Training Program Administrator
Department of Neurology
300 Community Drive, Tower Pavilion – 9th Floor
Manhasset, NY 11030
Email: [email protected]
Phone: (516) 562-2303
Executive Director - Neurology Service Line,
Senior Vice President - Neurology Service Line, , Chairman of Neurology, Lenox Hill Hospital, Chairman of Neurology, Long Island Jewish Medical Center, Chairman of Neurology, North Shore University Hospital, Chairman of Neurology, Staten Island University Hospital
Chief of Division - Neuromuscular Disease of Neurology, North Shore University Hospital
Vice Chairman of Neurology, North Shore University Hospital
Charlotte Zisman, MD
Margarita Mikhaylova, DO