Division of Neurology Fellowship Opportunities
CLINICAL NEURO-OPHTHALOMOLGY
The neuro-ophthalmology fellowship at Barrow Neurological Institute is in its first year. It will begin as a one-year curriculum. Applicants considered should be board eligible in either Neurology or Ophthalmology. The fellowship year emphasizes clinical diagnosis and management of patients with problems involving afferent visual system disturbances, pupil abnormalities and ocular motor disturbances. Emphasis will be placed on acquiring necessary and fine tuned clinical examination skills. The fellowship year will concentrate on three major areas. The first is devoted to familiarity with the specific equipment necessary to become a competent neuro-ophthalmologist and in identifying research and collaborative projects in this multi-disciplinary neurology and neurosurgery center. The second area stresses precision in the use of the equipment and the initiation of speed as part of the examination. The final basic building block is the development of sound clinical judgment and speed necessary for independence. Participation in regularly held conferences with the Neuro-Endocrine, Skull Base and Acoustic Neuroma Centers, as well as active participation in neuro-radiology conferences and weekly and monthly neuro-ophthalmology conferences is expected. Clinical responsibilities will include overseeing both the in-patient and out-patient neuro-ophthalmology consultation service. Clinical evaluations are complimented by state of the art diagnostic lab equipment, including HVF Visual Field Analyzer, digital fundus/optic nerve camera, HRT optic nerve topography, and LKC electro physiology for ERG, VEP and plans to expand mfERG capabilities. Clinical research leading to publication is encouraged.
Contact: Thomas R. Wolf, MD
Barrow Neurological Institute
500 W. Thomas Rd, Suite 720
Phoenix, Arizona 85013
Phone: 602.406.6262
E-mail: thomas.wolf@chw.edu
CLINICAL NEUROPHYSIOLOGY
A one-year ACGME-approved clinical neurophysiology fellowship is available. Two positions are open every year for candidates
completing a neurology residency. Extensive clinical experiences are available in electrodiagnostics of epilepsy, neuromuscular
disorders, sleep disorders and other neurological diseases. Opportunities to develop skills in EEG, epilepsymonitoring
unit, EP, intraoperative monitoring, nerve conduction studies and electromyography. Training in clinically oriented programs and clinics for epilepsy and neuromuscular disorders. Opportunity to extend fellowship for a second year, for additional training in clinical research methodology and laboratory sciences, either in epilepsy or neuromuscular diseases. Fellows are encouraged to attend weekly Epilepsy and Neuromuscular conferences. The first year's focus is primarily clinical, inpatient and outpatient consultations including: * Six months of EMG, inpatient service/ consultation, neuromuscular clinic, MDA/ ALS clinic, Neuromuscular pathology conferences, muscle and nerve biopsies; * Six months of EEG, inpatient service/ consultation, EMU, epilepsy clinics and weekly conferences; and * Flexible time with sleep center. The second year's focus is primarily research, clinical and/ or laboratory, continued limited outpatient practice in clinical neurophysiology and participation in trials.
Contact: David M. Treiman, M.D.
Director, Epilepsy Center
Barrow Neurological Institute
350 W. Thomas Road
Phoenix, AZ 85013
Phone: 602.406.6921
E-mail: david.treiman@chw.edu
COGNITIVE & BEHAVIORAL NEUROLOGY
Barrow offers a two-year fellowship in cognitive and behavioral neurology. Candidates must be board eligible in neurology with clinical and research interest. Fellows will have an opportunity to pursue extensive training in diagnosing and treating various forms of dementia and cognitive impairment, including Alzheimer's disease, movement disorders, strokes, TBI, epilepsy and MS. They will be expected to be involved in collaborative research with neurology subspecialties, neuropsychology, neuropathology and neuro-imaging and participate in teaching conferences. Clinical responsibilities will include overseeing both in-patient and outpatient consultation service.
Contact: Patricio Reyes, M.D.
Director, Cognitive & Behavioral Neurology
Barrow Neurological Institute
500 W. Thomas Road #720
Phoenix, AZ 85013
Phone: 602.406.3969
E-mail: patricio.reyes@chw.edu
MOVEMENT DISORDERS
The Muhammad Ali Parkinson Research Center is offering a one to two year academic fellowships for Board-eligible/certified neurologists. The fellowships provide comprehensive clinical training in the diagnosis and treatment of movement disorders in accordance with AAN core curriculum guidelines. Fellows are expected to actively participate in a busy outpatient movement disorders clinic and serve as consultants on the hospital and acute neurology services. Fellows are also expected to participate in the medical student education program. The fellowship provides a special opportunity for involvement in a very active surgical therapeutics program and training in clinic rating scales, neuropsychological testing, botulinum toxin therapy and DBS stimulator adjustment. The fellowship also provides the opportunity for training
in clinical research or basic science research. Research opportunities include motor physiology, PET imaging, genetics and molecular biology and other areas available through affiliated institutions.
Contact: Richard Burns, M.D.
Program Dir, Movement Disorders Program
Barrow Neurological Institute
350 W. Thomas Road
Phoenix, AZ 85013
Phone: 602.406.6795
E-mail: richard.burns@chw.edu
NEURO-IMMUNOLOGY
Fellowships are available on annual basis for one to two years and are open to a neurologist preparing for a career in Neuro-Immunology. Applicants must make a one- to two-year commitment in clinical neurology and neurolaboratory research. The first year of training focuses on the clinical and clinical research program, developing the skills necessary to diagnose, treat, manage and conduct clinical research in the broad population of inflammatory disease of the nervous system. If desired, the fellow can develop an opportunity for a focused laboratory experience beginning in the second year of the fellowship, or can pursue research in the clinical and neuroimaging arenas. The fellow will join the Neuro-Immunology team with responsibilities that include patient care in a busy neuro-immunology clinic, which provides care to patients with a variety of inflammatory conditions affecting the central and peripheral nervous system. In addition, the fellow plays an integral role in the clinical research program and will have ample opportunity to participate in the design of clinical studies, development of clinical research protocols including funding and IRB proposals and participate in the initiation of a clinical trials program and function in a management capacity for individual trials overseeing the activities of a comprehensive clinical and clinical research team.
Contact: Timothy L. Vollmer, M.D.
Chairman, Division of Neurology
Barrow Neurological Institute
350 W. Thomas Road
Phoenix, AZ 85013
Phone: 602.406.3886
E-mail: timothy.vollmer@chw.edu
NEURO-ONCOLOGY
Barrow offers a two-year fellowship in one of the busiest brain tumor centers in the United States. Barrow currently sees an average 150 new gliomas per year, is a major participant in RTOG studies and in pharmaceutical studies, has full Neurosurgery, Neuropathology, Radiation Oncology support, has the only gamma knife in Arizona and a Neuroradiology unit with three MRI units including a 3 Tesla MR. You will see a fully functional NIH-supported Neuro-Oncology laboratory with studies in molecular biology, drug resistance, tumor invasion and the current combined clinical laboratory investigations in anaplastic and low-grade oligodendrogliomas, oligoastro-cytomas and glioblastoma multiforme. You can assist in depocyt studies underway for meningeal carcinomatosis; current studies also in childhood tumors, notably ependymomas and clinical studies in metastatic brain tumors through RTOG and pharmaceutical companies. Fellows will attend many conferences including the weekly Tumor Board (average 20-30 cases), gamma knife (average 15-20 cases) and monthly skull-base. Regular conferences include Neurology/ Neurosurgery Grand Rounds, brain cutting, neurology and neuro-surgery case reviews. There are also research conferences held weekly. The focus of the first year is primarily clinical, inpatient and outpatient consultations, Ommaya reservoir injections, oral and intravenous chemotherapy administration and participation in clinical trails. Fellows will begin research program planning and guaranteed attendance at national meetings including Society of Neuro-Oncology, American Academy of Neurology and or American Neurological Association, American Society of Clinical Oncology and/ or American Association for Cancer Research. The focus of the second year is primarily research, clinical and/ or laboratory, continued limited outpatient practice and participation in trials.
Contact: William R. Shapiro, M.D.
Program Director, Neuro-Oncology Program
Barrow Neurological Institute
350 W. Thomas Road
Phoenix, AZ 85013
Phone: 602.406.3390
E-mail: william.shapiro@chw.edu
STROKE
The Barrow Neurological Institute offers a one year clinical stroke fellowship each year with an option for a second year "research extension."Accreditation is pending. In the clinical year, time is apportioned between stroke inpatient and outpatient services; weekly reading/discussion sessions with the program director; educational sessions in angiography, ultrasound and MRI; and supervising the education of other housestaff. Our institution provides a wealth of patient encounter opportunities (650 patients per year) and collaboration with outstanding neurovascular and endovascular services and a superb neuroradiology department. The research year involves participation in original research and industry sponsored clinical trials; publication of abstracts and manuscripts; lecturing; and conduct of special projects centering on the interests of the fellow. Personal supervision is provided by the stroke program directors. Application for the stroke fellowship is open to Board certified/eligible candidates.
The Barrow Neurological Institute Stroke Center (BNISC) in Phoenix, Arizona, is the major comprehensive stroke center of the southwest. Our stroke center serves the .fifth largest metropolitan area in the United States, providing inpatient care for 650 stroke patients annually.Patients are transported here from across North America, Mexico and South America. The BNISC has a dedicated stroke unit, two stroke teams and an infrastructure consisting of committees dedicated to acute care, diagnostic imaging, education, immediate response, outreach, rehabilitation, research, steering, utilization and quality improvement. Our stroke center is a founding member and participant in the American Stroke Association's "Operation Stroke." We are involved in the ASA's "Get With the Guidelines" program; the Phoenix "stroke check" public awareness program and the Phoenix metro area designated stroke center network. The BNISC provides educational symposia to providers and the public; outreach lectures to paramedics and emergency personnel statewide and media releases and appearances on topics related to cerebrovascular disease. We have a statewide communications network for emergency stroke care, including an emergency "800" number. Research at the BNISC centers on our stroke database, the largest private institutional stroke database in this country, with over 6,000 patient entries. These data have provided the basis for research and publications relating to ethnic differences in stroke, various aspects of TPA therapy and the importance of stroke emergency networking.
Other original research and multicentered studies are underway regarding management of inpatient stroke care parameters; differentiating stroke from pseudostroke in the emergency department; discovering the reasons for the propensity for brain hemorrhage in Hispanics; evaluation of clot extraction devices; comparing stenting versus surgery for carotid disease; assessing long term effects of coiling for aneurysms; determining the benefits and risks of extracranial-intracranial bypass surgery; testing the effect of acetylcholinesterase inhibition in the treatment of vascular dementia; evaluating therapeutic alternatives to warfarin in patients with atrial fibrillation and testing the effect of lipid lowering for stroke prevention and ultrasound assisted clot lysis. A variety of imaging protocols, as well as research on the genetics of stroke are also in progress.
Contact: James Frey, M.D. or Marc Malkoff M.D.
Barrow Neurological Institute
500 W. Thomas Road #300
Phoenix, AZ 85013
Phone: 602.406.6262
E-mail: james.frey@chw.edu or marc.malkoff@chw.edu
Websites: "strokeneurology.com" and "thebarrow.com"
CRITICAL CARE
The neurocritical care fellowship at Barrow Neurological Institute is a two-year fellowship emphasizing the clinical skills and research of neurocritical care. The fellowship utilizes the resources of the Barrow Neurological Institute with access to both the wealth of neurovascular patients here, as well as the patients in Arizona's only ACS certified Level 1 Trauma Center. Rotations through other ICUs are encouraged. Opportunities for research exist in vascular disease, neurotrauma and neurophysiology in the ICU and in the basic sciences.
Contact: Marc Malkoff, M.D.
Program Director, Neurocritical Care Program
Barrow Neurological Institute
350 W. Thomas Road
Phoenix, AZ 85013
Phone: 602.406.5035
E-mail: marc.malkoff@chw.edu
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