The University of Michigan Neuromuscular Medicine Fellowship is an ACGME accredited program devoted to assisting trainees in developing expertise in the diagnosis and management of neuromuscular disorders and becoming skilled in electrodiagnostic medicine. Two fellows are accepted each year. Fellows complete 12 months of training in neuromuscular disease and electromyography. Upon completion of the fellowship, trainees are eligible to sit for the American Board of Psychiatry and Neurology or American Board of Physical Medicine and Rehabilitation Neuromuscular Medicine Examination as well as the American Board of Electrodiagnostic Medicine Examination. Interested trainees may elect to remain as research fellows for additional training in laboratory or clinical research.
Fellowship Clinical Experience
The University of Michigan neuromuscular clinic is a tertiary referral center, commonly drawing patients from the Ann Arbor and metro-Detroit area, as well as Indiana, Ohio and throughout the state of Michigan. Our clinic sees a wide variety of neuromuscular disease, ranging from common to rare conditions. Each week, neuromuscular fellows participate in three ½-day Neuromuscular clinics and spend five ½-day sessions in the EMG laboratory. In addition to the outpatient clinic and EMG lab, there is an active neuromuscular inpatient consultation service. There are also opportunities to rotate in the multidisciplinary ALS clinic, pediatric neuromuscular clinic and with physical medicine & rehabilitation specialists treating neuromuscular disorders.
- 100-125 adult patients seen weekly in neuromuscular clinic
- 40-50 EMGs performed weekly in lab
Electrodiagnostics and Procedures
There is an early commitment to mastering routine nerve conduction study technique and needle EMG. Additionally, there is exposure and opportunity to perform advanced techniques including single fiber EMG and autonomic studies. Fellows participate and complete EMGs on hospitalized patients in the EMG lab and at the bedside of patients who are unable to travel to the lab. There are several opportunities per month to perform skin or muscle biopsy with the close supervision of a staff neuromuscular physician.
There is an initial introduction to neuromuscular medicine through a brief boot camp in early July. A series of didactic conferences held every Wednesday morning throughout the year is designed to provide high yield education to the neuromuscular fellows on a variety of neuromuscular and EMG topics. There is a monthly journal club and interesting neuromuscular case series intended to stimulate discussion on diagnosis or management of neuromuscular disease. Teaching from neuromuscular faculty with a variety of clinical and research interests.
Neuromuscular fellows gain exposure to nerve and muscle pathology by reviewing biopsies through weekly joint neuromuscular & pathology conferences.
- 300-400 muscle biopsies reviewed per year.
- 50-100 nerve biopsies reviewed per year.
Work and Living Environment
Ann Arbor, MI is family friendly city renowned for its cultural offerings. Ann Arbor is home to the University of Michigan Health System, a leading clinical and research medical facility. The department of neurology is a highly ranked, academic department with a large and growing faculty and a large constituent of neurology residents.
Neuromuscular Medicine Fellowship application requirements: CV, personal statement, 3 letters of recommendation (one of which is from a program director or chair), and an application.
Regarding visa issues, you must be one of the following: a US citizen, permanent resident (green card holder), or have a J-1 visa sponsored through ECFMG. We do not sponsor any other visas. All applications must be received by January 30th for the following fellowship year.