Fellowship Training

Education

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Fellowship Programs

The fellowship programs of the Department of Neurology and Neuroscience at Weill Cornell Medical College provide access to advanced and in-depth clinical training to meet the needs of patients with the types of complex and evolving neurological disorders observed in modern, academic, tertiary/quaternary care medical centers. We offer the following fellowship programs:

  • Clinical Neurophysiology - EEG/Epilepsy and EMG/Neuromuscular Disease (ACGME-accredited)

  • Multiple Sclerosis

  • Neurocritical Care (UCNS-certified)

  • Vascular Neurology (ACGME-accredited)

Our fellows collaborate with internationally recognized clinicians and researchers who recognize the value of education for advancing the field of neurology. Graduates of our programs have forged successful paths in academia and private practice and are highly sought after by the nation's most prestigious medical centers. 

Clinical Neurophysiology Fellowship

NewYork-Presbyterian/Weill Cornell Medical Center (NYPWC) is a leader in clinical care, research, and education related to epilepsy, electroencephalography (EEG), electromyography (EMG), neuromuscular disorders, and other aspects of neurophysiology. We offer several types of one-year ACGME-accredited clinical neurophysiology fellowship positions at NYPWC, the Weill Cornell Peripheral Neuropathy Center, and Memorial Sloan-Kettering Cancer Center (MSKCC).

Comprehensive training in clinical neurophysiology appropriate for ABPN-CN certification in either clinical neurophysiology or the recently established epilepsy subspecialty certification examination  is provided to all fellows. The program is designed primarily for applicants with a strong interest in a specific aspect of clinical neurophysiology. Subspecialty options include: 

  • Adult EEG/epilepsy and intraoperative monitoring
  • Pediatric EEG/epilepsy
  • EMG and neuromuscular disease

For foreign applicants, NewYork-Presbyterian Hospital ONLY sponsors J-1 visas through ECFMG.

Training Activities

Both the adult and pediatric EEG/epilepsy fellows are responsible for supervised reading of routine EEGs (about 1,500 per year, including adults, children, and infants), evoked potentials (about 300 per year), and video-EEGs (some 600 per year). They also participate in related special procedures, such as Wada tests, intraoperative electrocorticography, and programming of vagal nerve stimulators. EEG/epilepsy fellows also participate in the care of inpatients undergoing video monitoring in the Comprehensive Epilepsy Center's outpatient clinics. 

For approximately two months of the year, all EEG/epilepsy fellows have a hands-on role in EMG and related laboratory studies at the MSKCC campus and either NYPWC or the Weill Cornell Peripheral Neuropathy Center for adult and pediatric fellows, respectively.

Adult EEG/epilepsy fellows divide their time between both the NYPWC and MSKCC campuses. Intraoperative monitoring procedures -- including cortical mapping via evoked potentials and direct stimulation, EMG monitoring of skull base procedures, and EP monitoring of spinal cord procedures -- occur exclusively at the MSKCC campus. In addition, adult EEG/epilepsy fellows participate in weekly outpatient brain tumor epilepsy clinics while at the MSKCC campus.

Pediatric EEG/epilepsy fellows concentrate on inpatient and outpatient management of pediatric seizure disorders. Up to 11 months of the year are spent on the inpatient pediatric epilepsy service (including video-EEG reading), with the remainder on the adult epilepsy service. EEG/EP and EMG activities are similar to those of the adult epilepsy fellow in order to meet the clinical neurophysiology criteria for board eligibility. There is also an alternative option to rotate through the adult and pediatric sleep center in lieu of the EMG requirement.

EMG/neuromuscular disease fellows are responsible for supervised performance and interpretation of nerve conduction studies, electromyography, and related special studies such as neuromuscular transmission studies (about 900 per year) at NYPWC and the Peripheral Neuropathy Center. EMG/neuromuscular disease fellows also perform consultations for inpatients with neuromuscular disease. At the Peripheral Neuropathy Center, fellows participate in outpatient neurology clinics, a monthly lecture series, and focused research projects. For approximately two months of the year, EMG/neuromuscular disease fellows assume the EEG/epilepsy fellows' role in outpatient laboratory studies.

In addition, broad training in clinical neurophysiology for all fellows is assured via an extensive didactic program that includes weekly clinical neurophysiologic teaching conferences, surgical epilepsy conferences, and journal clubs that cover the full range of standard neurophysiologic procedures.

Requirements and Application Procedures

Applicants must have completed an ACGME-approved residency in Neurology at the time of entrance into the program (typically July 1), and must be board-eligible in the Neurology section of the American Board of Psychiatry and Neurology. To apply, send a letter of intent with a statement of career interests, a curriculum vitae, and three letters of recommendation to the appropriate contact person listed below. Applicants are required to indicate and substantiate their area of subspecialty interest in the letter of intent.

Applications are accepted on a rolling basis, and interview season begins in late January-early February of the prior year.  Applicants are encouraged to submit their applications by January 1st of the prior year.  We generally notify applicants of their acceptance by February-March of the prior year.   

For more information and to inquire about how to submit an application, please contact Padmaja Kandula, MD, Program Director.  

Please send application materials DIRECTLY to the email addresses of the associated track directors listed below.  Please do not send application materials to the program coordinators.   

Adult EEG/Epilepsy track:
Padmaja Kandula, MD 

Pediatric EEG/Epilepsy track:
Sabiha Merchant, MD 

EMG/Neuromuscular Disease track:
Michael Rubin, MD

Neurocritical Care Fellowship

Neurocritical Care specialists take comprehensive, multisystem care of critically ill neurological patients. Neurointensivists take on the primary care role for their patients in the NeuroICU, coordinating both neurological and medical management. Most uniquely, neurocritical care addresses the interface between the brain and other organ systems in the setting of critical illness.

The Neurocritical Care Fellowship at Weill Cornell Medical College is a United Council for Neurologic Subspecialties (UCNS)-certified two-year joint program with the Columbia University College of Physician & Surgeons. The curriculum is equally balanced between neurological and medical aspects of critical care and fulfills the UCNS Neurocritical Care training criteria. There are three to four positions available each year.  

Fellows will learn traditional and ultrasound-guided central venous line placement, arterial line placement, pulmonary artery catheterization, placement of intravascular cooling devices, lumbar puncture/drains, continuous EEG monitoring, cerebral microdialysis, ventriculostomy management, endotracheal intubation, neurosonology training (Duplex and transcranial Doppler), ventilator management, fiberoptic bronchoscopy, chest tube placement, percutaneous tracheostomy, and monitoring of brain oxygen, temperature, and blood flow. In addition to clinical bedside teaching and practice in the NeuroICUs, fellows will also rotate through the medical intensive care unit (MICU), surgical intensive care unit (SICU), cardiothoracic intensive care unit (CTICU), and operating rooms (OR). Fellows are eligible for Neurocritical Care board certification upon completion of the fellowship. 

Training Curriculum (Over Two Years)

The 24-month program incorporates nine months of service in the NeuroICU; five months in the MICU, SICU, CTICU, and ORs; and two months focused on neuromonitoring. Six months are spent on electives, and the two-year program includes two months vacation (four weeks each year).

Core curriculum 

Upon completion of the program, fellows will be proficient in the management of patients with a wide range of neurological and general critical care issues. We strongly encourage the development of independent research projects, and we provide research support with training in database management and biostatistics.

house call approximately once a week, and weekend call once a month. Salary is commensurate with each fellow's PGY level.

Requirements for Applicants 

Applicants must be graduates of an ACGME-accredited Neurology, Emergency Medicine, Anesthesiology, Internal Medicine, or Neurosurgery residency program. Graduates of both U.S. and foreign medical schools are eligible to apply.  For foreign applicants, NewYork-Presbyterian Hospital ONLY sponsors J-1 visas through ECFMG.

Applicants should provide:

1.  A personal letter of interest addressed to:

Halinder Mangat, MD
Assistant Professor
Associate Program Director

Department of Neurology and Neuroscience
Division of Stroke and Critical Care
Weill Cornell Medical College
525 E 68 Street, F-610
New York, NY 10065

2. Curriculum vitae 

3. Three (3) letters of recommendation 

E-mail all application materials to:
Halinder Mangat, MD

 Please direct all inquiries to Jena Luppowitz at (212) 746-0382.

Vascular Neurology Fellowship

The subspecialty of vascular neurology focuses on vascular disorders that can lead to ischemic stroke, intracranial hemorrhage, and spinal cord injury. Weill Cornell Medical College treats one of the highest volumes of patients with stroke and other cerebrovascular diseases in New York, offering vascular neurology fellows exceptional exposure to a wide range of neurovascular disorders in a diverse population of patients. There are one to two vascular neurology fellowship positions available each year.  

The practice of vascular neurology requires an interdisciplinary approach that incorporates knowledge of:

  • Basic science
  • Epidemiology
  • Vascular anatomy
  • Cerebral blood flow/metabolism 
  • Clinical neurology 
  • Diagnostic and interventional radiology
  • Neurosonology
  • Neurological critical care
  • Neurorehabilitation

Our program provides full exposure to all of these areas, preparing trainees for productive careers in academic medicine, research, or private practice through a one-year fellowship in vascular neurology which is accredited by the ACGME.  Fellows acquire extensive experience in the management of acute ischemic stroke with thrombolytics and endovascular therapy, interpretation of diagnostic neuroimaging, and neurosonology. Clinical training is comprehensive and characterized by supervised clinical work with increasing responsibility for outpatients and inpatients throughout the year. 

Vascular neurology fellows learn to critically analyze the stroke literature, and are expected to run a monthly vascular neurology journal club for the faculty.  In addition, we strongly encourage the development of independent research projects, and we provide research support with training in database management and biostatistics. Upon completion of the program, fellows are eligible for Vascular Neurology board certification and the Neurosonology certification exam.

 

TRAINING CURRICULUM

The 12-month program is based on the American Board of Psychiatry and Neurology (ABPN) curriculum, incorporating seven months of clinical service, three months of required electives, one month of elective research, and one month of vacation. Electives include neurosonology, neuro ICU, interventional neuroradiology, neurorehabilitation, and neuroradiology.

The curriculum is flexible, and we tailor it to each fellow's area of interest and specific clinical or research goals. Dynamic expanded facilities and a varied patient population provide an opportunity to interface with other subspecialties like neurosurgery, neurointerventional radiology, diagnostic neuroradiology, critical care neurology, pediatric neurology, and rehabilitation.  There is also regular one-on-one interaction with faculty, with personal attention to mentoring.   

Vascular neurology fellows are on call one weekend out of every four weekends, and on weeknights during inpatient rotations.

 

MOBILE STROKE TREATMENT UNIT

The MSU is a joint project between NewYork-Presbyterian (Weill Cornell and Columbia University Irving Medical Center) and the Fire Department of New York (FDNY) and provides the opportunity for prehospital treatment of acute stroke patients.  The unit allows for CT scanning capabilities and r-tPA administration to acute stroke patients in the field, prior to hospital arrival.    Our hospital is the fifth in the country and first in the Eastern United States to begin clinical care with a MSU.  Fellows have the opportunity to staff the “stroke ambulance” along with paramedics and a radiology technician.  

The MSU physician can administer several unique medications currently not on the formulary of any other FDNY ambulance; these include intravenous r-tPA, labetalol and nicardipine.

RESEARCH OPPORTUNITIES

Program Description

Clinical and translational research is a vital part of the Vascular Neurology Fellowship at Weill Cornell Medicine. Using resources available through our Clinical and Translational Neuroscience Unit (CTNU), fellows help to advance our understanding of neurological disease through programs that cover the spectrum of patient-oriented research. 

Our research makes use of:

1)    Administrative claims data from large populations

2)    Detailed clinical and physiological data from large-scale epidemiological studies

3)    Cutting-edge neuroimaging

4)    Multimodal studies of electrophysiological recordings, neuroimaging, and clinical phenotype

5)    Bench-to-bedside translational projects 

 

Research Areas

Investigators in the CTNU are focused on atrial disease and stroke (Kamel), cancer and stroke (Navi), atherosclerosis and stroke (Gupta), myocardial disease and stroke (Merkler), intracerebral hemorrhage (Murthy), disorders of consciousness (Schiff), neurogenetics (Ross), metabolic derangements in neurodegenerative disease (Ishii), and brain connectivity disorders (Kuceyeski, Raj, Iadecola).

 

Funding

CTNU research programs are funded by the NIH (grants U01NS095869, R01NS097443, K23NS082367, K23NS091395, and K08AG051179), organizations such as the American Academy of Neurology and the American Heart Association, and private philanthropic groups.

 

Data Sources

Fellows have access to a rich variety of research data: 

1)    Cornell AcutE Stroke Academic Registry (CAESAR): a prospective registry spanning 2011-2015 and comprising 1721 cases of acute ischemic stroke, 342 cases of intracerebral hemorrhage, and 389 cases of subarachnoid hemorrhage

2)    Inpatient and outpatient claims data on a 5% nationally representative sample of Medicare beneficiaries

3)    Administrative claims data on all emergency department visits and acute care hospitalizations in California, Florida, and New York from 2005-2013

4)    Nationwide Inpatient Sample from 1994-2013

 

Publications

The CTNU has published several papers in high-impact journals such as NEJM, JAMA, Circulation, and Annals of Neurology. These papers have all involved crucial participation from students, residents, and fellows, attesting to the positive educational impact of our group.

Examples of publications by our fellows in the past 3 years:

1.  Mangla A, Navi BB, Layton K, Kamel H. Transient global amnesia and the risk of ischemic stroke. Stroke. 2014;45:389-393.

2.  Gupta A, Baradaran H, Mangla A, Kamel H, Dunning A, Fodera V, Sanelli PC. Intraplaque high intensity signal on 3D-time-of-flight MR angiography is strongly associated with symptomatic carotid artery stenosis. Am J Neuroradiol. 2014;35:557-561.

3.  Gupta A, Baradaran H, Kamel H, Pandya A, Mangla A, Dunning A, Marshall RS, Sanelli PC. Evaluation of computed tomography angiography plaque thickness measurements in high-grade carotid artery stenosis. Stroke. 2014;45:740-745.

4.  Lahiri S, Mayer SA, Fink ME, Lord AS, Rosengart A, Mangat HS, Segal AZ, Claassen J, Kamel H. Mechanical ventilation for acute stroke: a multi-state population-based study. Neurocrit Care. 2015;23:28-32.

5.  Merkler AE, Navi BB, Singer S, Cheng NT, Stone JB, Kamel H, Iadecola C, Elkind MSV, DeAngelis LM. Diagnostic yield of echocardiography in cancer patients with ischemic stroke. J Neurooncol. 2015;123:115-121.

6.  Merkler AE, Chu SY, Lerario MP, Navi BB, Kamel H. Temporal relationship between infective endocarditis and stroke. Neurology. 2015;85:512-516.

7.  Lahiri S, Navi BB, Mayer SA, Rosengart A, Merkler AE, Claassen J, Kamel H. Hospital readmission rates among mechanically ventilated stroke patients. Stroke. 2015;46:2969-2971.

8.   Kummer BR, Bhave PD, Merkler AE, Gialdini G, Okin PM, Kamel H. Demographic differences in catheter ablation after hospital presentation with symptomatic atrial fibrillation. J Am Heart Assoc. 2015;4:e002097.

9.   Gupta A, Gialdini G, Lerario MP, Baradaran H, Giambrone A, Navi BB, Marshall RS, Iadecola C, Kamel H. Magnetic resonance angiography detection of abnormal carotid artery plaque in patients with cryptogenic stroke. J Am Heart Assoc. 2015;4:e002012.

10.  Lerario MP, Gialdini G, Lapidus DM, Shaw MM, Navi BB, Merkler AE, Lip GYH, Healey JS, Kamel H. Risk of ischemic stroke after intracranial hemorrhage in patients with atrial fibrillation. PLOS One. 2015;10:e0145579.

11.  Merkler AE, Parikh NS, Chaudhry S, Chait A, Allen N, Navi BB, Kamel H. Hospital revisit rate after a diagnosis of conversion disorder. J Neurol Neurosurg Psychiatry. 2016;87:363-366. Epub 2015 Apr 10.

12.  Morris NA, Merkler AE, Parker WE, Claassen J, Connolly ES, Sheth KN, Kamel H. Adverse outcomes after initial non-surgical management of subdural hematoma: a population-based study. Neurocrit Care. 2016;24:226-232. Epub 2015 Jul 10.

13.  Lerario MP, Merkler AE, Gialdini G, Parikh NS, Navi BB, Kamel H. Risk of stroke following the ICD-9 discharge code diagnosis of hypertensive encephalopathy. Stroke. 2016;47:372-375. PMCID: PMC4729656.

14.  Navi BB, Parikh NS, Lerario MP, Merkler AE, Lappin RI, Fahimi J, Iadecola C, Kamel H. Risk of intracerebral hemorrhage after emergency department visits for hypertension. J Stroke Cerebrovasc Dis. 2016;25:1683-1687.

15.  Gupta A, Gialdini G, Giambrone AE, Lerario MP, Baradaran H, Navi BB, Marshall RS, Iadecola C, Kamel H. Association between non-stenosing carotid artery plaque on magnetic resonance angiography and acute ischemic stroke. JACC Cardiovasc Imaging. 2016;9:1228-1229.

16.  Kummer BR, Gialdini G, Sevush JL, Kamel H, Patsalides A, Navi BB. External validation of the Cincinnati prehospital stroke severity scale. J Stroke Cerebrovasc Dis. 2016;25:1270-1274. Epub 2016 Mar 9. 

 

Requirements for Applicants 

Applicants must be graduates of an ACGME-accredited Neurology residency program. Graduates of both U.S. and foreign medical schools are eligible to apply.  For foreign applicants, NewYork-Presbyterian Hospital ONLY sponsors J-1 visas through ECFMG.

Applications must be made through ERAS (Electronic Medical Application Service) and the selection process is done through the NRMP Match.

Please direct all inquiries about fellowship admission to: 

Janice Void

Program Coordinator

jav2013@med.cornell.edu

(212) 746-6515.