Epilepsy/EEG (2 Years)
This Fellowship usually includes one year of an ACGME-accredited Clinical Neurophysiology Fellowship, enabling fellows to qualify for the ABPN added qualifications in clinical neurophysiology, plus a second year of further epilepsy and EEG that would enable fellows to qualify for the recently established epilepsy subspecialty certification. Training includes extensive Video-EEG monitoring, intracranial EEG, surgical treatment of epilepsy, brain mapping, inpatient and outpatient epilepsy, EEG in all settings (ICU, inpatient, outpatient and ambulatory), brain stimulation for epilepsy, and sleep medicine/polysomnography, all including adults, children and neonates. Options exist for training in evoked potentials, intraoperative monitoring, clinical research methodology and others. All fellows are expected to participate in research. A two-year fellowship is highly recommended, but applicants may be accepted for one year of training if they have already completed (or are in the process of completing) a one-year fellowship in Clinical Neurophysiology, EEG or Epilepsy. There are typically a total of four Epilepsy/EEG fellows along with one Neurosurgery Epilepsy fellow. The Yale Comprehensive Epilepsy Center is a large and established program with unsurpassed neurosurgical, electro-physiologic and imaging capabilities, with a long history of research in brain metabolism, neuroimaging, neurosurgery, and non-surgical treatment of epilepsy. The center has completed more than 1000 epilepsy surgeries since its existence.
ICU-EEG Fellowship (1 Year)
This fellowship can be done before, during or after epilepsy or neurocritical care fellowships (at Yale University or elsewhere), but the funded fellowship requires completion of an accredited neurology residency program. ICU-EEG Fellows will learn basic and advanced EEG interpretation related to critical care. Fellows will gain expertise in quantitative EEG techniques, real-time brain monitoring/neurotelemetry, ischemia/vasospasm detection, controversial patterns, intracranial EEG and multimodality monitoring. They will also be exposed to the basics of non–critical care EEG, including interpretation of outpatient EEGs and epilepsy video/EEG monitoring. Fellows are also expected to become experts in managing seizures in the critically ill. This fellowship will include participation in the Critical Care EEG Monitoring Research Consortium, and fellows are expected to participate in original research. There is typically one ICU-EEG fellow per year. The Yale Comprehensive Epilepsy Center is a large and established program with unsurpassed neurosurgical, electro-physiologic and imaging capabilities with a long history of research in brain metabolism, neuroimaging and neurosurgery. The ICU-EEG program at Yale-New Haven Hospital is one of the largest in the country, and is expected to continue to grow in years to come.
ICU-EEG Research Fellowship (1-3 years, unfunded)
This research fellowship, directed by Dr. Lawrence Hirsch, requires advance funding. International applicants are welcome, but applicant must be fluent in English. Prior experience with EEG required, and evidence of research potential or track record is necessary. This will be a full time research fellowship with projects related to critical care EEG such as quantitative EEG, ischemia detection, automated seizure detection, SIRPIDs, the ictal-interictal continuum, real-time neurotelemetry, diagnosis or treatment of status epilepticus, multimodality monitoring including EEG, EEG patterns in specific conditions such as sepsis or postanoxic coma, broadband EEG, the new EEG nomenclature, peri-injury depolarizations/spreading depression, physiologic effects of nonconvulsive seizures, etc. This fellow will participate in the Critical Care EEG Monitoring Research Consortium and other collaborative projects.