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Multiple Sclerosis and Neuroimmunology Fellowship

CORE CONTENT OF MULTIPLE SCLEROSIS FELLOWSHIP

The Multiple Sclerosis Fellowship at UF provides one year of advanced training in the diagnosis, treatment and clinical research of patients with MS and related immune-mediated disorders of the central nervous system (CNS). A second year of fellowship may be considered depending on the applicant’s clinical and research interests and long-term career goals.

The major objectives of our MS curriculum are to delineate training that will develop expertise in the recognition, diagnosis, treatment, management, and rehabilitation of inpatients and outpatients with MS and related immune-mediated disorders of the central nervous system (CNS). The overall goals for the fellowship are:

  1. Develop competence in the care of MS patients and related Neuro-immunological disorders,
  2. Become familiar with principles of interdisciplinary comprehensive patient-centered care of patients with MS,
  3. Incorporate personalized therapy and risk management into clinical decision making in the care of MS patients
  4. Develop a comprehensive knowledge of patient-centered outcomes research and clinical translational research and its potential application on the field of MS,
  5. Develop competence on clinical trials design, including study protocol, power calculations, recruitment of subjects, comparative effectiveness research, randomization procedures, identification of primary and secondary outcome measures, and data analysis,
  6. Incorporate patient-centered outcomes research principles into clinical trial design

 

CURRICULUM

The following curriculum areas have been reviewed and are required for this fellowship (adapted from AAN):

The Core Curriculum is broadly written, and may have applicability at several levels of training. Our fellowship program will provide access to both inpatient and outpatient experiences, within the setting of a dedicated MS clinic or rehabilitation facility, with the presence of a multidisciplinaryhealth care team. This will provide education in the comprehensive management that is central to the care of persons with MS. Additionally, there will beopportunity for research either in a clinical area, including didactic instruction in clinical research methodology and statistics, and/or in collaboration with a basic scientist (e.g., immunology, pathology, neurophysiology). At the end of the training, the fellow should have the capacity to:

  1. Recognize common and unusual presentations and manifestations of MS, NMO and other CNS immune-mediated disorders
  2. Generate a differential diagnosis of the broad spectrum of Multiple Sclerosis, its variants, and its mimics
  3. Describe the basic immunopathophysiology of MS and related neuroimmunological disorders
  4. Discuss sensitivities, specificities, and indications for paraclinical and emerging tests that are used to help establish (or rule out) a diagnosis of MS
  5. Manage primary and secondary symptoms of MS
  6. Describe treatment of MS with disease modifying agents
  7. Lead the health care team in the rehabilitative approach to caring for persons with MS
  8. Serve as an expert consultant for questions of complicated management issues in persons with MS
  9. Design innovative treatment approaches utilizing neurologic and rehabilitative strategies
  10. Provide a critical review of current literature regarding research and clinical trials in MS
  11. Implement clinical or basic science research in an MS or MS related area
  12. Appreciate the vital role played in comprehensive clinical care of the MS patient played by subspecialty and other medical providers; including physiatrist and rehabilitative medicine, physical therapy, occupational therapy, speech pathology, neuropsychology, psychiatry, urology, neurosurgery and indications for device placement, and complementary and alternative therapies

 

STRUCTURE OF THE FELLOWSHIP

Fellows meet with the Director individually for one on one evaluation and feedback once every 3-4 months. There is a formal confidential survey fellows must fill out, as well as a survey to be filled out from each of the faculty on the individual fellow. The surveys and feedback ensure that all areas are covered, fellows obtain a complete experience, and that all critical topics have been taught. Additionally, a major component of the fellowship is teaching how to build his/her own center post-graduation.

Fellows also meet with the Director every week to update clinical research projects, and receive direct mentorship on clinical skills, writing and publications. Fellows present all cases at the weekly MS meetings.

Fellowship Mentorship Committee (fellows meet with each member of the committee at least monthly for mentorship meetings)

 

Length of Fellowship

One Year (One year funding request)

 

Fellow’s Status with Accrediting or Approval Bodies

Fellows will be at PGY-5 level. Prior residency training in Neurology will be required to enter into the fellowship, and the fellows must be board-eligible for the ABPN Neurology Board. Potential fellows may either have a permanent Florida Medical License or a temporary graduate medical education permit through the University of Florida. The Department of Neurology will provide independent funding for licensure for all potential fellows.

 

Fellowship Selection Process

Advertisements will be placed in the American Academy of Neurology (AAN) website fellowship director, on our website http://mdc.mbi.ufl.edu, through emails to all fellowship directors listed on the AAN website, and also by word of mouth, and announcement at national and international meetings. An online application is required for residency and any fellowship at the University of Florida. Fellows must then send a complete CV and 3 letters of recommendation. A telephone interview is required with the fellowship director, and then if appropriate, the fellow is brought for a comprehensive two-day visit and interview. On the visit, the fellow will see all conferences and meet all interdisciplinary fellowship faculty.

 

 

Fellowship Director information

Augusto Miravalle, M.D., FAAN Administrative Director

Associate Chair of Education

Chief, Multiple Sclerosis Section

Department of Neurology

3450 Hull Road, 4th Floor Gainesville, FL 32607

Phone (352) 294-5400

Fax (352) 294-5399

Email: amiravalle@ufl.edu