About our Fellowship
Who We Are
Launched in the 2021 academic year, our ACGME-accredited Epilepsy Fellowship offers a one-year training program based at a level IV NAEC Epilepsy Center with a large and diverse referral base. Fellows gain hands-on experience with a broad range of complex epilepsy cases and benefit from direct exposure to the best diagnostic and therapeutic technologies. The program provides robust preparation for ABPN Epilepsy board certification and includes the opportunity to take the EpiFITE in-service exam. Our fellowship strives to cultivate clinical and academic excellence. We are deeply committed to our missions of compassionate, patient-centered care to those with epilepsy across Florida and beyond, of advancing epilepsy research, and of providing top-tier sub-specialty medical education.
What Makes Us Special
Our program stands out for its high volume and exceptional teaching cases, offering fellows a vibrant learning experience. The flexible curriculum aligns with each fellow’s individual interests and career goals. All our faculty are deeply invested in fellow education. In the first half of the year, we provide a comprehensive set of didactic sessions covering the breadth of adult and pediatric epilepsy. Formal teaching is reinforced continuously through the year on service rounds and case conferences. In addition, fellows benefit from a designated educational fund that supports their professional growth, such as attendance at national conferences. Fellows are also fully integrated into the broader departmental community through joint fellowship transition-to-practice curricula, professional development opportunities and social events.
Clinical Training
Epilepsy Monitoring Unit
We are a level IV NAEC Epilepsy Center who offer the full suite of advanced investigative and treatment modalities for epilepsy. There are 8 hard-wired adult EMU beds on the neurology floor of our new Neuromedicine Hospital that evaluate over 200 patients a year. In the first few months, fellows learn the fundamentals of video-EEG monitoring, analysis of seizure semiology and acute antiseizure medication titration. They progress quickly to acquire advanced skills such intracranial EEG (stereo-electroencephalography; SEEG) planning and interpretation, intraoperative electrocorticography and extraoperative stimulation mapping. Through their engagement at our weekly case conferences, fellows gain experience of epilepsy-oriented neuroimaging (3T MRI, fMRI, DWI-tractography, PET), advanced clinical neurophysiology (EEG source localization and MEG) and the neuropsychology of epilepsy (including Wada testing). Further training in these advanced areas through elective periods or clinical research is always available to interested fellows.
Long Term and Critical Care EEG
Our Long Term and Critical Care EEG Monitoring Service comprises 16 modern XLTEK portable EEG machines equipped with state-of-the-art Persyst® software permitting quantitative interpretation of trends for precise analysis of seizure burden and ischemia monitoring. The LTM service is busy, with over 3000 24-hour studies performed annually; uniquely, the service can be requested 24/7 with EEG technicians always in-house. Supervision of the service is the responsibility of the EEG attending physician of the week, along with resident and fellow trainees. The LTM service is fast-paced and intense, reflecting the clinical acuity of the patients being monitored. Communication with referring medical teams is high priority, and there are daily virtual EEG rounds to convey updates.
Continuity Clinic
Fellows have half day clinics each week throughout the one-year training where they follow their own patients under faculty supervision. Fellows evaluate both new presentations as well as returning patients, and over the year obtain experience of the large majority of epilepsies seen in primary, secondary and tertiary settings. Fellows also have the opportunity to observe more specialized outpatient practice, for instance our adult ketogenic diet clinic, and the neuromodulation clinic. Additional specialized services, such as epilepsy complicated by neurobehavioral syndromes, and clinic for women of childbearing age are being planned.
Elective Rotations
During their one year, fellows get at least one month of elective time to customize their experience based on longer-term career interests. Electives chosen by prior fellows have included neuroradiology and MEG. The UF Epilepsy Fellowship program also offers – uniquely in the nation and entirely free of cost – the option for fellows to travel anywhere in the world to spend one month’s elective time in an epilepsy-related field. Such individualized rotations are enthusiastically encouraged but do need a willing supervising faculty mentor in the remote location and a written statement of goals and objectives to be submitted in advance.
Academic Training
Didactics
Early in the academic year, fellows attend a comprehensive ‘bootcamp’ lecture series that provides foundational instruction in epilepsy and clinical neurophysiology. We progress to an advanced epilepsy lecture series later in the year that covers more specialized topics. Our didactic program otherwise includes a regular schedule of weekly and monthly clinical sessions designed to foster multidisciplinary learning and clinical excellence. Additionally, we host weekly departmental grand rounds and a journal club as part of our ‘Academic Friday’ series, providing a platform for continuous academic engagement. Monthly, we conduct ICU-EEG case discussions to deepen understanding of complex acute cases.
Research
Research opportunities abound in all fields relevant to clinical epilepsy – e.g. pharmacology, electrophysiology, imaging, health outcome, epidemiology and descriptive case series. Division faculty members currently have active research collaborations with scientists in bioengineering, electrical engineering, neurogenetics and dietetics. Fellows are invited to participate in any of several ongoing projects that interest them. Fellows are also encouraged to develop their own research themes, including quality improvement initiatives. Fellows attend divisional research meetings that are held every two weeks, where there in opportunity for open discussion.
Resident Teaching
Fellowship is also a time in a trainee’s career where they learn to train others. Fellows are expected to provide teaching to rotating medical students and residents as soon as they feel able. Later in the year, fellows join faculty in providing formal didactics to neurology residents at morning report conferences. Fellows also lead discussion at our monthly epilepsy journal clubs.
Conferences
Fellows are encouraged to attend local, state-wide, and national conferences. Among these are the annual meeting of the Florida Society of Neurology, which includes the recently formed Florida Epilepsy Consortium, American Epilepsy Society (AES) Annual Meeting, the American Clinical Neurophysiology Society annual meeting, and the annual meeting of the American Academy of Neurology. Our program has set up a designated educational fund to support our fellows to attend the conference.
Application Requirements and Program Details
Eligibility
To be eligible for epilepsy fellowship program, applicants must have successfully completed (or be on track to complete) an ACGME-accredited adult or pediatric Neurology Residency prior to matriculation. Applicants must have passed USMLE Step 3 prior to application.
Important Dates and Deadlines
Applicants interested in epilepsy fellowship position apply through the Electronic Residency Application Service (ERAS) approximately eighteen months prior to anticipated matriculation. Applicants will be invited to interview in December through March. Please visit the ERAS Website for complete information about application, schedules, and regulations & the NRMP website for NRMP deadlines.
Length of Fellowship
The fellowship lasts for one year. There is the possibility of doing an optional second year of epilepsy training in clinical practice and research for fellows who are interested in pursuing a career in academic medicine.
Compensation and Benefits
Compensation is commensurate with level of training (paid as PGY-5 and PGY-6, respectively) by the GME office at UF-Health. UF benefits are generally regarded as quite competitive.
Rotation Details
12-month rotation, alternating between EMU (Epilepsy Monitoring Unit) and LTM (Critical Care Long Term EEG) services weekly
At least one month rotation with pediatric epilepsy service, mix of pediatric EMU and pediatric EEG services
At least one month of elective rotation
Weekend call (typically will be in home call), on average one weekend every 3-4 weeks
Visa Sponsorship
Due to recent changes to the H-1B visa program at the federal level, our department will no longer be able to sponsor H-1B visas for housestaff. We will continue to support and sponsor J-1 visas for eligible applicants. We will provide updates if additional guidance becomes available.