Deep brain stimulation (DBS) is a well-established therapy for patients with severe essential tremor, advanced Parkinson's disease, and dystonia. DBS is also being explored for other medication-refractory movement disorders such as Tourette syndrome and some forms of myoclonus.

Fellows in the movement disorders track will participate in a high number of cases with involvement spanning:

• Initial patient evaluation for suitability for DBS/focused ultrasound therapy
• Surgical planning
• Intraoperative monitoring (including microelectrode recording)
• Postoperative stimulator/medication management (including device programming using all 3 commercially available DBS platforms)

You will become adept with advanced techniques such as image processing (including tractography) to assist with surgical planning, intraoperative neurophysiologic mapping with both conventional microelectrode recording and novel local field potential analyses, image-guided programming to supplement empiric adjustments, and in some cases telemedicine-based stimulator management. This focused fellowship allows you to participate in a much higher volume of DBS cases than is possible within most standard movement disorders fellowships.

Typically, you will have completed a Movement Disorders fellowship prior to the DBS fellowship; however, exceptions will be considered on a case-by-case basis.

Epilepsy DBS and Neuromodulation Track

Trainees will receive advanced training in standard, non-standard, and investigational neuromodulation techniques for epilepsy. By the conclusion of the fellowship, you will be prepared to independently manage all aspects of an epilepsy-focused neuromodulation program.

The fellowship includes protected research time, and fellows are expected to engage in academic activities and contribute to the field through research. Training will focus on developing expertise in:

• Surgical planning for neuromodulation procedures
• Trial stimulation during intracranial EEG evaluations, including single pulse and repetitive stimulation to probe, characterize and modulate networks
• Intraoperative monitoring, including microelectrode recordings
• Post-operative lead localization (e.g., Lead-DBS)
• Programming of chronically implanted systems
• Noninvasive neuromodulation (transcranial magnetic stimulation, transcranial direct current stimulation)

You will receive comprehensive training in both standard neuromodulation systems (DBS, RNS) and advanced off-label techniques, including:

• 4-lead DBS
• Combined thalamocortical stimulation
• Chronic subthreshold cortical stimulation
• Investigational neuromodulation systems

This fellowship is embedded within a high-volume surgical epilepsy practice, offering you extensive hands-on experience with neuromodulation cases. The program is led by five dedicated epileptologists who manage the epilepsy neuromodulation service. The structured curriculum ensures you develop the clinical expertise and research foundation required to pursue an academic career in epilepsy neuromodulation.

Applicants must have completed a fellowship in Epilepsy or Clinical Neurophysiology (EEG). A background or strong interest in quantitative analysis and computer programming is desirable.