Accreditation

The Epilepsy Fellowship is accredited by the Accreditation Council for Graduate Medical Education.

Certification

When you complete this fellowship, you will be eligible for the epilepsy subspecialty certification examination offered by the American Board of Psychiatry and Neurology.

Program history

The Epilepsy Fellowship at Mayo Clinic in Florida was approved in 2025. The program welcomes its first fellow in 2027 and is designed to train one fellow per year.

Positions

At Mayo Clinic’s Florida campus, two distinct fellowship positions are offered — Clinical Neurophysiology (CNP) with an EEG track, and Epilepsy. One Epilepsy Fellowship position is available each year on a competitive basis. Fellows may elect to complete the CNP (EEG track) and Epilepsy fellowships sequentially over two years, thereby becoming eligible for board certification in both subspecialties.

Qualifications

1. To be eligible for the Epilepsy Fellowship, you must be enrolled in or have completed an accredited adult or child neurology residency in the United States or Canada.
2. Applicants also must be qualified to take the American Board of Psychiatry and Neurology Certifying Examination.
3. Fellowship appointees are required to obtain and maintain an appropriate medical license while enrolled in the Mayo Clinic School of Graduate Medical Education.

Also see general admissions requirements.

How to apply

The academic year begins July 1. Applications and all supporting materials must be submitted by January of the year preceding the intended start date.

Mayo Clinic School of Graduate Medical Education does not accept printed applications. Applicants must apply through ERAS, the third-party application service. This program participates in the NRMP Match.

All applications must include the standard materials required by Mayo Clinic School of Graduate Medical Education. In addition, this program requires a letter of recommendation from the applicant’s residency program director or department chair.

ECFMG J-1 and H-1B visa sponsorship will be considered. Per U.S. Citizenship and Immigration Services regulations, international medical graduates holding J-1 visas may complete only one year of fellowship training in Epilepsy, as these fellowships are accredited for one year by the ACGME.

Selected applicants will be invited for a personal interview with the program director and faculty. Interviews are typically conducted between December and March.

The Epilepsy Fellowship begins with a two-month Clinical Neurophysiology Introductory Course, covering all areas of clinical neurophysiology with emphasis on the anatomy, physiology, pathophysiology, and neurophysiologic features of disease.

Throughout the fellowship, fellows rotate between the EEG laboratory and inpatient and outpatient epilepsy services, gaining comprehensive clinical and procedural experience.

Block	Rotation
1	CNP
2	EEG a.m./CNP p.m.
3	AEMU
4	EPC
5	EEG
6	SIMS
7	EPC
8	AEMU
9	PEMU a.m./PEPC p.m.
10	EEG
11	AEMU
12	Elective
13	Elective

Legend of rotation name abbreviation:

• AEMU = Adult epilepsy monitoring unit
• AEPC = Adult epilepsy clinic
• CNP = Clinical neurophysiologycourse-training
• EEG = Electroencephalography
• PEMU = Pediatric epilepsy monitoring unit
• PEPC = Pediatric epilepsyclinic
• SEC= Symptomatic epilepsy clinic (autoimmune, braintumor, dementia,and stroke)
• SIMS = Surgical or ICU EEG monitoring service

Electives

• Research
• IOM (lntraoperative monitoring)
• Advanced post-processing of epilepsy imaging and curry source localization
• Neuroradiology of epilepsy
• Sleep medicine

EEG rotations: EEG training is an integral part of the fellowship. Fellows interpret a large volume of EEGs from adults and children with epilepsy and related disorders. You gain progressively independent responsibility, including:

• Managing complex EEG cases and emergencies
• Performing and supervising prolonged EEG and intraoperative monitoring
• Teaching residents and presenting lectures and seminars

Fellows are exposed to a wide range of seizure types and monitoring techniques, including routine, ambulatory, prolonged, and pre-surgical EEG, as well as intraoperative and extraoperative intracranial EEGs. Our EEG lab performs over 2,000 routine EEGs and more than 250 ambulatory EEGs annually, providing extensive clinical experience.

Epilepsy rotations: During epilepsy rotations, fellows care for patients on the inpatient epilepsy monitoring service, in the outpatient epilepsy clinic, and through hospital consultations. Clinical experience includes:

• Prolonged EEG monitoring in ICU patients
• Planning and interpretation of intracranial EEG recordings for pre-surgical evaluation
• Management of new-onset and refractory epilepsy in both adult and pediatric patients

Fellows also participate in:

• Amytal/Wada testing
• Intraoperative monitoring
• Video EEG recordings

The schedule balances inpatient and outpatient experiences to ensure comprehensive exposure. Responsibilities increase progressively, preparing fellows to perform these activities independently by the end of training.

Specialized rotation experiences

EEG Laboratory:

• Interpretation of routine and ambulatory EEGs in adults and children
• Exposure to diverse clinical scenarios and EEG findings

Surgical and ICU Monitoring Service (SIMS):

• Monitoring adult ICU patients
• Intraoperative EEG for vascular surgeries
• Electrocorticography, stimulation mapping, and stereoelectroencephalography (SEEG)

Epilepsy Monitoring Units (EMU):

• Adult and pediatric EMU rotations throughout the year
• Evaluation of patients for drug-resistant epilepsy and pre-surgical planning
• Case presentations at weekly surgical epilepsy conferences

Epilepsy Clinic:

• Continuity clinics for adult or pediatric patients
• Integration of EEG interpretation with clinical management
• Hands-on experience in the medical and surgical care of epilepsy patients

Epilepsy electives: As part of ACGME accreditation, you must have epilepsy-related electives of your choice. Elective options include the following:

• Research
• IOM-(lntraoperative monitoring)
• Advanced post-processing of epilepsy imaging and curry source localization
• Neuroradiology of epilepsy
• Sleep medicine

In addition to a two-month intensive introduction to clinical neurophysiology, you participate in clinical conferences, lectures, lecture-demonstrations, journal club sessions, seminars, and small discussion groups as part of the curriculum.

You also attend additional seminars and conferences related to EEG and epilepsy care, including:

• sEEG Planning Conference (monthly)
• Epilepsy Surgical Conference (weekly)
• Interesting EEG Conference (biweekly)
• ICU EEG Conference (monthly)
• Epilepsy Division Tri-Site Video Conference (quarterly)
• Outcome Case Presentations (quarterly)

Other weekly seminars and conferences in neurology, neuropathology, and pediatric neurology may also be attended.

You are expected to complete at least one investigative project during your training. The choice of project depends on your interests, skills, and available time. Opportunities exist for collaborative studies with other clinical and basic science departments at Mayo Clinic.

You are also expected to present your research at a scientific meeting or prepare it for publication in a scientific journal. This experience develops skills in critically evaluating research and understanding the principles and conduct of scientific investigation. Mayo Clinic supports fellows by covering travel, hotel, and registration expenses for presenting research conducted during the fellowship.

Your call schedule will vary by individual rotation. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME) and complies with ACGME's duty hour requirements.

Department

The Department of Neurology at Mayo Clinic in Florida is dedicated to providing advanced, expert care for conditions of the brain, spine, and nervous system. Our team of specialists utilizes advanced diagnostic tools, cutting-edge techniques, innovative therapies, and clinical trials developed by world-class experts to deliver accurate diagnoses and personalized treatment plans. Our collaborative, team-based approach ensures that patients benefit from the combined expertise of multiple specialists working seamlessly together.

Subspecialized care is a hallmark of Mayo Clinic. High patient volumes mean that rare conditions are not rare to us, and our team has extensive experience diagnosing and treating even the most uncommon neurologic disorders. The Mayo Clinic Epilepsy Center in Jacksonville, Florida, is a Level 4 center accredited by the National Association of Epilepsy Centers. The Division of Epilepsy is composed primarily of adult neurologists with specialized training in seizure disorders, working closely with colleagues in neurosurgery, nursing, neuroradiology, nuclear medicine, clinical neurophysiology, and neuropsychology.

The clinic provides comprehensive medical and surgical management for patients of all ages. Annual clinical volumes include approximately 2,000 outpatient EEGs, 1,500 prolonged inpatient and ICU video EEG studies, more than 200 epilepsy monitoring unit admissions, and over 70 extra- and intraoperative intracranial EEGs. The epilepsy surgery program is highly collaborative, integrating neurologists, neurosurgeons, neuropsychologists, and neuroradiologists. Weekly epilepsy surgery and stereoelectroencephalography (SEEG) planning conferences guide patient care. SEEG monitoring supports a wide range of therapeutic interventions, including resections, disconnections, minimally invasive laser interstitial thermal therapy, SEEG-guided radiofrequency ablation, and neuromodulation.

Faculty

The Epilepsy Fellowship is supported by five clinician faculty members and additional non-clinician faculty.

In addition to caring for patients in their clinical practices, Mayo Clinic's faculty members are committed to teaching and facilitating the growth of medical knowledge. You will have direct access to these individuals throughout your training program.

Advisers and mentors

Any of the divisional faculty may serve as your faculty adviser to provide comprehensive educational advice and personal support. Your adviser also serves as a contact point, introducing you and your family to Jacksonville and the Mayo Clinic system.

Visiting professors

Many prominent professors visit Mayo Clinic each year and present their work during lectures. Residents and fellows are encouraged to take full advantage of these opportunities to interact with experts from other academic centers and are relieved from clinical assignments to do so.

	William Tatum, DO., Professor of Neurology  Dr. Tatum specializes in epilepsy, including drug-resistant, generalized, focal, autoimmune, and status epilepticus. His expertise encompasses epilepsy surgery, neuromodulation, EEG (scalp and intracranial), video-EEG monitoring, intraoperative neurophysiologic monitoring, electrocorticography, functional brain mapping, ICU EEG, evoked potentials, and clinical trials of drugs and devices. Board-certified in neurology, clinical neurophysiology, and epilepsy, he is a Fellow of the American Academy of Neurology, the American Neurological Association, and the American Clinical Neurophysiology Society. He has served as director of the Comprehensive Epilepsy Center and Epilepsy Monitoring Unit and has authored over 170 peer-reviewed manuscripts, 45 book chapters, and edited eight books. View full profile
	Brin Freund, M.D. Dr. Freund is a neurologist specializing in Epilepsy and Clinical Neurophysiology. He has expertise in the management of epilepsy and EEG interpretation, with special interests in: Complex coordination of care and diagnosis through a multidisciplinary team of experts Promoting patients’ understanding of their diagnoses and empowering them to become active partners in managing their health Understanding each patient’s unique expectations and goals when living with epilepsy In addition to his clinical work, Dr. Freund is active in research and is involved in teaching and mentoring trainees at multiple levels. He authors expert content and publishes in high-impact scientific journals. View full profile
	Seyed Mirsattari, M.D., Ph.D. Dr. Mirsattari is a neurologist specializing in Epilepsy and Clinical Neurophysiology. He has expertise in the management of epilepsy and EEG interpretation, with special interests in: Seizure semiology Status epilepticus Autoimmune epilepsies Surgical treatment of drug-resistant epilepsies Novel pharmacological therapies in epilepsy Functional neurological disorders (FNDs), seizure type Dr. Mirsattari’s primary research interests include clinical epilepsy, EEG, functional neurological disorders, and neuroimaging. View full profile