Accreditation

This program is in the process of being accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Certification

After completion of this program, trainees will be eligible to complete the Neuromuscular Medicine Certification Exam (American Board of Psychiatry and Neurology) and the American Board of Electrodiagnostic Medicine Certification Exam.

Program history

The Neuromuscular Division at Mayo Clinic in Florida has had an ACGME accredited Clinical Neurophysiology-EMG fellowship for over 20 years. This fellowship included education in EMG and clinical neuromuscular diseases and featured multidisciplinary Muscular Dystrophy Association (MDA) and Amyotrophic Lateral Sclerosis (ALS) clinics. This was converted to a Neuromuscular Medicine Fellowship which will have its first fellow in 2027.

Positions

There is one position available annually.

Built on Mayo Clinic’s sturdy foundation of providing the highest quality care and research, the Neuromuscular Medicine Fellowship in Florida continues that legacy by positioning itself as one of the most competitive training programs in the subspecialty. Ideal applicants would be enrolled in or have completed an ACGME-approved Adult Neurology, Pediatric Neurology, or Physical Medicine and Rehabilitation program, and demonstrated a high level of proficiency in clinical care and scholarly activity.

Qualifications

Applicants for the Neuromuscular Medicine Fellowship program must be enrolled in or have completed an ACGME-accredited Neurology, Pediatric Neurology, or Physical Medicine and Rehabilitation training program.

Also see general admissions requirements.

How to apply

Our program is committed to abiding by the following fellowship application process. All submitted fellowship listings are posted on January 1.

Applicants may submit application materials and supporting documents through the AANEM Fellowship Portal, but applications will not be visible to institutions until March 1. The interviews for 2027-2028 Neuromuscular Medicine Fellowship candidates will occur in April 2026. Fellowship positions will not be offered before June 1 of the year prior to the fellowship start date.

More information about our program and how to apply through the AANEM portal system will be available soon.

The Neuromuscular Medicine Fellowship provides fellows with the tools necessary for providing high-quality care to patients with acquired and inherited disorders of the nerve, muscle, and neuromuscular junction. Areas of focus reflect the three-shield approach of Mayo Clinic — Education, Research, and Practice. During the 12-month fellowship, trainees can expect to diagnose and treat patients with a broad range of neuromuscular disorders. The fellow will receive direct, one-on-one supervision throughout the fellowship (in clinic and the neurophysiology laboratory) with a graduated level of independence and indirect supervision with increasing experience.

The first two months will be focused on a dedicated, intense clinical neurophysiology didactic and hands-on course. The course will include training in the basic concepts of nerve conduction and needle EMG, allowing the fellow to begin to gain the necessary skills for performing and interpreting the studies. The remaining ten months will be composed of a combination of clinical evaluation and management of patients with neuromuscular diseases in the outpatient and inpatient setting, involvement in multidisciplinary clinics (ALS, Myositis, MDA), advancing experience and techniques in the EMG lab, and learning pathologic changes in nerve and muscle diseases.

Rotation schedule (chronologically)

Rotation schedule: Months 1-2

Rotation schedule: Months 3-6

Rotation schedule: Months 7-12

Rotation schedule: Elective week

Rotation schedule: Away rotation weeks 1-2

Rotation schedule: Away rotation weeks 3-4

Rotation descriptions

Clinical Neurophysiology Course: This two-month course will provide the foundational knowledge and skills required for the fellow to begin performing EMGs. The course consists of both didactic and hands-on sessions and incorporates the use of neuromuscular ultrasound. Time will also be allotted to work in the EMG lab and introductory clinical neuromuscular lectures.

Neuromuscular Clinic: The fellow will evaluate patients with a wide range of neuromuscular disorders. On average, the fellow will be in clinic about two days per week, with various faculty. The fellow will spend most of the time under indirect supervision. In the Friday neuromuscular clinic, the fellow will primarily be seeing follow-up patients.

EMG: The fellow will spend this time in our state-of-the-art Neurophysiology Lab, outfitted with nine EMG rooms. The fellow will be expected to perform nerve conduction studies, needle EMG, and neuromuscular ultrasound with gradually increasing levels of independence.

Muscular Dystrophy Association (MDA) Clinic: The fellow will work with a neuromuscular physician, physical and occupational therapists, genetic counselor, and social worker seeing a wide variety of patients with established, intricate neuromuscular disorders. A few days per year are dedicated to patients with Charcot-Marie-Tooth disease. The MDA clinic takes place every other Wednesday.

Amyotrophic Lateral Sclerosis (ALS) Clinic: The fellow will be able to participate in the multidisciplinary (physician, physical and occupational therapists, dietitian, respiratory therapist, social worker, speech pathologist) ALS clinic up to one Thursday per week seeing patients with various stages of motor neuron disease. Opportunity also exists to participate in ALS basic science and clinical research.

Myositis Clinic: The fellow will rotate in this clinic where patients suspected of having immune-mediated myopathies are seen by the neurologist and rheumatologist.

Pathology Teaching: Pathology teaching will be in the form of didactics and case-based discussions.

Pediatric EMG: Pediatric EMG is performed by a couple of neuromuscular attendings. This takes place at the nearby Nemours Children’s Hospital on every other Wednesday afternoon.

Research: This rotation may occur up to one half day per week, dependent upon active research projects and current rotation. Fellows are required to be in close contact with their research mentors during this rotation.

Electives: There are two, two-week blocks for electives. Elective options include chemodenervation (botulinum toxin) clinic, autonomic clinic/lab, neuromuscular physiatry/physical therapy, and intraoperative monitoring.

Neuromuscular Pathology rotation to Mayo Clinic in Rochester, Minnesota: This is a one-month optional rotation in lieu of the elective blocks above. This rotation takes place at Mayo Clinic in Rochester, Minnesota. Two weeks will be allotted to nerve pathology, and two weeks to muscle pathology. The fellow will be working alongside attendings and other trainees at the Rochester campus. In addition to being in the labs, the trainee will attend one half day of clinic per week seeing new patients and will see these patients at a follow up appointment later in the week after testing has been completed. View the Mayo Clinic policy on rotations to other Mayo sites. A valid Minnesota medical license is required.

Electives

There are two, two-week blocks for electives. Elective options include chemodenervation (botulinum toxin) clinic, autonomic clinic/lab, neuromuscular physiatry/physical therapy, and intraoperative monitoring. A single one-month away rotation in neuromuscular pathology is available as an alternative to the two, two-week blocks.

There is a one-month optional elective opportunity at Mayo Clinic in Rochester, Minnesota, for nerve and muscle pathology.

Didactic training

There are many didactic opportunities for fellows. During the first two months of the fellowship, trainees participate in the Clinical Neurophysiology (CNP) course, which includes lectures on electrodiagnostic techniques. Approaches and findings in diseases, coupled with hands-on demonstration and practice of nerve conduction, needle EMG, and neuromuscular ultrasound techniques are included. Every Friday morning, there is a CNP lecture that is delivered by the fellow or a neuromuscular attending, which delves into unique cases or concepts in CNP and neuromuscular medicine. There are monthly Mayo Clinic muscle and peripheral nerve conferences in Rochester, Minnesota, that the fellow will be required to join virtually.

Procedures 

By the end of the fellowship, the fellow would be expected to be able to perform nerve conduction studies, needle EMG, and neuromuscular ultrasound independently. To qualify for the American Board of Electrodiagnostic Medicine examination, the fellow must complete 200 electrodiagnostic studies during training. This target is achievable given the high volume of studies our lab performs.

The following are conferences that are available as optional or required for the fellow.

• Neuroscience/Neurosurgery Lecture Series on Mondays from 6:45-8 a.m.
• *Mayo Clinic in Florida Neurology Grand Rounds on Mondays from 12:15-1 p.m.
• Neuropathology Clinical Pathologic Conference from 2-3 p.m.
• Multi-disciplinary Spine Conference from 5-6 p.m.
• *Muscle Teleconference from Mayo Clinic in Rochester, every third Tuesday of the month from 1:15-2 p.m.
• *Peripheral Nerve, EMG, Pathology Correlation Teleconference from Mayo Clinic in Rochester, every second Tuesday of the month from 6-7 p.m.
• Neurology Core Lecture Series on Tuesdays from 3-6 p.m.
• Internal Medicine Grand Rounds on Wednesdays from 12:30-1:30 p.m.
• *Clinical Neurophysiology Technologist Teaching session on Thursdays from 7:15-8 a.m.
• *Clinical Neurophysiology/Neuromuscular Conference on Fridays from 7:15-8 a.m.
• **Clinical Neurophysiology Case Teleconference with Mayo Clinic in Rochester on Fridays from 8:15-9 a.m.
• Neurology Subspecialty Teleconference from Mayo Clinic in Rochester on Fridays from 1:15-2 p.m.

*Attendance required

**Attendance required on the last Friday of the month

All the faculty of the Division of Neuromuscular Medicine have experience in research and can serve as research mentors for the fellow. Importantly, the Neuroscience department is a world leader in scientific discovery and has faculty available for guidance and collaboration. Additionally, there are numerous resources available at Mayo Clinic to encourage and support scholarly activity. There are small grant funds, funding to cover certain aspects of trainee research (discretionary funds), and statistical support. The electronic health record and EMG databases can be used to easily identify patients with specific neuromuscular symptoms, test results, and responses to treatments.

The fellow is encouraged to take advantage of the teaching opportunities. These include teaching during the Resident Core Lectures, Neurology Grand Rounds (the fellow is required to do one grand rounds presentation during the fellowship), Friday morning clinical neurophysiology lectures, Thursday morning EMG technician lectures, and lectures to internal medicine, physical therapy, and pediatric neurology residents. These opportunities allow the fellow to share and solidify their knowledge, and gain and refine teaching skills.

The fellow is permitted to moonlight, once this aligns with the policy outlined by the Mayo Clinic School of Graduate Medical Education. Familiarizing oneself with this policy is mandatory prior to consideration of moonlighting. Please check for updates throughout the year.

Additionally,

1. The fellow is not allowed to moonlight if they are on a J-1 or H-1 visa.
2. The fellow must possess a valid Florida state medical license. They should submit details of the potential moonlighting opportunity to the program coordinator and include details of the malpractice insurance coverage (not covered by Mayo Clinic), and a statement regarding the number of hours to be worked in each month.
3. The request to moonlight will be reviewed by the Department of Neurology Education Committee. The following will be taken into consideration.
   • An understanding that moonlighting is not a requirement.
   • The fellow must be in good standing in the program.
   • Time spent moonlighting should not jeopardize the fellow’s educational progress or negatively impact the fellow’s primary clinical duties. Moonlighting should not compromise the fellow’s level of functioning at work by prevention of sufficient rest time.
   • The fellow is not allowed to moonlight during scheduled work hours, including research and education time.
   • The fellow is not permitted to moonlight within 12 hours prior to the start of their next scheduled fellowship duties.
4. If approved, the fellow must accurately and honestly document the number of hours worked on a weekly basis in MedHub. The total number of hours worked should not exceed the stipulated 80-hour maximum per week.
5. The Department of Neurology Education Committee reserves the right to terminate the approval of the fellow’s moonlighting if the fellow receives disciplinary action during the moonlighting period, or if the aforementioned requirements are not fulfilled. 

Mentorship

The fellow will have one-on-one regular interactions with each neuromuscular faculty which will help foster mentorship within the division. Monthly scheduled meetings with the program director will provide guidance on career advancement and research goals.

Evaluation

To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the program. You are evaluated formally by the supervising faculty member after each clinical rotation, and you will meet with the program director to review these evaluations. In addition, you will also regularly evaluate the faculty to ensure that your educational needs are being met.

Fellows will be at the Mangurian Building during clinic time. Within this modernly constructed building there are state-of-the-art outpatient rooms, conference rooms, and dedicated workspace for the fellow.

EMGs will be performed in the recently upgraded and sleek EMG lab, which contains nine procedure rooms outfitted with updated ultrasound-capable EMG machines, a conference room that doubles as a recreation room, and a comfortable workspace for the fellow and staff.

Pediatric EMG takes place at the nearby Nemours Children’s Hospital.

Department

The Mayo Clinic Department of Neurology in Jacksonville, Florida, is rapidly growing and consists of over 40 neurology faculty. The neuromuscular division is the largest of the divisions with eight faculty. Collectively, our faculty has several active research projects and clinical trials in clinical neurophysiology, nerve and muscle disorders, and Amyotrophic Lateral Sclerosis. From an educational perspective, our division is home to both the current and former neurology residency program directors, and Dr. Devon Rubin has pioneered valuable educational material now available through the American Association of Neuromuscular and Electrodiagnostic Medicine. Administratively, we hold vital internal and external posts that help advance neurological care and education.

Faculty 

All neuromuscular faculty share the same strong enthusiasm toward working with trainees. Dr. Granger has an interest in muscle disorders, neuromuscular ultrasound, and education. Dr. Skolka has an interest in clinical neurophysiology and neuromuscular junction disorders. Dr. Lamb is an expert in peripheral nerve disorders and also interprets autonomic testing. Dr. Dimberg has expertise in muscle disorders and is heavily involved in several educational initiatives. Dr. Mauricio serves as the current neurology residency program director and holds key administrative posts. Drs. Shah and Oskarsson together see patients in the multidisciplinary Amyotrophic Lateral Sclerosis Clinic and are actively involved in numerous clinical trials in this field. Dr. Rubin is a leader in clinical neurophysiology education and has pioneered highly valuable educational resources in this field. He holds several key external and internal administrative roles.