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Program Descriptions

Training will involve the following:

• Reading and reporting scalp electroencephalography (EEG) studies, including routine and prolonged video EEG and home ambulatory EEG studies.
• Assisting with admission and care of patients admitted for telemetry.
• Attending at least one half-day epilepsy clinic per week.
• Presenting patients at Comprehensive Epilepsy Conference meetings (every 2 weeks)
• Involvement in invasive monitoring procedures including some or all of intra-operative electrocorticography, stereo EEG and grids.
• Vagal nerve stimulator programming and adjustments.
• Ketogenic diet initiation and monitoring.
• EEG rounds every two聽weeks (alternating with Comprehensive Epilepsy Conferences) with epileptologists, residents and EEG technologists, during which complex EEG cases from the past week will be discussed, with a didactic teaching component as well.

Research

Trainees will be expected to complete a research project resulting in at least a presentation at a local or international meeting, and ideally a publication in a peer-reviewed journal. Within the first month of training, the trainee will find a research faculty聽supervisor and design a project of appropriate scope to allow completion during the training period.

Evaluation

• Monthly evaluations will be completed with the online evaluation form used by the Child Neurology Residency Program.
• The trainee will be meet with Dr. Kenneth Myers on a monthly basis to discuss performance and whether training objectives are being met.

CSCN EEG Examination

The Canadian Society of Clinical Neurophysiologists has an annual examination in June, coinciding with the Canadian Neurological Sciences Federation Annual Meeting. Passing this examination is required by many Canadian centres in order to report EEGs. Any trainees planning to write the examination should notify the Program Director as soon as possible, to ensure training is tailored appropriately to optimize his/her performance.

Training Requirements

This Pediatric Neurogenetics Fellowship Program aims to provide pediatric neurologists clinical training in neurogenetics. The specific goals for the Fellowship Program are outlined below. In addition to the varied clinics, the trainee will have access to the following teaching rounds:

• Neurogenetics rounds every 4-8 weeks at the MCH
• Pediatric Neurology rounds every week
• Pediatric Neurology protected teaching (Neurogenetics topics)
• Neurology grand rounds every week
• Neuromuscular multidisciplinary rounds at the MNH every two weeks

Research

The trainee in Pediatic Neurogenetics will have access to multiple clinicians and researchers, and will have the opportunity to chose a clinical or basic science research topic in the subspecialized field of his/her interest such as: Neuromuscular, Neurodegenerative,聽Metabolics, Movement disorders, Ataxia,聽Developmental Delay, Brain malformations, Leukoencephalopathies, Mitochondrial disorders.

For the one鈥恲ear Pediatric Neurogenetic Fellowship Program, it will be expected that the trainee be involved in at least one small research project during their fellowship with a maximum of three聽dedicated months.

Curriculum

Fellows will gain clinical experience in caring for children with a wide variety of common and rare neuromuscular disorders in both outpatient and inpatient settings within an interdisciplinary team. Neurophysiology testing in infants and children takes place 3 half days per week at the Montreal Children鈥檚 Hospital. Further Neurophysiology training with adult patients is available in collaboration with colleagues at the Montreal General Hospital and the Montreal Neurological Hospital.

In clinic or EMG, the fellow will evaluate 2-4 patients per half day of clinic. The patient population will vary depending on the clinic. In the Neuromuscular Clinic approximately 50% of the patients have muscle or neuromuscular junction disorders and 50% of the patients have primary nerve or motor neuron disorders. In the Neurogenetics clinic the fellow will learn to use genetic testing and other genetic technologies for the diagnosis, genetic counseling and gene discovery of neuromuscular diseases. The fellow will also be expected to attend or give presentations at the academic rounds (described above) including the regular neuromuscular journal club. It will be expected that the trainee will be involved in at least one small research project during their fellowship with a maximum of three dedicated months. Fellows may also encouraged to present their work at a Division Rounds or Departmental Grand Rounds.

The trainee will have the opportunity to attend the Canadian Child Health Clinician Scientist Program (CCHCSP) and Pediatric Health Research Epidemiology Statistics Curricula (PHRESCA) seminars and events.

Evaluation

The Fellow will be evaluated by clinical performance, participation in teaching rounds and success in the research project undertaken. Evaluations will be carried out monthly, with formal feedback provided at regular intervals.

Evaluations will be completed quarterly by the Fellowship Program Director with input obtained from all Attending Physicians, Residents, Health Professionals, Technologists and Medical聽Students with whom they have worked with. The feedback will encompass all of the CanMEDS roles including: Medical Expert, Scholar, Professional, Communicator, Collaborator, Leader and Health Advocate. Feedback will be shared verbally with the Fellow and documented in their academic dossier.

Training in the Pediatric Neuromuscular Fellowship cannot be recognized in itself for credentialing purposes as a training leading to certification by the Royal College of Physicians and Surgeons of Canada (RCPSC). The Fellow will be strongly encouraged to take an annual examination in neurophysiology / electromyography (EMG) held by the Canadian Society of Clinical Neurophysiologists (CSCN) every June, which coincides with the Canadian Neurological Sciences Federation Annual Meeting. Passing this examination is required by many Canadian academic centres in order to perform and report EMG studies

For more information please visit /pgme/fellowships/fellowship-programs/pediatric-neurology

Curriculum

Fellows will gain clinical experience in caring for children with a wide variety of common and rare neuromuscular disorders in both outpatient and inpatient settings within an interdisciplinary team. Neurophysiology testing in infants and children takes place 3 half days per week at the Montreal Children鈥檚 Hospital. Further Neurophysiology training with adult patients is available in collaboration with colleagues at the Montreal General Hospital and the Montreal Neurological Hospital.

In clinic or EMG, the fellow will evaluate 2-4 patients per half day of clinic. The patient population will vary depending on the clinic. In the Neuromuscular Clinic approximately 50% of the patients have muscle or neuromuscular junction disorders and 50% of the patients have primary nerve or motor neuron disorders. In the Neurogenetics clinic the fellow will learn to use genetic testing and other genetic technologies for the diagnosis, genetic counseling and gene discovery of neuromuscular diseases. The fellow will also be expected to attend or give presentations at the academic rounds (described above) including the regular neuromuscular journal club. During the second year of fellowship, the fellow will place a stronger emphasis on the completion of the research project.

The trainee will have the opportunity to attend the Canadian Child Health Clinician Scientist Program (CCHCSP) and Pediatric Health Research Epidemiology Statistics Curricula (PHRESCA) seminars and events.

Evaluation

The Fellow will be evaluated by clinical performance, participation in teaching rounds and success in the research project undertaken. Evaluations will be carried out monthly, with formal feedback provided at regular intervals.

Evaluations will be completed quarterly by the Fellowship Program Director with input obtained from all Attending Physicians, Residents, Health Professionals, Technologists and Medical Students with whom they have worked with. The feedback will encompass all of the CanMEDS roles including: Medical Expert, Scholar, Professional, Communicator, Collaborator, Leader and Health Advocate. Feedback will be shared verbally with the Fellow and documented in their academic dossier.

Training in the Pediatric Neuromuscular Fellowship cannot be recognized in itself for credentialing purposes as a training leading to certification by the Royal College of Physicians and Surgeons of Canada (RCPSC). The Fellow will be strongly encouraged to take an annual examination in neurophysiology / electromyography (EMG) held by the Canadian Society of Clinical Neurophysiologists (CSCN) every June, which coincides with the Canadian Neurological Sciences Federation Annual Meeting. Passing this examination is required by many Canadian academic centres in order to perform and report EMG studies

For more information please visit /pgme/fellowships/fellowship-programs/pediatric-neurology