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Faculty availability is a high priority in the Movement Disorders
Fellowship Program. Your rotations, clinic schedules and research
time are designed to maximize your interaction with faculty members.
Although you will learn and see patients with many specialists,
you will develop your own style for evaluating and managing patients.
Clinical Training
The Movement Disorders Fellowship includes seeing patients
in the clinic under the supervision of senior movement disorders
staff. There is emphasis on feedback and discussion from the movement
disorders faculty to assist in diagnostic and treatment decisions.
A wide variety of both hypokinetic and hyperkinetic movement disorders
are seen in the Movement Disorders Clinic, including:
- Parkinson's disease and a variety of other parkinsonian
disorders
- A variety of hyperkinetic conditions, such as
dystonia, myoclonus, chorea, tic disorders and stereotypies
- Psychogenic movement disorders
Referrals to the clinic come both internally and externally. Some
patients referred to the Movement Disorders Clinic have already
been seen by neurology staff, who feel further input is needed regarding
diagnosis and treatment.
You also will have the opportunity for intensive training in movement
disorders neurophysiology. The movement disorders laboratory administers
botulinum toxin for dystonia and other hyperkinetic muscle contraction
states. Diagnostic neurophysiology studies are also performed, helping
to distinguish myoclonus, dystonia, stiffman syndrome and tremor
from similar conditions that may masquerade as such.
The clinical training is not precisely specified at the beginning
of the fellowship. Rather, you will have the opportunity to design
the schedule to align with your training goals. The schedule will
include adequate integrated time for research.
Didactic Training
Clinical conferences, seminars, small discussion groups,
journal clubs, didactic courses and one-on-one instruction are an
integral part of Mayo Clinic's Movement Disorders Fellowship Program.
Course Work
Formal didactic courses are available during the fellowship. Understanding
statistical principles as applied to biomedical investigation is
an important component of the fellowship. Mayo Clinic offers a number
of courses in epidemiology, biostatistics, and design and conduct
of clinical trials.
Conferences
Throughout your fellowship you will participate, and periodically
present, at weekly conferences:
Mondays - weekly departmental teaching conferences
(Grand Rounds)
At Grand Rounds, research presentations are given by Mayo Clinic
faculty, visiting faculty or neurology residents. Clinical pathological
conferences are held several times a year.
Wednesdays - clinical case conferences
Clinical case conferences are held at Saint Mary's Hospital and
alternate between the adult inpatient neurology, the child and
adolescent neurology, neurosurgery and neuro-ophthalmology divisions.
Fridays - subspecialty conferences
These conferences focus on the pathophysiology, diagnosis, and
management of neurological disorders. Subspecialty conferences
are presented on a rotating basis by all subspecialty divisions
of the Neurology Department.
In addition to the regularly scheduled departmental conferences,
you will attend resident conferences on Tuesdays. Residents and
fellows also participate in an evidence-based medicine journal club.
Visiting professors have small group discussions with neurology
residents and fellows. Topics covered include child and adult neurology
vignettes and neuroethics.
Research Training
Research is a valuable component of this fellowship. A
variety of research options are available and you are encouraged
to choose your own topics based on your interests and career goals.
If you are interested in bench research, you may choose to work
with a basic scientist in neuroimmunology, neurochemistry or molecular
biology.
Your research training will include design and laboratory techniques,
data analysis and basic epidemiological principles.
Also see:
Off-site Rotations (optional)
As part of the Movement Disorders Fellowship, you may choose
to take a rotation at either Mayo Clinic in Scottsdale or Mayo Clinic
in Jacksonville . Mayo Clinic funds the authorized additional costs
of travel, housing, auto rental and licensure fees, as well as travel
expenses and lodging for you and your family. Our past fellows consistently
rate these rotations highly valuable.
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