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Curriculum

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 several specialists, you will develop your own style for evaluating and managing patients.

Clinical Training

The Movement Disorders Fellowship includes participating in the diagnosis and care management of patients in both outpatient and inpatient settings. Patients you evaluate will be entered into a database with their signs and symptoms evaluated and quantified using special rating scales.

During your training, you will learn about m edication titration, botulinum toxin injections, and electrophysiological techniques and videotaping by seeing patients with the following movement disorders:

  • Parkinson's disease
  • Parkinsonism
    • Progressive supranuclear palsy
    • Multiple system atrophy
    • Corticobasal degeneration.
  • Hyperkinetic movement disorders
    • Myoclonus
    • Chorea (e.g. Huntington's disease)
    • Dystonia (e.g. spasmodic torticollis)
    • Tic disorders (e.g. Tourette's syndrome)
    • Tremor (e.g. essential tremor)
  • Hereditary and idiopathic late onset ataxias
  • Psychogenetic movement disorders
  • Paroxysmal dyskinesias, stiff person syndrome, stereotypies, restless legs and ataxia

Research nurse coordinators, a genetics counselor and social workers will assist you in providing patient care.

Didactic Training

Clinical conferences, seminars, journal clubs, and one-on-one instruction are an integral part of Mayo Clinic's Movement Disorders Fellowship Program.

Conferences
Throughout your fellowship you will participate, and periodically present, at scheduled conferences:

Tuesdays - One Tuesday per month, the entire Movement Disorders divisions at all three Mayo campuses hold a one-hour teleconference, discussing important data on ongoing research or medical breakthroughs pertinent to the field of movement disorders.

Wednesdays - Weekly departmental teaching conferences (Grand Rounds)
At Grand Rounds, research and clinical presentations are given by Mayo Clinic faculty, visiting faculty or neurology residents. Journal club is scheduled once a month, where the fellow is encouraged to critically review one or two recently published journal articles discussing various topics related to movement disorders.

Fridays - Subspecialty conferences (video-conference from Mayo Clinic in Rochester)
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 Department of Neurology.

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.

Mayo Clinic is active in developing research protocols, which establish important information about the nature of movement disorders and treatment.

Current studies include:

  • Experimental drug trials
  • Neuropharmacology
  • Electrophysiology
  • Movement analysis
  • Genetic factors in movement disorders
  • Physiology and abnormal movements and Parkinson's disease
  • Use of botulinum toxin
  • Surgical treatment of movement disorders

Off-site Rotations (optional)

As part of the Movement Disorders Fellowship, you may choose to take a rotation at either Mayo Clinic in Jacksonville or Mayo Clinic in Rochester. 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.

Evaluation

To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your fellowship and you will be formally evaluated by the program director.

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