Pediatric Neurology

Fellowship Programs

EEG/Epilepsy Fellowship

The EEG/Epilepsy Fellowship Program offers trainees exposure to a wide variety of clinical pediatric epilepsy presentations, and will become familiar with the range of therapeutic options available.

Program length: 1 or 2 years. The one-year fellowship has a heavier focus on clinical training and less time to pursue research projects.
Average number of trainees per year: 2

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 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 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.

Pediatric Neurogenetics Fellowship (1 or 2 Years)

The field of Neurogenetics is rapidly expanding, especially given the technological advances in the past decades and the continued progress and developments in the field. The genetic etiology of many disorders has been identified, enabling improved diagnosis, prognositication and genetic counseling regarding familial recurrent risk. The identification of the underlying genetic etiology also allows improvement understanding of the pathogenesis of the underlying disorder, and in some cases the institution or development of treatments targeting the specific genetic defect. With increased frequency, neurologists must organize and order genetic tests for their patients, and in turn, interpret the results.

The Pediatric Neurogenetics Fellowship Program aims to provide the Pediatric Neurologist with the knowledge, experience and training required to be able to identify a patient with a potentially heritable or genetic disorder, obtain a family history and collateral information, think of a differential diagnosis, order the appropriate work‐up and genetic testing, interpret the results and explain to the proband and family the implications of the results. In addition, this fellowship aims to make the trainee familiar with the commonly used Neurogenetic laboratory techniques and strategies such as Sanger sequence analysis, Next Generation methods such as whole‐exome/genome sequencing analysis, chromosomal microarray, PCR, linkage analysis, SNP genotyping analysis and homozygosity mapping.

Program length: 1 year
Average number of trainees per year: 2

Program length: 2 years
Average number of trainees per year: 2

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, Metabolics, Movement disorders, Ataxia, Developmental Delay, Brain malformations, Leukoencephalopathies, Mitochondrial disorders.

For the one‐year 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 dedicated months.

Neurodevelopmental Disabilities Fellowship

The Neurodevelopmental Disabilities Fellowship Program will focus on topics related to neurodevelopmental disabilities. Neurodevelopmental disabilities are common in child health, affecting between 5-10% of the pediatric population. Neurodevelopmental disabilities are a group of heterogeneous disorders such as cerebral palsy, global developmental delay and intellectual disability. During this clinical research fellowship, the time spent by the trainee will be predominantly in research activities (80%) with the balance (20%) in out-patient clinical activities to provide clinical expertise and reinforce the pragmatic impact of the research undertaken by the trainee.

This fellowship aims to enable physicians, primarily those with training in Pediatric Neurology or Genereal Pediatrics, to achieve an enhanced level expertise in neurodevelopmental disabilities, together with the skills necessary to pursue research as an independent investigator, co-investigator or collaborator in this area.

Program length: 1 year
Average number of trainees per year: 1-2

Curriculum

  1. The trainee will be expected to attend two out-patient clinics a week. The trainee will not have ongoing continuity of care responsibility for these patients, which will be assumed by the attending physician.
  2. The trainee will be expected to be familiar with the relevant chapters on neurodevelopmental disabilities in the standard texts of child neurology. In addition, the trainee will be expected to keep up with the relevant literature with reference to the research projects undertaken by the trainee.
  3. The trainee will be expected to be available to attend the weekly Division of Pediatric Neurology rounds. The trainee will have the opportunity to attend relevant Department of Neurology/Neurosurgery and Pediatrics Grand Rounds as well as academic half-days. The trainee will also be expected to attend the combined Brain-Development-Behavior integrated clinical network joint rounds which are held quarterly, as well as the bi-annual Childhood Development Research half-days which are organized by the Division of Developmental Pediatrics.
  4. Aside from potentially attending the above rounds, it is expected that the trainee will organize at least one or two round presentations on a bi-annual basis.
  5. 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

  1. The trainee will be evaluated by clinical performance, participation in rounds and success in the research project undertaken.
  2. Evaluations will be carried out every three months.
  3. There will be no objective formal written evaluations of performance nor any OSCE type examinations.
Contact Us

Division Leadership

Division Director
Dr. Maryam Oskoui

Associate Division Director
Dr. Bradley Osterman

Postgraduate Medical Education

Residency Program Co-Directors
Dr. Geneviève Legault
Dr. Ken Myers

EEG/Epilepsy Fellowship Program Director
Dr. Bradley Osterman

Pediatric Neurogenetics Fellowship Program Director
Dr. Myriam Srour

Administrative Staff

MUHC Administrative Assistant
residency.pedsneurology [at] mcgill.ca (Madeleine Disnard)
514-412-4400 ext. 24466

Residency Program Coordinator
residency.pedsneurology [at] mcgill.ca (Jenna McLeod)
514-398-4909

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