Clinical Neurophysiology Fellowship Program
University Medical Center New Orleans
Clinical Neurophysiology Laboratories include an EEG laboratory with 4 EEG and 1 evoked potential XLTEK instruments. There is a reading room/conference area with 2 reading stations and an additional computer for internet and hospital records. Outpatient and inpatient studies are performed in the laboratory as well as in the intensive care units and emergency room.
The LSUHealth Clinics
EMG and Neuromuscular Disorders Clinic area consists of a patient check-in lobby, a nursing station, a suite of 2 EMG rooms, a resident’s room for data analysis and discussion, 5 patient examination rooms and a conference room with dictation area and radiological viewing box. EMG equipment includes Nicolet and XLTEK systems. The fellows participate in the adult or pediatric epilepsy clinics two-half days a week. The fellows rotating on EMG attend 3-4 neuromuscular clinics. EEG, Seizure Disorders and Sleep Disorders Clinic area consists of a patient check-in lobby, a nursing station, an EEG and evoked potential laboratory, 5 patient examination rooms and a conference room with dictation area and radiological viewing box. EEG equipment includes 1 XLTEK EEG with video monitoring instrument, 1 evoked potential system and 2 ambulatory monitoring systems. The LSU Clinics are outpatient facilities.
The Clinical Neurophysiology Laboratories include an EMG laboratory with Nicolet equipment, an EEG laboratory with Nicolet digital EEG equipment, and a 2-bed epilepsy-monitoring unit that also utilizes Nicolet equipment. Outpatient and inpatient studies are performed in the laboratory as well as in the intensive care units and emergency room. The laboratory section has a patient waiting lobby, administrative area, and resident reading room. The clinic area has a patient waiting lobby, nursing station, up to 10 examination rooms, and conference/dictation room. The Epilepsy Monitoring Unit consists of a 2-bed installation, data analysis room and conference room. The Operating Room is equipped for neurosurgical procedures and is used for intraoperative monitoring, electrode implantation and functional stimulation. The Special Studies section includes digital angiography equipment and is used for Wada testing.
Fellows learn to use a variety of recording systems including: Grass EEG Instruments (paper recording), Telefactor Digital EEG Instruments (paperless recording), XLTEK epilepsy monitoring equipment (digital EEG and digital video), Telefactor epilepsy monitoring equipment (digital EEG and digital video and videotape), Nicolet evoked potential equipment, and XLTEK evoked potential equipment.
In addition to daily reading sessions with the faculty, fellows attend a clinical neurophysiology conference, an epilepsy conference and departmental grand rounds each week. Our program philosophy is to help the fellow to develop analytical thinking in approaching problems in clinical neurophysiology. This is particularly helpful in reaching solutions in situations posing novel problems. For example, in EEG interpretation, pattern recognition is discouraged. Instead, principles of localization, the identification of information contained in co-existing signals, and retrospective signal processing are taught and applied.
Laboratories where fellows actively participate include: the Electromyography laboratories of the LSUHealth Clinics and MCLNO (ILH). Fellows directly perform EMGs and nerve conduction studies in patients of all ages each year. All equipment is state of the art and standard to ensure fellows the must up-to-date training. The fellowship program includes weekly conferences in clinical neurophysiology that cover the essentials of EMG, EEG, evoked potentials and polysomnography. Fellows participate in a weekly clinic and have on-call responsibility for emergency EMGs. Fellows are also expected to provide daytime laboratory coverage for special studies or questions posed by the technologists.