Movement Disorders

 

Focal dystonia
Above: Focal dystonia

Overview

The Movement Disorders Fellowship Training Program at the NIH provides clinical and research training. The expectation is that graduates will be proficient in all aspects of diagnosis and treatment of Movement Disorders and related fields. Graduates are also expected to develop the basic foundation for pursuing independent research in the field. Most graduates pursue successful academic careers, and many are department and division chairs throughout the world. The fellowship duration is 2-5 years, flexible depending on the applicants' interests. 

Program Structure

1. Clinical activity and training

  • Movement Disorders Clinic: Exposure to a wide variety of movement disorders, including complex and unusual cases. The referral base for the NIH Movement Disorders Clinic is worldwide.
  • Parkinson's Disease Clinic: training in diagnosis and management of Parkinson’s disease and parkinsonism.  
  • Deep Brain Stimulation Management Clinic: training in DBS programming and troubleshooting, and in the combined pharmacologic and surgical management of movement disorders patients. Participation in the surgical procedure and obtaining expertise in intraoperative physiology is available depending on individual interest.
  • Botulinum toxin clinic: offers a wide variety of pathology and patient populations, and has a worldwide referral base. Offers experience with all available toxin formulations for all neurologic indications, as well as the use of EMG and ultrasound guidance for therapy.

2. Research activity and training

  • Fellows will be expected to participate in a research project.  They may participate in ongoing projects and will be encouraged to develop their own projects in their field of interest.
  • Fellows will have access to state of the art facilities, resources, and training.
  • Main modalities available
    • Neuroimaging including high resolution MRI, fMRI, PET scanning
    • Genetics 
    • Deep brain stimulation
    • Clinical neurophysiology (including EMG, EEG, MEG)
    • Non-invasive brain stimulation (TMS)
    • Bioinformatics
    • Autonomic testing
    • Neuromuscular ultrasound
    • Clinical trials

3. Teaching and formal instruction curriculum

  • Weekly research meeting, journal club, clinical conferences, Grand Rounds
  • Formal coursework in clinical research, pharmacology, statistics, grant writing etc. available through the NIH, the FAES graduate school and other institutions
  • Master of Health Sciences in Clinical Research degree is available
  • Wide range of conferences and lectures on campus or available via telecast
  • Funding provided for travel to conferences and educational programs

 4. Program Faculty and GME Page

Fellowship program director:
Debra Ehrlich, M.D., Chief, Parkinson’s Disease Clinic, NINDS, debra.ehrlich@ninds.nih.gov 

Additional faculty:
Mark Hallett, M.D., Chief, Human Motor Control Section, NINDS, hallettm@ninds.nih.gov

Sophie Cho, M.D., Clinical Director, Neurology Consult Service, NINDS, hyunjoo.cho@nih.gov

Derek Narendra, M.D., Ph.D., Assistant Clinical Investigator, Neurogenetics Branch, NINDS
derek.narendra@nih.gov 

Sonja Scholz, M.D., Ph.D., Assistant Clinical Investigator, Neurodegenerative Diseases 
Research Unit, NINDS, Sonja.scholz@nih.gov 

Codrin Lungu, M.D., Program Director, Division of Clinical Research, NINDS,  
lunguci@ninds.nih.gov

Silvina Horovitz, Ph.D., Staff Scientist, HMCS (Neuroimaging), NINDS, horovits@mail.nih.gov 

Barbara Karp, M.D., Program Director, Division of Clinical Research, NINDS, karpb@ninds.nih.gov

Katharine Alter, M.D., Medical Director, Functional and Applied Biomechanics Section, Rehabilitation 
Medicine, NIH Clinical Center, kalter@mail.nih.gov 

Kareem Zaghloul, M.D., Senior Investigator, Functional and Restorative Neurosurgery Section, 
NINDS, kareem.zaghloul@nih.gov    

David Goldstein, M.D., Ph.D., Senior Investigator, Autonomic Medicine Section, NINDS
goldsteind@ninds.nih.gov