- Program at a Glance
Prerequisites for Appointment into Child Neurology Fellowship Program:
- Candidates must hold the MD Degree or accepted equivalent:
- US or Canadian medical school graduates must have passed NBOME I or USMLE I
- Graduates of Osteopathic schools must have passed NBOME I or USMLE I
- International graduates must have a current ECFMG certificate
- Candidates must have completed 2 years of post-graduate training in a Pediatric program in the United States at an ACGME accredited program
- Candidates must be eligible for a Wisconsin Medical License
- Candidates must register and apply to the Child Neurology Program through the ERAS (Electronic Residency Application Service) and NRMP (National Resident Matching Program) to be consider qualified applicants to the Child Neurology Fellowship Program
- Candidates must successfully complete a personal interview
Pediatric Neurology Faculty
There are 4 child neurologists and 1 instructor in the Division of Pediatric Neurology at the Medical College of Wisconsin that are each fully involved with the residency and fellowship programs. As a group, we have favored a collegial, informal- rather than authoritarian and rigidly structured – manner of pursuing a high level of quality in our education, academic and clinical practice endeavors.
If you would like to read more information about our prestigious faculty members, there is a small biography for each faculty member on the Pediatric Neurology Faculty page.
Benefits, Terms and Conditions of Employment
- Clinical Rotations
Sample 3rd Year Rotation
CHW/Nopth | Npsych/CHW | OP/EEG | OP/EMG | Genetics | OP/EEG | Elective | NSG/OP/EEG | Elective | Npath | OP/EEG | Npsych
Sample 2nd Year Rotation
CHW | Adult Consult | CHW | Neurorad | CHW | Rehab | CHW | Spec Cln/ Nopth | VA Spinal Cord | CHW | NSG | CHW
Sample 1st Year Rotation
Adult Sp Cord | CHW | Adult Wards | Adult Wards | CHW | Adult Wards | Adult Consult | Adult Spinal Cord | EMU | Adult Consult | CHW | Adult Sp Cord
Research exploration (1 month)
are offered a variety of opportunities in clinical, translational and basic research. These opportunities are available at Children’s, within other divisions in the Department of Pediatrics at the Medical College, and/or within the Department of Neurology and the Neuroscience Center.
Additional Benefits of the Program
Child Neurology Fellows receive 3 weeks of vacation and 1 week of educational leave each year. Each Fellow has an educational stipend that they manage. It may be used for meetings, journals or other educational expenses. Third year fellows attend additional scientific meetings, based upon research presentation relevance.
First accredited in the 1990, the Medical College of Wisconsin Child Neurology Fellowship Program received five years of full accreditation in 2012 by the Accreditation Council for Graduate Medical Education (ACGME). Affiliated with Children’s Hospital of Wisconsin, our Neuroscience Program has been ranked among the top 50 national centers by U.S. News & World Report. Additionally, the National Association of Epilepsy Centers (NAEC) has recognized the Medical College of Wisconsin Pediatric Epilepsy Center as a Level 4 Center which recognizes our exceptional facilities and capabilities in medical and surgical evaluation and treatment for patients with complex epilepsy.
There is guaranteed funding for two new child neurology fellows each year to be fully supported throughout the three-year program. Additional years of research training, including application for the Masters of Science in Clinical Research program, are available for highly qualified candidates.
- Comprehensive Neuroscience Center at Children’s Hospital of Wisconsin and MCW
At Children’s Hospital of Wisconsin, we can provide that highest level of multidisciplinary care. Together, our neuroscience team offers state-of-the-art care for a wide range of pediatric neurological conditions bringing together pediatric specialists under one umbrella. By also integrating inpatient, outpatient, and physician services along these disease based programs, the Center provides access to innovative and comprehensive care and consultation services in a patient centered and service minded way.
Facilities dedicated to epilepsy care include a self-contained, eight-bed Pediatric Epilepsy Monitoring Unit located in Children’s Hospital of Wisconsin with state-of-the-art, all-digital, video-EEG equipment. The Pediatric Epilepsy Monitoring Unit operates 24 hours a-day, seven days a week. The unit is staffed by a team of dedicated physicians, nurses and EEG technicians specializing in pediatric epilepsy. An on-site EEG lab and advanced techniques such as functional MRI (fMRI) enable noninvasive mapping of language and motor function as well as specialized diagnosis and monitoring. State-of-the-art software and analysis allows co-registration of data from multiple tests, enabling our epileptologists and neurosurgeon to better localize the seizure focus within the brain.
With specially designed facilities, innovative diagnostic equipment, educational programs and psychosocial support, the Neuroscience Center team is able to offer comprehensive care to all patients. Our multidisciplinary approach to children’s care integrates the efforts of pediatric professionals, including:
- Pediatric Neurosurgeons
- Pediatric Rehabilitation Physicians and interdisciplinary therapists and family support team
- Pediatric Radiologists & Neuropathologists
- Pediatric Neurointensivists
- Pediatric General Neurology &Epilepsy Nurses, Nurse Practitioners, and Physician Assistants
- Pediatric EEG technicians trained in IOM, LTM, and complex EEG services
The Pediatric Comprehensive Epilepsy Program at the Neuroscience Center is one of the leading epilepsy surgery programs in the country, performing epilepsy surgery in children of all ages from infancy to young adulthood. As one of the leading epilepsy centers in the country, our pediatric neurosurgery team performs over 25 pediatric epilepsy surgeries a year. Each patient considered for cranial epilepsy surgery is carefully evaluated first in the epilepsy monitoring unit and then discussed individually in the multidisciplinary Patient Management Conference.
Our team of pediatric neurologists provide a full spectrum of neurological services for children including:
- Childhood Epilepsy / Seizures
- Headaches / Migraines
- Muscular dystrophy
- Spinal muscular atrophy
- Congenital myopathies
- Myasthenia gravis
- Hereditary neuropathies
- Metabolic diseases affecting the nervous system
- Neuromuscular disorders
- Movement disorders, including Tourette syndrome and ataxia
- Consultation services
- Total new pediatric neurology cases annually of more than 2000
- Active pediatric neurology patients: approximately 7500
- Long term monitoring admissions a year: over 400
- Over 25 pediatric epilepsy surgeries annually
- Outpatient visits a year: more than 8500
- Inpatient days: 10,000 (includes admits to our Inpatient Neuroscience Unit, pediatric ICU, and neonatal ICU
As a regional referral center, the Pediatric Epilepsy Program at Children’s Comprehensive Neuroscience Center provides care to children with seizure disorders while specializing in comprehensive diagnostics, treatment, and surgical services for children with intractable epilepsy.
Froedtert, Children’s Hospital, and the Medical College have expanded, and in some cases pioneered, the development and innovative use of advanced diagnostic techniques to map and image the functional and affected areas in the brain. These imaging technologies are used to diagnose disease, plan therapeutic interventions, and help orient surgical planning. Together, our brain mapping, SPECT and PET imaging technology provide patients and families state of the art comprehensive epilepsy diagnostic capabilities.
- Brain Single Photon Emission Computerized Tomography (SPECT) scanning
- Positron Emission Tomography (PET
- Advanced Brain Mapping
- Magnetoencephalography (MEG)
- Intracarotid Sodium Amobarbital (Wada) Test
- Functional Magnetic Resonance Imaging (fMRI)
- Cortical Stimulation Mapping
- Letter from the Child Neurology Fellowship Directors
Congratulations and thank you! After years of sacrifice and toil, you are approaching the last hurdle of your professional development. You pondered, considered, and ultimately rejected many more lucrative and far less demanding career paths. You see beyond the stigmata of dysmorphic features, spastic or weak limbs, maladroit social relatedness, and even intrusive, inappropriate behavior, and honor the cryptic gift and unique potential in every child. “Cherish every child” is not a bumper sticker motto to you: it is your credo, your heartfelt belief. You chose medicine to make a difference, and you will at the moment you close the door on your first clinic day and sit down with a child and the family that loves her and is worried about her atypical development.
Thank you for considering Milwaukee, The Medical College of Wisconsin, and Children’s Hospital of Wisconsin. We doubt that your visit, should you accept our invitation, will disappoint. I suspect that your flight home will provide an opportunity to reflect pleasantly upon the extraordinary opportunities, potential relationships, and resources that will await your return, should you choose us and our institutions for the completion of your training.
I stress the plural - institutions - since we are an aggregate of clinical, research and teaching facilities. In our state-of-the-art research institutes, remarkable basic science research is conducted, and a literal stone’s throw away, our Herma Heart Center, HOT/BMT program, and nationally recognized NICU care for children referred from our entire region.
Our central theme has been to build a nucleus of collegial collaborative clinicians, educators, and researchers to develop a program of collective excellence. We currently have 9 full time faculty and plan to expand to 15 over the next several years. We have 6 physician assistants and nurse practitioners with exceptional experience and autonomy who collaborate with physicians to provide patients with speedy access to specialty neurological care. We are also supported by extraordinary nurses and support staff that are integral components of our clinical mission and services. Our chairman Brian-Fred Fitzsimmons and section chief Kurt Hecox have extraordinary vision, energy and perseverance. A commitment to the right person and “correct fit” has guided our recruitment efforts. There will be many new faces eager to support and guide you when you arrive! Our program has trained fellows from diverse backgrounds who go on to a variety of career paths, from additional fellowship training to private practice to academic medicine. Our fellows have all passed the ABPN boards in Neurology with Special Expertise in Child and Adolescent Neurology.
During their training, our fellows have also had the opportunity to enhance their academic careers through writing book chapters, performing mentored research, and presenting posters at national meetings including those of the Annual Meeting of the American Academy of Neurology and Child Neurology Society. We are very proud of the accomplishments of our fellows. Our fellows have the autonomy and flexibility to craft didactic curriculum based upon the pathology of inpatients and ambulatory cases and the unique clinical skills of faculty and at times community based expertise. We encourage debate and indeed collegial dissent with regard to disparate perspectives about patient management. Our fellows are encouraged to challenge faculty to be the best mentors and educators they can be.
A child neurology fellow’s training is only as good as the exposure he or she has to adult neuropathology. The mature nervous system, when beset by disease processes reveals the localization of dysfunction more clearly than in the developing child. Localization and formulating a neurologic disease hypothesis, so essential to clinical competency, are accomplished during adult neurology rotations .The fellow emerges from this experience with the confidence to explain at times more subtle deficits as clinically relevant in the sick child. We have a highly integrated program and our trainees benefit from a challenging yet highly beneficial exposure to superb adult faculty.
Milwaukee has a spectacular lakefront, diversity of gastronomical choices, affordable housing and proximity to NFL, Big Ten, NBA, and MLB sporting events as well as our beloved Marquette Golden Eagles. We are close to Chicago to which there is outstanding public transportation an accessible and user friendly airport and have the most amazing opportunities for cycling, cross country skiing and hiking, canoeing and kayaking in the country. What may matter most is the ease with which the essentials of life are available here: the positives of big-city living without many of the downsides.
We hope that you will consider our program as the place to embark upon this most critical juncture of professional development. The framework, structure, and comprehensiveness of educational opportunity and flexibility to do so in a nurturing, supportive environment are attributes of which we are quite proud .This foundation and your hard work will assuredly result in many families and children grateful for your skilled guidance and kindness over the course of your productive career.
We welcome contact and questions ,please don’t hesitate to be curious and we hope that you will be .
Nadir Khan, MD and Priya Monrad, MD
- Curriculum for Pediatric Neurology Fellows
Duration: 3 Years
12 Months of clinical Pediatric Neurology
12 Months of clinical Adult Neurology
- Consists of VA Spinal Cord (1 month), VA Consult (1 month), FH Consults (1 month), FH Wards (1 month), FH NICU (1 month), FH NV (1 month), FH EMU (1 month), FH Specialty Clinic (1 month)
- Neurophysiology, at CHW, 3 months ((1 ½ Months EMG, 1 ½ Months EEG)
- Neuropathology, at FH, 1 month
Related Sciences Rotations:
- Neurosurgery, at CHW, 1 month
- Neuroradiology, at CHW, 1 month
- Child Psychiatry, at CHW, 1 month
- Rehabilitation, at CHW, 1 month
The child neurology fellow will have three months of electives in the final year of training.
- Neuropsychology, at FH, 2 weeks
- Neuro-Ophthalmology, at FH, 2 weeks