Medical College of Wisconsin Neurology Fellowship Programs
For the 2022-2023 application cycle, all Department of Neurology fellowship programs at MCW will be conducting virtual interviews due to the ongoing COVID-19 global pandemic.
The Department of Neurology offers a fellowship in Clinical Neurophysiology which is accredited by the Accreditation Council for Graduate Medical Education (ACGME). Successful completion of this one-year program leads to eligibility to sit for the American Board of Psychiatry and Neurology (ABPN) examination in Clinical Neurophysiology. For more information contact firstname.lastname@example.org.
The Department of Neurology offers a fellowship in Epilepsy which is accredited by the Accreditation Council for Graduate Medical Education (ACGME). Successful completion of this one-year program leads to eligibility to sit for the American Board of Psychiatry and Neurology (ABPN) examination in Epilepsy. For more information contact email@example.com.
The Neurocritical Care Fellowship Program at the Medical College of Wisconsin is accredited through the United Council of Neurological Subspecialties (UCNS). This training program is tailored to fulfill the educational curriculum and requirements as set forth by the UCNS and provides an opportunity to work with nationally and internationally recognized experts in the field of Neurointervention, Stroke, Neurosurgery and Neurocritical Care. For more information contact firstname.lastname@example.org.
The Division of Neurointervention is dedicated to training highly-skilled neurointerventionalists who will be able to continue to expand care for patients with neurovascular disorders. For more information contact email@example.com.
The Division of Neuropsychology offers two-year postdoctoral fellowships in pediatric and adult neuropsychology. The purpose of the training program is to provide doctoral-level psychologists with sufficient clinical and research competencies to practice independently in the specialty of clinical neuropsychology. Our postdoctoral training program is a member of the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN; The Clinical Neuropsychologist, 1993, 7, 197-204) and adheres to the Houston Conference (HC) standards (Archives of Clinical Neuropsychology, 1998, 13, 160-166) for specialty training in clinical neuropsychology. For more information contact MCW_Neuropsych_Postdoc@mcw.edu.
This is a one year, ACGME accredited program. The Vascular Program is dedicated to training highly-skilled vascular neurologists who will be able to continue to expand care for patients with neurovascular disorders.
For more information: Neurofellowships@mcw.edu
Dr. Jessica Pommy awarded the Daniel M. Soref Fellowship for Clinical Neuroscience 2022-2023
Dr. Pommy is focusing the majority of her effort during her fellowship on research projects related to dementia, particularly initiatives related to early diagnosis. Dr. Pommy has expertise in cognitive neuroimaging analysis, and her present work is aimed at assessing patients who are showing signs of mild cognitive impairment. If successful, this work will lead to earlier identification of neurodegenerative disorders and improve prediction of further decline due to Alzheimer’s disease or other causes. Diagnosing patients at this stage of disease progression is a critical priority for researchers and clinicians who are working to understand how Alzheimer’s disease develops and spreads in the brain.
In addition to undertaking her own research, she is working with mentors to apply for additional funding to support her research, publish and present at conferences, and receive higher-level training in advanced forms of statistical analysis.
Dr. Sam Hooshmand awarded the Daniel M. Soref Fellowship for Clinical Neuroscience 2021-2022
First developed in 1955, the Expanded Disability Status Scale (EDSS) continues to be the most widely used outcome measure in multiple sclerosis (MS) research1,2. Despite routine implementation in clinical trials, the EDSS is criticized for its time-consuming nature, a lack of inter/intra-reliability, limited sensitivity to changes in patient condition, bias towards changes in ambulation, and neglect of patient-reported symptoms3-7. The National Multiple Sclerosis Society (NMSS) recognized the EDSS shortcomings and the need for better measures of disability, which has led to development of the Multiple Sclerosis Functional Composite Scale (MSFCS) along with other less notable scales4. The MSFCS improves upon the EDSS by including measures of dexterities and cognitive functions; however, MSFCS cannot replace EDSS due to its lack of detailed assessments and difficulties with correlating standardized clinical scoring with z-scores8. A need clearly exists for a quantitative MS disability tool/scale that can provide comprehensive precise measures, which is easy to administer, and can incorporate patient-reported symptoms.
Our project aims to address the limitation of current assessment tools of disability in MS
- To design a multi-dimensional novel battery of tests to assess MS disability progression by combining innovative, technology-based measures with classical objective assessments.
- Pilot the tool on participants with clinically definitive MS longitudinally to establish the feasibility for repetitive testing and participant retention/adherence.
- Obtain feedback from each participant concerning their overall experience with the tool with a focus on increasing study size.
- Kurtzke, J. (2015). On the origin of EDSS. Multiple sclerosis and related disorders, Mar 31;4(2):95-103.
- Obeidat, A. (2016). John F. Kurtzke, MD (1926-2015). Neuroepidemiology, Jan 20;46(2):118-9.
van Munster, C., & Uitdehaag, B. (2017). Outcome Measures in Clinical Trials for Multiple Sclerosis. CNS Drugs, 217 - 236.
- Whitaker, J., McFarland, H., Rudge, P., & Reingold, S. (1995). Outcomes assessment in multiple sclerosis clinical trials: a critical analysis. Multiple Sclerosis Journal, Apr;1(1):37-47.
- Noseworthy, J. H., Vandervoort, M. K., Wong, C. J., & Ebers, G. C. (1990). Interrater variability with the Expanded Disability Status Scale (EDSS) and Functional
- Systems (FS) in a multiple sclerosis clinical trial. Neurology, 40(6), 971-971.
- Francis, D. A., Bain, P., Swan, A. V., & Hughes, R. A. (1991). An assessment of disability rating scales used in multiple sclerosis. Archives of neurology, 48(3), 299-301
- Goodkin, D. E., Cookfair, D., Wende, K., Bourdette, D., Pullicino, P., Scherokman, B., & Whitham, R. (1992). Inter‐and intrarater scoring agreement using grades 1.0 to 3.5 of the Kurtzke Expanded Disability Status Scale (EDSS). Neurology, 42(4), 859-859.
- Cutter, G., Baier, M., Rudick, R., Cookfair, D., Fischer, J., Petkau, J., Ellison, G. (1999). Development of a multiple sclerosis functional composite as a clinical trial outcome measure. Brain, May 1;122(5):871-8.
The proposed project will be the first to integrate technology-based, detailed measures into a multidimensional battery of tests to assess disability progression in MS. Additionally, it will be the first to integrate patient reported outcome measures into the scoring system of objective tests. Further, the concept of weighted scoring is novel for MS disability assessment tools. Consequently, this project will have the possibility of being a viable alternative to current MS disability measures such as EDSS, in addition to providing an innovated notion of weighted disability scoring in MS. Future directions of this project will aim to test the novel tool in a large population of MS patients, validate the tool against current MS measures (EDSS, MSFC, MSOAC), correlate the measurements with other biomarkers of disease activity (imaging and laboratory tests), and pursue studies to establish the potential for the novel tool as a primary clinical measure of disability in MS clinical trials.
Dr. Christopher Southwood awarded the Daniel M. Soref Fellowship for Clinical Neuroscience 2019-2020
Hypothesis: Existing processes and workflows at Froedtert Hospital for patient management, care team activation, and transport in the Door-to-Device (DTD) phase of care contain inefficiencies leading to time delay, which can be improved with a systematic review, revision, and implementation of time-sensitive process updates.
Aim 1: Perform a retrospective analysis of previously collected time intervals for all patients with acute ischemic stroke who underwent thrombectomy.
Aim 2: Convene a multidisciplinary workgroup to review and compare time intervals with published data, identify areas for potential improvement, and propose a revised process for patient management in the DTD phase of care targeting a safe and meaningful reduction in time.
Aim 3: Perform Plan-Do-Study-Act (PDSA) cycles to implement and assess effectiveness of change, specifically for a safe and meaningful reduction in time.
Stroke is the fifth leading cause of death in the United States and recognized as a leading cause of disability1. Treatment of acute ischemic stroke has undergone a revolution within the last half-decade with focuses on improving access to thrombolytic pharmacologic therapy and later overwhelming evidence supporting endovascular therapy (EVT). Treatment with pharmacological thrombolysis with alteplase (tPA) has also been refined to enhance access for more patients. Specifically, the American Heart Association/American Stroke Association has implemented a Target: Stroke initiative to streamline processes and efficiently deliver reperfusion therapy in a timely fashion. This initiative has successfully reduced Door-to-Needle times. Specifically, at Froedtert hospital we have been able to improve our door-to-needle times by 34 minutes over the last 5 years.
In 2015, EVT was firmly established within six hours to significantly improve functional recovery. Thrombectomy treatment for acute ischemic stroke has been further validated up to 24 hours, allowing for more stroke patients to attain functional independence. Now, the focus has turned to streamlining the endovascular therapy processes to improve efficiency and outcomes, deemed Door-to-Device (DTD) target times as has been supported by some of the thrombectomy trials2,3. The ESCAPE trial emphasized efficient workflow to achieve fast vessel recanalization2. As the Target: Stroke program enters phase III, the DTD will target 50% of patients in 90 minutes or less for patients entering Froedtert’s emergency room, and for DTD targeting less than 60 minutes for patients transferred from outside facilities4.
Department of Neurology
9200 W. Wisconsin Ave.
Milwaukee, WI 53226
(414) 805-1101 (fax)
To make an appointment, please call:
Department of Neurology
915 W. Cornell Ave.
Milwaukee, WI 53226
(414) 337-7908 (fax)
We are located in the Neurosciences Clinic West Clinic of Froedtert Hospital.