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Established in 2018, the Epilepsy Fellowship at Children’s Hospital Los Angeles, an affiliate of the Keck School of Medicine of USC, is a 1-year pediatric-focused training program. We offer 2 ACGME-approved positions per year with all pediatric, adolescent, and young-adult epilepsy and EEG learning experiences occurring within our Level IV Comprehensive Epilepsy Center. Our fellows complete the requisite month of adult epilepsy and EEG split between USC’s Level IV Comprehensive Epilepsy Centers at Keck Hospital and Rancho Los Amigos National Rehabilitation Hospital.
The current fellowship program director is Latanya Agurs, MD.
As a Level IV Comprehensive Epilepsy Center, we are group treating the spectrum of epilepsies, especially intractable epilepsy; as the largest children’s hospital in the Los Angeles area and a safety net hospital, we see a diversity of disorders and diseases. We have distinct multidisciplinary clinical visits available for patients for Epilepsy Surgery, Diet Therapy, Epilepsy Genetics, and New-Onset Seizures. We manage over 100 children on either the ketogenic diet or modified Atkins diet along with our full-time dietitians who integrate into our clinics. With the establishment of the CHLA Center for Personalized Medicine, we can conduct complete comprehensive epilepsy genetic testing, including whole genome sequencing, in conjunction with our Geneticists and Genetic Counselors. We are a California Children’s Services Center of Excellence in Epilepsy, providing medical home level care for our most complex patients. In our epilepsy surgery program, we conduct ECoG-guided resections, phase II intracranial studies with implanted subdural and/or depth electrodes (to include using stereotactic methods), EEG source localization, minimally invasive laser ablation, and implantation of the Vagus Nerve Stimulator (VNS) and Responsive Neurostimulator (RNS) neuromodulation devices. Our VNS program has a long-standing history with a large patient cohort. With the recency of the development of RNS, our pediatric and young adult program is also growing. CHLA has an active outpatient and ambulatory EEG lab, a dedicated 6-bed pediatric EMU, and continuous inpatient and neuro-critical care EEG monitoring. Our epilepsy program is a major component of the Division of Neurology at CHLA, a busy and comprehensive service with outpatient, inpatient, neurocritical care, and research aspects. Our epilepsy center is part of the Pediatric Epilepsy Research Consortium as well.
Training at CHLA affords our fellows a chance to learn comprehensive epilepsy diagnosis, medical and surgical management, and coordinated care across specialties. Graduating fellows become experts in EEG interpretation, strengthen their fund of knowledge as a subspecialty consultant to their child neurology colleagues, and grow their roles as teachers of junior-level trainees. Fellows also have the opportunity to continue their specialized education by in CHLA’s 1-year non-ACGME Epilepsy Neurogenetics Fellowship after completing the fellowship. Education and learning is the cornerstone of our program, as such, the Comprehensive Epilepsy Center is designed to function independently of the presence of fellows, thus affording fellows a call-free experience.
Fellows will rotate between inpatient and outpatient services. Inpatient rotation consists of a 2-week period, covering the pediatric epilepsy monitoring unit, admitting patients and reading the video/EEG studies. Our EMU routinely admits presurgical and surgical patients with both invasive monitoring using grids/strips and stereo EEG patients. Inpatient rotation fellows will also cover the OR cases for the invasive monitoring patients, and read the inpatient and ICU EEGs. Outpatient rotations are 1 week each of reading outpatient and ambulatory EEGs, as well as daily epilepsy clinic with an attending epileptologist; there is no fellow-specific continuity clinic. All fellows will also participate in a research project of their choosing to be completed during the year of training with the help of a mentor. The 2-week adult epilepsy training at each USC institution’s affiliated epilepsy and clinical neurophysiology programs is a combined inpatient and outpatient experience. They offer routine EEGs, ICU monitoring, epilepsy surgery, and neuromodulation with an active RNS program.
Fellows participate in several didactic sessions over the academic year.
Fellows have progressive teaching responsibilities as the year progresses. They are responsible for teaching any residents rotating in EEG or epilepsy and should grow into the role of leading the EEG Review session in the latter 1/3 of the academic year.
In the second 1/2 of the academic year, fellows are expected to grow into the role of primary communicator, with attending oversight, with the inpatient, consult, and neurocritical care neurology teams regarding ongoing studies.
We participate in the Epilepsy and Clinical Neurophysiology Fellowship Match, which follows the December cycle application timeline.
Learn more about our Epilepsy Neurogenetics Fellowship.
ACGME Accredited: Yes
Fellows Per Year: 2
Duration: 1 year
Postgraduate Training Required: Child Neurology, Neurodevelopmental Disabilities or Neurology Residency (ACGME-, AOA-, ACGME-I Advanced Specialty, RCPSC-, or CFPC- accredited)
U.S. Citizenship Required: U.S. citizens, permanent residents and J-1, H-1b, or F-1 visa applicants eligible to apply
Annual Salary:
Benefits Include: Health and dental insurance, 14 days paid vacation + 6 protected sick days, division supported yearly educational stipend, GME-provided monthly meal stipend, and 401(k) matching up to 3%. For additional details please visit the CHLA GME Website.
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