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Clinical Neurophysiology Fellowship Program Directors Survey on a Standardized Fellowship Match Process: A Call for
Ioannis Karakis1, Lynn Liu2, Meriem Bensalem-Owen3
1Department of Neurology, Emory University, Atlanta, Georgia, U.S.A.
Summary
Clinical Neurophysiology (CNP) fellowship programs show significant variation in structure and recruitment. Most program directors favor standardizing the CNP fellowship recruitment process for better consistency.
Area of Science:
- Neurology
- Medical Education
- Clinical Neurophysiology
Background:
- Clinical Neurophysiology (CNP) fellowship programs in the US exhibit considerable diversity.
- The recruitment cycle for these fellowships lacks standardization, leading to variability in program structure and candidate selection.
Purpose of the Study:
- To survey US CNP fellowship program directors regarding program structure, recruitment cycles, and opinions on standardizing the fellowship process.
- To identify the nature of CNP and related training programs and current recruitment practices.
Main Methods:
- An electronic survey was distributed to 93 US Accreditation Council for Graduate Medical Education-accredited CNP fellowship program directors.
- The survey was conducted from December 2020 to January 2021, achieving a 60% response rate.
Main Results:
- Significant heterogeneity was observed in CNP positions and tracks offered, with EEG-dominant (48%) and EMG-dominant (26%) tracks being most common.
- While 43% offered a second year of training, often with Epilepsy fellowship, recruitment timelines varied greatly, with a median fill rate of 80% over five years.
- A majority of program directors (86%) favored a universal timeline and 71% supported a formal match for CNP recruitment.
Conclusions:
- There is substantial heterogeneity in Clinical Neurophysiology fellowship program composition and recruitment processes.
- The majority of CNP program directors express a strong preference for standardizing the fellowship recruitment process.

