Names of the Teaching Faculty:
Published on: Mar 3, 2016
Transcripts - Names of the Teaching Faculty:
Department of Neurology and Neurosurgery
Clinical Fellowship Application
Fellowship: Clinical neuromuscular and electromyography fellowship
Fellowship Supervisor: Dr Richard Riopelle
Fellowship Co-Supervisor: Dr Daria Trojan
Duration of Fellowship: 1 year
Number of fellowship positions required: One
Name of the hospitals involved in training:
• Montreal Neurological Hospital (MNH)
• Montreal General Hospital (MGH)
• Montreal Children Hospital (MCH)
• Jewish General Hospital (JGH)
Time spent by the fellow in each institution:
• MNH 50%
• MGH 35%
• MCH 15%
Description of Fellowship:
• The fellowship year will be divided into 2 components:
• The first one will focus on the neuro-muscular diseases in adults as well as inthe pediatric-
• The second component will focus on electrodiagnostic evaluations including Nerve
conduction studies, EMG and Sensory evoked potentials.
• The fellow will attend the ALS, Muscular Dystrophies, and Neuropathies clinics as well as
some MS clinics rotations. The fellow will be supervised at all sites.
• In the pediatric-adolescent population, the fellow will be involved with Dr Chantal Poulin in her
monthly neuro-muscular clinic.
• Electrodiagnostic procedures will be done at the MNH and the MGH under the supervision of
the Neurology attending Staff. There will be regular and fixed clinics that the fellow will attend
all year long (Tuesday PM and Wednesday AM) as well as complete rotations up to a
maximum of 5 months during the clinical fellowship year.
Research activity and publications related to fellowship:
This year of fellowship is considered to be purely clinical. A clinical research project is
encouraged but not mandatory.
Mission Statement for Fellowship:
The clinical fellowship year is intended to offer the fellow a sound clinical experience and wide
and comprehensive exposure to neuromuscular diseases.
Source of funding for fellowship:
The fellowship funding will be managed by the Department of Neurology and Neurosurgery and
consists of the funds from the following sources:
• MNH $ 15,000
• MGH (Traumatic brain injury program) $ 10.000
• Constance Lethbridge Rehabilitation Center $ 15,000
• Physical Medicine and Rehabilitation Service $ 10,000
Names of the Teaching Faculty:
Teaching staff will include Dr Angela Genge, Dr Micheal Sinnreich, Dr George Karpati, Dr Colin
Chalk, Dr Chantal Poulin, and Dr Richard Riopelle from the Neurosciences Department.
The Teaching staff will also include Dr Mohan Radhakrishna and Dr Daria Trojan from the
Physical Medicine and Rehabilitation Service who, respectively, are appointed to the MGH EMG
clinic and to the MNH Neuromuscular clinic.
Roles of Teaching Faculty:
Neurologists will guide and supervise the candidate in several areas, and assess:
• The fellow’s assessment and application of relevant information to clinical practice
• The fellow’s clinical judgment
• The fellow’s clinical diagnostic and therapeutic skills
• The fellow’s skills to gather pertinent information from family members and to establish
therapeutic relationships with them
• The fellow’s capacity to consult with other physicians and allied health professionals
• The fellow’s contribution to effectively improve patients’ quality of life and social integration
Dr Mohan Radhakrishna
Technically and clinically, will supervise the fellow’s skills in conducting nerve conduction studies
and EMG in the context of the Electrodiagnostic rotations at the MGH.
Dr Daria Trojan
Will elaborate with the fellow the possibility of undertaking a clinical research project during her
rotation at the MNH.
Summary of clinical practice:
The clinical practice of Dr Genge, Sinnreich, Karpati focuses on neuromuscular diseases, namely
ALS, myopathies and neuropathies in the adult population.
Dr Chantal Poulin’s practice involves the pediatric and adolescent population with namely the
same neuromuscular diseases.
Dr Riopelle is involved in the establishment and management of neuro-developmental transitional
Dr Chalk and Dr Radhakrishna are main collaborators at the EMG clinic at the MGH.
Dr Trojan is a clinical researcher whose interests lie in neuromuscular disease (polio) and MS.
The teaching faculty is widely and internationally recognized for its excellence in neuromuscular
disease from both a clinical and research perspective.
The teaching members are dedicated to teaching.
The volume of patients assures an excellent exposure to the neuromuscular pathologies.
The academic program is well organized and interaction with neurologists, researchers, fellows,
residents and students is very stimulating.
Facilities for clinical and academic pursuit:
• The clinics are managed and run by dedicated staff and experienced nurses and allied health
• Teaching is delivered by staff and senior residents or fellows on a regular basis
• Specialized clinics are organized:
• Neuropathy clinic at the MGH (Tuesday PM)
• Neuromuscular/Myopathy clinic at the MNH (Wednesday PM)
• Myasthenia Gravis clinic (Friday AM)
• Nerve and Muscle Biopsy reading (Friday PM)
• EMG clinics at the MNH and MGH (regular daily schedule).
• Neuromuscular Journal club is held on Thursday, noon.
• EMG labs are fully equipped.
Library access, etc
The candidate will obtain a hospital card and a pass to the different libraries as well to the
multimedia learning material. She will have access to the photocopying machine.
Fellow Duties and Responsibilities:
• The fellow will not be on call to cover the neurological wards. The fellow will be requested to
be on call in their field of specialization (e.g. Physical Medicine and Rehabilitation ) one week
• The fellow will rotate among the three hospitals cited above: MNH, MGH and MCH
• There will be fixed rotations specifically during EMG. These rotations are for a minimum of 4
weeks and can be extended to a maximum of 12 consecutive weeks
• The fellow’s outpatient clinical responsibilities will be to:
o Assess the patient and report in the chart, in a clear manner, the patient’s medical
condition, needs, therapeutic modalities and functional prognosis
o Organize a comprehensive treatment plan
o Report to the staff
o Insure a regular follow-up and help organize, if needed, different investigation tests
• The teaching responsibilities of the fellow towards residents in their field of specialization (e.g.
Physical Medicine and Rehabilitation) consists of:
o Delivering medical teaching on a regular basis,
o Providing the residents with different review articles or books chapters for the purpose of
reviewing their basic knowledge.
o Mentoring for some medical students or junior residents.
Participation in academic activities:
• The fellow participates to the Department academic activities under the supervision of the
neurologist in charge of the activity (Seminars, M&M rounds, etc)
• The fellow will be supervised by a staff neurologist in her academic activities and in her
preparation of outcome assessment
• The organization of the meetings and the distribution of academic material will be done by the
neurology staff’s secretary
• The fellow will attend a national meeting or symposium in neuromuscular diseases during his
• The fellow is encouraged to present a poster or deliver a talk during the event and will receive
some funding to support this activity
The fellow’s case load will vary from one clinic to another
The fellow is expected to assess and evaluate an average of 5 to 6 patients per clinic
The fellow will also supervise some of the junior residents’ case loads
The fellow will take charge of the patients whom diagnosis is already established and insure for
them an adequate treatment and rehabilitation plan
The fellow is expected to get a balanced exposure to the population with neuromuscular diseases
Myopathies and neuropathies will constitute 50% of the patients
ALS patients and other conditions (MG, spinal muscular atrophies, etc) will constitute the other
Reading material and reference books will be provided by the staff neurologist
The fellow will attend the following weekly conferences:
• Neurology grand rounds at the MNH
• Neurology rounds at the MGH