Neuromuscular Medicine


The UCLA Neuromuscular Medicine Fellowship is an ACGME accredited fellowship program that provides subspecialty training in the diagnosis and treatment of patients with complex neuromuscular diseases. The program includes organized clinical experience in various subspecialty neuromuscular clinics including electrodiagnostic laboratory. The training is provided through clinics at Ronald Regan UCLA Medical Center, Cedars-Sinai Medical Center, the West LA and Sepulveda VA Medical Centers, and Olive ViewUCLA Medical Center. These clinics accommodate patients with a wide range of neuromuscular diagnoses including peripheral neuropathy, inherited and acquired myopathies, muscular dystrophies, myasthenia gravis and other neuromuscular junction disorders, and ALS. Fellows participate in a rigorous weekly educational program that includes two didactic lectures, neuroradiology rounds, a muscle/nerve pathology didactic, a muscle/nerve pathology slide review, and a case conference. The didactic curriculum covers topics pertinent to the practice of neuromuscular medicine including genetic testing and the principles of electrodiagnosis. Muscle and nerve biopsy surgery and histological interpretation are an integral part of the educational program. The goal is to train fellows in all of the major diagnostic options in neuromuscular disease. Ongoing clinical and basic science research projects are available and may be further explored with additional training time.

1. Pediatric Muscular Dystrophy Clinic - This is a multidisciplinary clinic with attending staff from neurology, orthopedic surgery, cardiology, and pulmonology. Nutrition, social work, durable medical equipment, and physical therapists are also in clinic. This clinic meets twice a month at Ronald Regan UCLA Medical Center and is staffed by Dr. Perry Shieh.

2. General Muscular Dystrophy Clinic – There are two clinics. The clinic at Ronald Regan UCLA Medical Center and is staffed by Dr. Perry Shieh Another Muscular Dystrophy and meets on once a month with adults with pediatric muscle diseases as well as adult onset muscle diseases. Another clinic meets weekly at Olive View-UCLA Medical Center and is staffed by Dr. Shri Mishra.

2. Myasthenia Gravis Clinic – patients with Myasthenia gravis as managed in this weekly clinic that meets on Tuesday mornings and is staffed by Drs. Michael Graves and Perry Shieh at Ronald Regan UCLA Medical Center.

3. ALS clinic –Fellows participate in multidisciplinary ALS clinics at Ronald Regan UCLA Medical Center and Cedar Sinai Medical Center. These multidisciplinary clinics are dedicated to ongoing care of patients with the diagnosis of ALS. Fellows will be exposed to supportive treatments that are provided by Speech-Dysphagia Therapy, Occupational and Physical Therapy, and Respiratory Therapy. The Fellows will learn the diagnostic process in patients presenting early in course of disease, as well as symptomatic management for patients in all stages of the disease.

4. General Neuromuscular Clinic - Patient with neuromuscular disorders are evaluated with supervision by Dr. Perry Shieh at Ronald Regan UCLA Medical Center, Richard Lewis at Cedars-Sinai Medical Center, and by Dr. Shri Mishra at the West LA VA, Sepulveda VA, and Olive-View-UCLA Medical Centers.

5. EMG laboratory – This clinic is designed to provide electrodiagnostic testing of patients with routine and unusual neuromuscular presentations. These clinics are scheduled throughout the week with attending neurologists including Drs. Perry Shieh, Richard Lewis, Perrin Pleninger, Nicholas Parziale, Shri Mishra and Nastaran Rafiei. Advanced techniques, including single fiber EMG, laryngeal EMG, repetitive nerve stimulation, and cranial nerve testing are routinely scheduled in these clinics.

6. Educational Program -The rigorous educational program includes 5 hours of neuromuscular education on Monday morning (8AM to 1PM) and the one hour Clinical Neurophysiology Conference on Tuesdays at noon. The Neuromuscular Conferences include 1) case conference, 2) journal club, 3) neuroradiology rounds, 4) neuropathology slide review 5) nerve and muscle pathology didactic, and 6) the Neuromuscular Conference (didactic) series. Theory of electrodiagnostic testing is covered in the interdisciplinary Clinical Neurophysiology Conference series on Tuesdays at noon.

5. Neuromuscular Pathology – Dr. Perry Shieh along with Dr. Negar Khanlou from Neuropathology provide teaching on histological interpretation of muscle and nerve biopsies in organized reading sessions.

6. Surgical Nerve and Muscle Biopsy -Dr. Perry Shieh and Dr. Shri Mishra perform and teach the surgical technique in nerve and muscle biopsies.

7. Clinical Trials Research -We are active in several National and International ALS research groups and projects. UCLA also participates in clinical trials in Duchenne Muscular Dystrophy and other neuromuscular diseases.

8. Basic Research in ALS -Dr. Martina Wiedau-Pazos has several projects ranging from the study of mouse models with motor neuron disease to genetic linkage studies with established tissue banks.

9. Basic Research in Muscle Disease: We are affiliated with the UCLA Center for Duchenne Muscular Dystrophy, where a large number of basic research projects take place.

Application consists of 1) Personal Statement, 2) CV, 3) 3 letters of recommendation.

Please send applications to:

Perry Shieh, M.D., Ph.D.
300 Medical Plaza, Suite B-200
Los Angeles, CA 90095
(310) 825-2937, FAX (310) 794-0087, pshieh@mednet.ucla.edu


Fellowship Information


Fellowship Duration

1 year (with opportunity for additional years as research fellow)

Fellowship Salary

In keeping with UCLA appointments for PGY5 position, with benefits

Fellowship Application Period

Interviews begin April of the year prior to the scheduled fellowship

Typical Source of Funding

Department Funding and VA Funding

Number of Positions Funded Per Year

4

Is Program Conducted Entirely Within the Department of Neurology

No