Multiple Sclerosis and Neuroimmunology Fellowship Program

 Fellowship Title:  Multiple Sclerosis and Neuroimmunology Fellowship

Our Program: 
The UT Health San Antonio clinical fellowship focuses on multiple sclerosis and other CNS inflammatory conditions.  The fellowship is designed to acquire the knowledge and confidence to manage a comprehensive multiple sclerosis center upon graduation.  Fellowship candidates will function as licensed and fully privileged attending physicians within the Neurology Department and will be held to the same standards for patient care as all faculty members.

Highlights:

• Faculty status:  Faculty Development Position
• Program length:  12 months
• Fellowship salaries are funded by the clinical productivity and clinical billing for the neuroimmunology fellow during their required scheduled clinical activities

Goals/Objectives – Fellows will develop expertise in the following areas:

• A comprehensive knowledge base encompassing basic science and clinical aspects of MS, NMOSD, neuro sarcoidosis, autoimmune encephalitis, and neurological manifestations of rheumatologic conditions
• Familiarity with principles of the comprehensive management of persons with MS and other neuro immunological conditions
• To be a resource for information about current research directions and clinical trials in MS including the education of patients, colleagues, and other trainees at multiple levels in various disciplines
• To become familiar with and participate in clinical research, including clinical trials

Faculty:
Tania Reyna, MD
Rebecca Romero, MD

Curriculum/Program Format – The core rotation for the fellow will be divided in 10 blocks of 4 hours every week, most of them at the MARC clinic staffed by specialized faculty.  The training blocks will be allocated as follows:

1. Six continuity MARC clinic blocks.  In addition, there are 1-2 block a month for subspecialty clinic at University Hospital with a neuroimmunology faculty.  This offers the opportunity for the fellow to precept neurology residents at their continuity clinic and interact with Medicaid and the underserved population.
2. One block for procedures to include botulinum toxin injections and baclofen pump management.
3. One block for elective rotation.
4. One block for self-study and research development.
5. The fellow will see autoimmune disorder inpatient consults at University Hospital when requested by the inpatient neurology team for management of complex autoimmune disorders.

• Didactics – autoimmune conference once a month, journal club once a month
• Teaching opportunities:  medical students, residents, physician assistants and nurse practitioner students
• Research – dedicated team
• Neurosciences Grand Rounds:  a multidisciplinary weekly meeting with both case and didactic sessions

Graduates:  N/A

Support Services:  MRI (1.5, 3T), physical/occupational/speech therapy, laboratory, dedicated research team, infusion services