The neuro-ophthalmology fellowship at MSU is typically a one year curriculum. A second year is possible in special circumstances. Individuals selected to this fellowship are appointed within the University system allowing the fellow an opportunity to participate in a Big Ten university at all levels. The fellowship was initiated in the mid-1980s. This unit has been fortunate to attract fellows from throughout the United States and all over the world. We try to select one neurologist and one ophthalmologist per year.
Faculty in the unit include David I. Kaufman, D.O., Lina Nagia, D.O. and Sunita Yedavally, D.O. Dr. Kaufman has a visual electrophysiology laboratory consisting of visual evoked potentials, flash ERGs and pattern ERGs. The successful candidate has an opportunity to participate in these two clinical research laboratories if they choose in addition to their regular duties. Other research opportunities include the Longitudinal Optic Neuritis Study and the Ischemic Optic Neuropathy Decompression Trial, both National Eye Institute-sponsored studies. Fellows will have an opportunity to witness "cutting edge" clinical research at the national level. An affiliation with an active MRI unit is also available in which we do ongoing research in MRA and functional MRI.
Approximately 3,000 clinical neuro-ophthalmology patients are evaluated in the unit each year. The evaluations include the entire range of afferent, efferent and pupil abnormalities thereby providing a diverse and challenging fellowship experience. Approximately 100 inpatients are evaluated each year. This type of balance is sought because we recognize that neuro-ophthalmology will be almost an exclusively outpatient discipline except in unusual experiences. There is a heavy influence on competence in neuro-radiology. Considerable time is spent interacting with University and community neurologists, especially in MRI.
The fellowship year is divided into 4 quarters. The first quarter is devoted to familiarity with the specific equipment necessary to become a competent neuro-ophthalmologist and to the identification of research projects. The second quarter is used to develop precision in the use of the equipment and the initiation of speed as part of the examination. The third quarter focuses on speed without the loss of precision, which we believe is an essential skill for clinicians. The fourth quarter is primarily spent on developing the clinical judgment, examination precision and speed necessary for independence.
Fellowship candidates are requested to correspond by letter and interview to allow the communication of personalized goals while at Michigan State University. It is our goal to produce the best possible academic neuro-ophthalmologist and educator at the conclusion of this fellowship.
Candidates may send letters of interest to:
Lina Nagia, D.O.
Department of Neurology and Ophthalmology
804 Service Road, A217 Clinical Center
Michigan State University
East Lansing, MI 48824
Phone: (517) 353-8122
Fax: (517) 432-9277