Headache medicine fellows receive intensive, hands-on clinical training in the treatment of a myriad of headache and facial pain disorders, and appropriately move towards becoming autonomous and confident headache medicine providers. While the focus of this fellowship is on the clinical outpatient management of headaches, there are opportunities to provide inpatient and emergency room consultations as well.
Working with an interdisciplinary team of neurology residents, internal medicine residents, pain medicine fellows, and medical students, our fellows gain experience in a variety of patient care settings:
- Outpatient office visits at the Mount Sinai Faculty Practice Associates during weekdays
- Weekly half-day headache specialty clinics at Mount Sinai Hospital or Mount Sinai West, providing significant hands-on experience in procedures, leadership, and medical education, and care to a largely underserved patient population
- In-office infusion suite run by our neurology nurse practitioner
- Inpatient and emergency room consultations
- Six to eight weeks of elective time
- At least two weeks spent rotating in pain medicine, learning the basics of interventional treatment for headache disorders including medial branch blocks, facet blocks, trigeminal nerve blocks, trigger point injections etc.
- A choice to do elective rotations with the departments of neuro-ophthalmology, neuro-otology, neuropsychiatry, autonomic neurology, sleep medicine, and facial pain dentistry
In addition to exceptional academic training, our program fosters scholarly activity. Fellows are expected to complete at least one scholarly project during the year, and are invited to author/co-author book chapters, review articles, and scientific papers. There is access to clinical research and quality improvement projects, as well as medical education projects; independent research is highly encouraged and supported.
- There is a headache medicine bootcamp during the first month of fellowship where faculty give a lecture series on various headache medicine topics and there are simulation sessions for instruction in nerve blocks, trigger point injections, and onabotulinum toxin A injections
- Formal didactics take place on Tuesdays at noon
- A set of core lectures are given by the Department of Neurology’s headache faculty throughout the year
- Fellows lead monthly journal clubs and case presentations
- Fellows are expected to give at least one resident lecture per year, and more if there is interest!
Specific Goals and Objectives
- To accurately identify primary and secondary headaches
- To gain the skillset to take a complicated headache history and develop a tailored, multimodal treatment plan
- To gain knowledge of and proficiency in the use of prophylactic and acute medications for the management of headache and facial pain
- To gain knowledge of and experience in the use of neuromodulation devices approved for the management of headache
- Proficiency in administering Botox, craniofacial nerve blocks, and trigger point injections
Neurological and Multidisciplinary Training
- Low pressure headache
- Episodic and chronic migraine
- Tension-type headache
- Medication-overuse headache
- Headaches in gender diverse individuals
- Chronic headache forms
- Trigeminal autonomic cephalalgias
- Headaches in dysautonomia
- Facial pain syndromes