Headache Medicine Fellowship at The Mount Sinai Hospital

The Headache Medicine Fellowship at The Mount Sinai Hospital aims to advance headache medicine by training the next generation of physicians in the comprehensive treatment of headache and facial pain. Our one-year, certified Headache Medicine Fellowship program, is one of the first to be accredited by the United Council for Neurologic Subspecialties (UCNS). Upon completion, fellows are board-eligible in headache medicine. 

Rotating among three clinical headache sites within the Mount Sinai Health System - The Mount Sinai Hospital, Mount Sinai West, and Mount Sinai Downtown - fellows are exposed to adult, adolescent, and pediatric patients with headache. Each day fellows work with one or more of our faculty to diagnose and treat a wide array of headache disorders including migraine and its multiple subtypes, low-pressure headache, new daily persistent headache, trigeminal autonomic cephalalgias, and various facial pain syndromes. 

Clinical 
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

Research 
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.  

Didactics 

  • 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  

Mark Barber, MD, MPH 
Icahn School of Medicine at Mount Sinai 
2021-2022 

Dr. Barber graduated with his Bachelor of Arts from Middlebury College and subsequently worked in the New York theater industry before pursuing his medical education. He attended the University of Connecticut School of Medicine, where he was inducted into the Gold Humanism Honor Society. Mark has a special interest in the intersection of public health and neurology. Before starting his neurology residency, he completed a Master of Public Health at Columbia University. He completed his intern year at Lenox Hill Hospital and his neurology residency at the Icahn School of Medicine at Mount Sinai, where he served as a chief resident during his final year of training. Mark appreciates the significance of a close therapeutic alliance with patients, embracing a holistic approach to headache management that is tailored to the individual.  Dr. Barber has published about the role of exercise in migraine prevention and remains enthusiastic about the advancements in therapeutics currently occurring in the field. 

Terrence Tian, DO, MPH 
Neurology Residency 
Icahn School of Medicine at Mount Sinai Downtown and West 
2021-2022 

Terrence Tian received a Bachelor of Science in Physiology and Neurobiology from the University of Connecticut. He further received a Master of Public Health from The Dartmouth Institute at Dartmouth College. Terrence then worked at Yale University and a Federally Qualified Health Center in Connecticut for two years conducting public health and clinical research on care coordination and innovative technologies in the primary care setting prior to going to medical school at Touro College of Osteopathic Medicine. He completed his residency training in Neurology at Mount Sinai West and Mount Sinai Beth Israel.

As a neurologist, Terrence is particularly interested in headache medicine because of the rewarding opportunity to improve the quality of life of many people through numerous, exciting, treatment options. He also values great patient-physician relationships that he believes headache medicine fosters. In his free time, Terrence enjoys traveling, exploring the city, and playing sports. 

Our faculty have a wide variety of interests, as listed below, and various treatment styles from which fellows can learn. Fellows will have exposure to lectures and “pearls of wisdom” from Director Emeritus Mark W. Green, MD. 
 
Anna Pace, MD 
Headache Medicine Fellowship Program Director
Headache Medicine /Transgender Headache Medicine

Jihan Grant, MD 
Headache Medicine Division Director 
Headache Medicine/ Interventional Pain Medicine 
 
Mark W. Green, MD, FAAN 
Headache Medicine Director Emeritus 

Britany E. Klenofsky, MD 
Headache Medicine 

Bridget R. Mueller, MD, PhD 
Headache Medicine/ Autonomic Disorders 

Mohamed El Shorafa, MD 
Headache Medicine/ Pediatric Headache Medicine

Lauren Natbony, MD (Voluntary Faculty)
Headache Medicine/Pediatric Headache/ Integrative Headache Medicine 
 
Tanesha Kemble, DNP, FNP-BC
Headache Medicine 

We select two fellows each year. Adult and pediatric neurologists are encouraged to apply. We consider Internal Medicine physician applicants on a case-by-case basis. 
 
In accordance with the American Headache Society and the American Academy of Neurology, our program is committed to abide by the standardized application timeline. Interview offers will not be made before March 1 of the year prior to the fellowship start date (Neurology PGY3 Adult/ PGY4 Child year).    

Criteria: 

  • Must be enrolled in or have completed a residency program accredited by the ACGME or the Royal College of Physicians and Surgeons of Canada (RCPSC) in Adult Neurology, Pediatric Neurology, or Internal Medicine
  • Must be board certified or eligible for certification in their specialty

To Apply
There are two ways to apply to the Headache Medicine Fellowship program:

For additional questions please contact:
Anna Pace, MD
Director, Headache Medicine Fellowship Program 
Assistant Professor, Department of Neurology 
Icahn School of Medicine at Mount Sinai 
anna.pace@mssm.edu