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    Otoneurology And Balance Disorders Fellowship

    A 1-year fellowship in otoneurology and balance disorders is available at Barrow Neurological Institute for neurologists that have completed neurology residency training and are interested in a clinical or academic career in this field.

    The fellowship training experience will focus on the clinical diagnosis, vestibular assessment, and treatment of patients with a broad variety of balance disorders that cause:

    • vertigo
    • dizziness
    • nystagmus
    • imbalance
    • ataxia
    photo of doctor terry fife teaching as part of the balance disorders fellowship at barrow

    Dr. Terry Fife is the director of the Otoneurology and Balance Disorders Fellowship at Barrow

    Fellows see patients during neuro-otology clinic and also during hydrocephalus screening clinic and ataxia clinic. The experience can be tailored to include training in neurodegenerative movement disorders as well as other disorders of balance.

    There are periodic meetings of the Phoenix Neurotology Society and monthly balance board meetings attended by those in the community with an interest in vestibular and balance disorders including vestibular physical therapists, audiologists, and otolaryngologists. Conferences include:

    • neuroscience and neurosurgical grand rounds
    • skull base conferences
    • neuroscience research conferences
    • weekly patient care conferences

    In addition, the fellow is encouraged to engage in a clinical research project in an area of interest with the goal of presenting at a national meeting.

    Resources available include:

    • videonystagmography (VNG)
    • video head impulse testing (vHIT)
    • cervical and ocular vestibular evoked myogenic potentials (VEMP)
    • tilt table testing
    • audiometry
    • rotational chair testing
    • computerized dynamic posturography
    • vestibular rehabilitation therapy
    • Protokinetic Zeno Walkway (electronic gait measurements)

    Cyberknife and Gamma Knife and comprehensive neuroradiology and radiation therapy teams are available as part of the care team for our patients.  There are seven MRI units including two 3-Tesla MRI units and an MRI unit dedicated to the Emergency Department.

    We have expertise in all areas of neurosurgery and as well as in surgical neurotology. In addition, we have representation in all areas of clinical neuroscience including neuropathology, neuroradiology, nuclear medicine, and most of the subspecialities of neurology.

    Subscriptions to both Neurology and Continuum: Lifelong Learning in Neurology, along with membership dues to AAN, are included with the fellowship. AAN webinars about practice management, billing, coding, and reimbursement are offered throughout the year. The fellow will also have access to the AAN career center and the residents and fellows page on the AAN website.

    Specific skills the fellow will learn include:

    • Evaluation of patients with dizziness, vertigo, and imbalance
    • Management of various vestibular disorders and interaction with surgical otologists
    • Recognition and management of gait and balance disorders including, but not limited to, cerebellar degeneration, hydrocephalus, and neurodegenerative disorders

    Understanding the basic anatomy and function of the vestibular system, understanding of vestibular function testing techniques and how to use them.

    Learn More about the Otoneurology and Balance Disorders Fellowship Program

    To learn more about training in neuro-otology and balance disorders, e-mail [email protected].

    Terry Fife, MD
    Director, Neuro-Otology and Balance Disorders Fellowship Program
    Barrow Neurological Institute
    St. Joseph’s Hospital and Medical Center
    Phoenix, Arizona
    [email protected]

    About Barrow

    Since our doors opened as a regional specialty center in 1962, we have grown into one of the premiere destinations in the world for neurology and neurosurgery. Our experienced, highly skilled, and comprehensive team of neurological specialists can provide you with a complete spectrum of care–from diagnosis through outpatient neurorehabilitation–under one roof. Barrow Neurological Institute: Discover. Educate. Heal.