Application for Fellowship Training Institutions

The Siegel Rare Neuroimmune Association is a patient advocacy group focused on supporting our over 15,000 members globally, individuals diagnosed with ADEM, AFM, MOGAD, NMOSD, ON and TM, their families, caregivers and medical professionals specializing in these rare neuroimmune disorders.

The SRNA James T. Lubin Clinician-Scientist Fellowship Award, established in 2008, supports the post-residency training of clinicians committed to careers in academic medicine specializing in rare neuroimmune disorders of the CNS (e.g., ADEM, AFM, MOGAD, NMOSD, ON, and TM) clinical care and research. This program supports up to two years of clinical care and research training. After completing the program, Fellows should be prepared for a combined clinical and research career, directing robust research programs important to ADEM, AFM, MOGAD, NMOSD, ON, and TM in their clinical department. The number of the James T. Lubin Clinician Scientist Fellowships awarded each year will be based on the availability of funds to support this program.

The Siegel Rare Neuroimmune Association is looking to expand this Fellowship to other institutions to be able to offer training at additional sites throughout the country.

Objectives of the Fellowship

After completing the fellowship program, the Fellows will have acquired independent research and clinical skills and gained experience necessary to develop into clinician-scientists who:

- Provide high quality, state-of-the-art, comprehensive clinical care to patients with ADEM, AFM, MOGAD, NMOSD, ON, and TM, and other rare neuroimmune disorders
- Advance the research and understanding of these disorders through clinical research and/ or basic science research
- Become an active participant and future leader in the rare neuroimmune disorders clinical community

Components of Training

- Direct, supervised ADEM, AFM, MOGAD, NMOSD, ON, and TM patient care (60%)
- Exposure to multidisciplinary care (20%)
- Didactic activities (10% - incl. producing a clinical paper, attending lectures, grand rounds, etc.)
- Other (10%) Research Training

Information about SRNA Support and Requirements for Fellows

The objective is to provide salary (based on PGY5 for adult neurologists and PGY6 for pediatric neurologists) and benefits, and research support for up to 2 years of post-doctoral training to ensure a future of well-trained clinician-scientists focused on rare neuroimmune disorders. The total salary and benefits requested must be based on a full-time, 12-month staff appointment. The maximum allowed support through the Fellowship is $80,000 per year. The Fellow should be at least 80% funded through SRNA and no more than $20,000 can be used for non- salary support activities. Acceptable support activities include tuition and fees related to career development, research expenses, such as supplies, equipment and technical personnel and travel to research meetings or training. SRNA will also consider international candidates who fulfill criteria for clinical training activities in the USA and plan to return to their countries of origin to establish clinical activities focused on rare neuroimmune disorders.

Indirect Costs (also known as Facilities and Administrative Costs) are not reimbursed by SRNA based on our policy.

For more about the goals of the Fellowship, please click here.

If you have any questions about the preparation of your application, please contact Gabrielle deFiebre at gdefiebre@wearesrna.org.

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* 1. Contact Information

Name

Title

Institution

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please attach your CV

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* 3. Why are you interested in being a training institution for the James T. Lubin Fellowship?

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* 4. What are your research interests and what research studies are you currently a lead investigator on?

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* 5. Who would be mentoring the Fellows and what are their research interests?

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* 6. Please describe in detail the fellowships you currently offer.

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* 7. How do you plan to expand your training program to focus on rare neuroimmune disorders? Please describe how you will accomplish this for both research and clinical care.

To get a better understanding of the experience we will be able to offer fellows trained at your institution, please answer the following questions about your current patient volume and institution practices.

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* 8. Please provide an approximate number of acute pediatric patients you see per year.

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* 9. Please provide an approximate number of acute adult patients you see per year.

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* 10. Please provide an approximate number of long-term pediatric patients you see per year.

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* 11. Please provide an approximate number of long-term adult patients you see per year.

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* 12. Do you offer IV steroids at your center?

Yes

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* 13. Do you offer plasmapheresis at your center?

Yes

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* 14. Do you offer IVIG at your center?

Yes

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* 15. Do you offer coordinated care with other specialties such as psychiatry, urology, and orthopedics at your institution?

Yes