In addition to hands on learning centered on our broad patient base, we offer structured didactic courses that cover neurophysiology neuropathology and courses in neurodiagnostics including electromyography and electroencephalography. The materials from these courses provide an excellent board preparation source. All fellows take a month long introductory course on clinical research and study design offered through the medical school during the first year of fellowship. Weekly case based conferences allow us to learn from each other about interesting and challenging patients. Weekly neurology grand rounds as well as pediatric grand rounds allow fellows to keep up to date in these two disciplines that are integral to their child neurology training.