Host Sites: MDS-AOS VisitingTraining Grant Program

Number of positions: 1
Estimated costs: A$400 to A$750 per week, depending on your living circumstances.
Support available from host site: N/A
Administrative requirements: In order to be able to work clinically in Australia, there are significant administrative requirements. We would suggest to allow about 1 year of 'lead in' time for this.

Educational activities
The movement disorder fellow will be invovled in the following activities:

• Outpatient management of movement disorders under supervision.
• Participation in the botulinum toxin clinic under supervision.
• Inpatient movement disorder consultations. 
• Presurgical evaluation of movement disorders patients for deep brain stimulation and Gamma Knife surgery.  The movement disorder Fellow will be an integral part of the pre-surgical, intraoperative and post-surgical evaluative team. 

The Fellow will also be involved in all the educational activities of the Department of Neurology and Department of Medicine which include: 

• Weekly joint clinical meetings with the Departments of Neurology and Radiology.
• Weekly Grand Rounds (Department of Medicine)
• Weekly Registrar training (Department of Neurology)
• Weekly educational meeting (Department of Neurology)
• Monthly Neuropathology meeting
• Monthly multidisciplinary Deep Brain Stimulation and Gamme Knife planning and review meeting.

Number of positions: 3 for 1-year program, 20 for 6-month program
Estimated monthly costs: $1,000 per month
Support available from host site: N/A
Administrative requirements: Participants are required to comply with the regulations of the hospital regarding the COVID-19, and provide the necessary proof of nucleic acid testing for COVID-19.

Educational activities
The training courses are listed as below. 

1. Concept and classification of movement disorder
2. General introduction of pathogenesis of movement disorders
3. General introduction of Hypokinetic disorders 
4. Parkinson disorder: diagnosis and treatment
5. Atypical Parkinson disorders：diagnosis and treatment 
6. General introduction of Hyperkinetic disorders 
7. Dystonia: diagnosis and treatment
8. Tremor: diagnosis and treatment
9. Chorea: diagnosis and treatment
10. Myoclonus: diagnosis and treatment
11. Tic disorder: diagnosis and treatment
12. Psychogenic movement disorders: diagnosis and treatment
13. Drug induced movement disorders: diagnosis and treatment
14. Gait disorder: diagnosis and treatment
15. Botulinum toxin treatment for movement disorders
16. Deep brain stimulation treatment for movement disorders
17. Genetic update of movement disorders
18. Neuroimaging update of movement disorders
19. Neuropathology update of movement disorders
20. Rehabilitation of movement disorders

Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology)

Number of positions: 3
Estimated monthly costs: $1200 per month
Support available from host site: Paid dormitory (advance application required)
Administrative requirements: Participants are required to provide the necessary proof of nucleic acid testing for COVID-19, health examination certificate and HBV, TB vaccination certificates.

Educational activities

• Basics of Parkinson’s disease and movement disorders (PDMD) and practice in inpatient and outpatient clinics 
• Clinical assessment and intervention strategies for PDMD physical therapy and occupational therapy  
• Gait and Balance Impairment assessment and rehabilitation
• Speech, language and swallowing assessment and rehabilitation
• Cognitive and psychiatric disorders of PDMD assessment and rehabilitation  
• Cardiopulmonary assessment and rehabilitation 
• Deep Brain Stimulation and other neuromodulation technology
• Neuroimaging of PDMD
• Botulinum toxin treatment of PDMD
• Artificial intelligence and AIDS for rehabilitation on PDMD
• Traditional Chinese Medicine rehabilitation techniques on PDMD
• Nursing of PDMD
• Basic knowledge of experiments and clinical research on PDMD

Trainees will be impressed by the beautiful environment of the hospital and teamwork mode.

Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology)

Number of positions: 2
Estimated monthly costs: $1000-1200 per month living costs; $200 training fee
Support available from host site: N/A
Administrative requirements: N/A

Educational activities

• Seminar: PD outpatient clinic, programming clinic, clinic trial
• Training: neurological examination, neuropsychological scale, clinical characteristics
• Practical Information
   

Number of positions: 3
Estimated costs: 5000 RMB accommodation, 5000 RMB living, 10,000 RMB institution fee per person
Support available from host site: The institution will assist with trainees' housing.
Administrative requirements: Visa is required for a short period of study. Endorsement of training program from MDS is required. Health insurance of trainees is required. Variable flight expense in and out to Beijing from home city shall be considered.

Educational activities

1. Neuropathology of typical and atypical Parkinsonian disorders
2. Neuropathology of other neurodegenerative disorders
3. Clinical diagnosis and treatment of rare movement disorders, such as Huntington's disease, multiple system atrophy, spinal cerebellar ataxia, etc.
4. Clinical cognitive assessment tools - ACE-III, MoCA, MMSE, etc.
5. Clinical motor assessment tools, such as UHDRS, MDS- UPDRS, etc.
    

Number of positions: 1
Estimated monthly costs: 2000-3000 USD
Support available from host site: May be considered on case to case basis
Administrative requirements: As per The National Medical Commission (NMC) regulations

Educational activities

Fellows will be exposed to all aspects of movement disorders including Parkinson's disease, Huntington's disease, Tourette and Paediatric Movement Disorders, Botulinum toxin injections, Deep brain stimulation surgery, Neurogenetics and Neuro-palliative care.

Fellows will be expected to become involved in clinical trials and research projects as well as present at weekly phenomenology rounds and monthly journal and academic rounds. Fellows will be offered an opportunity to access a wide array of academic expertise within the Department of Neurology.

Number of positions: 1
Estimated monthly costs: Total Institutional Course Fees:
For Indian Natrionals: Rs 2,00,000 plus taxes
For Foreign Nationals: USD 3600 plus taxes
Support available from host site: N/A
Administrative requirements:

For Indian Nationals:

• 2 Aadhaar card copies
• 2 Pan card copies
• All educational certificate copies
• COVID vaccination certificates 
• 2 passport size photos

For Foreign Nationals:

• Passport and Visa copies
• All degree or educational certificate copies
• COVID vaccination certificates 
• 2 passport size photos

Indian Visa is required by non Indian nationals which can be obtained after applying, on basis of letter of invitation from the Institute

Educational activities

• DBS surgery
• DBS programming
• Botox clinic
• Movement disorder clinic
• Nueroradiology conference
• Movement disorder workshops

Number of positions: 1
Estimated monthly costs: USD $1,000 
Support available from host site: N/A
Administrative requirements: Student Visa is required

Educational activities

• Clinical Cases 
• DBS

Number of positions: 60
Estimated monthly costs: Indian rupees forty thousand (40,000) equivalent approximately USD $500 per month.
Support available from host site: Can accommodate the housing but no stipend. The institute can house the trainees.
Administrative requirements: All the Foreign nationals require the Indian VISA to visit India

Educational activities

To apply new scientific data and prognostics predictions and/or diagnostic clinical diagnosis guidelines to improve Parkinson`s and selecting and behavioral outcomes for neuro-interventional study in subthalamic-nucleus (STN) with deep brain stimulation (DBS) and of microelectrodes into the important components of brain (subthalamic-nucleus, glogus pallidus). 

To interpret study results based on interventional design (STN neurons and GPe pallidal internus and externus neurons) and also medication (levodopa), and apply lessons learned for application in the design of online intervention. 

To discuss and analyze the STN neurons with the objective interventional study of the central nervous system (CNS) to assist in Parkinson and other movement disorders selection, target selection and likelihood of restorative and valuable success. 

To describe the uses of devices for functional sensors stimulation including rehabilitation of motor loss, loss of sensory function, and loss of cognition emotion though and motor controls. 

To expose emerging PD models, methods – techniques, new paradigms of therapy target selection and associated research in the bio medical and medical electronics instrumentation field of neuro- intervention. 

To differentiate mechanisms of disease states, such as complex neuronal pain syndromes, refractory angina and visceral pain syndromes and explain the current position of neuro- intervention in these constraints. 

Finally, to enlighten the many variations now available for electrical stimulation and how to select the appropriate technology.

Summary:

Presently involved in developing and applying new estimation, systems and control-tools in order to build computational simulation and statistical models of electrical-activity in neural-circuits affected by Parkinson`s disease(PD), understand electro-physiological-dynamics of neural-circuits in health/disease-states during DBS treatment, design more effective, adaptive, and safer DBS-strategies for neurological-neurodegerative-disorders;  design new clinical/clinico-statistical-experiments, develop/apply systems-level mathematical-frameworks for modeling-and-controlling  neuronal-network-activity in the brain with DBS, create a more intelligent-system for both placing-and-controlling the electrodes; implant an intelligent-chip that continuously measures-monitors neural-activity, and finally build an effective new cadre-of-researchers who bridge the training and thinking gaps toward major-advances in trans discipline neuroscience, also involved in numerous clinical and/or diagnostic researches on movement disorders and other neurological disease/condition. 

In view of the above, we may be given the training grant to conduct the programme.

Number of positions: 1
Estimated monthly costs:  USD$600-750/ month
Support available from host site: N/A
Administrative requirements: N/A

Educational activities

Clinical:
1. Assessment of movement disorders including clinical aspects, imaging, electrophysiology and genetic evaluation of movement disorders
2. Treatment of movement disorders including medical management,  training in Botulinum toxin injection (in dystonias including blepharospasm, hemifacial spasm, oromandibular dystonia, cervical dystonia, spasmodic dysphonia, writer’s cramp, limb dystonia, hypersalivation, hyperhidrosis, spasticity etc), intrathecal baclofen therapy, use of deep brain stimulation (assessment, selection, planning and post op programming) and other neuromodulation devices in movement disorders.

The program will also include weekly seminars and journal clubs

Research:
The centre is active in conducting both Industry sponsored and self funded academic research projects and the fellow is expected to participate in these as well as conduct short term research projects.

Number of positions: 1 clinical fellowship and 1 research fellowship per year
Estimated monthly costs:  USD$1,300/ month for the research fellow, and USD$2,000/month for the clinical fellow (considering the possible differences in their work-experience, educational qualification, and age)
Support available from host site: N/A
Administrative requirements: INK will provide offer letter and letter of support to facilitate the visa process.

Educational activities

Clinical:

• Daily interdisciplinary morning-meeting for discussion on complicated cases of movement disorders and other neurological diseases. 
• Daily ward round and bedside teaching by Director of Movement disorder program and other faculties of movement disorder units. 
• Daily screening and assessments of out-door patients with movement disorders under supervision of movement disorder specialists. Approximately half of the patients evaluated at Outpatient Department comprise of Parkinson’s disease (PD), thus allowing for rigorous training in the diagnosis and management of PD. The other half of patients spans a wide range of other movement disorders, including atypical parkinsonian syndromes, essential tremor, dystonia, ataxia, myoclonus, chorea, tics, tardive syndromes, and functional movement disorders.
• Hands-on training botulinum toxin injections in various dystonic and spastic conditions in weekly toxin-clinic. Training in botulinum toxin injections will provide the fellow with knowledge of the necessary steps for successful chemodenervation therapy, including clinical indications and expected outcomes, target muscle(s) selection, toxin reconstitution and injection techniques, use of electromyogram EMG guidance, effective doses and troubleshooting of possible side effects. The fellow will be trained in injection techniques at the end of the program. 
• Fellows will participate in the ongoing functional neurosurgery program for Movement Disorders (Deep Brain Stimulation, DBS). They will be an integral part of the pre-surgical, intraoperative and post-surgical evaluative team. DBS-related care involves evaluation and selection of patients, intraoperative recording, and post-operative programming. They will receive training in all multidisciplinary aspects of implantation and long-term management of patients receiving this therapy. In addition to evaluating new candidates for DBS surgery and patients receiving long-term therapy from implanted devices, fellows will become well versed in the criteria for DBS implantation in patients with movement disorders. Specific training is focused on finding optimal parameters of stimulation to treat motor symptoms while minimizing stimulation adverse effects. 
• Participate in weekly journal club for critical appraisal of impactful publications. 
• Participate in the weekly academic seminar on various important topics of Movement disorders. 
• Will be trained on emergency management of movement disorder patients.
• Video case presentation at Movement disorder national forums every month. The fellow will learn phenomenology, differential diagnosis, diagnostic evaluation, and management. 
• Supervised training in clinical assessment and diagnostic evaluation (including neuroimaging, electrophysiology, and genetics) of various movement disorders. 

Research:
The research is multifaceted at our movement disorders research laboratory. The fellow will be assigned in anyone (or two) strands as per availability of the project and preference of the candidate. Following are the list of research-areas at our laboratory. 

• Academic and industry sponsored clinical trials for evaluation of new drugs and devices in various Movement Disorders (Phase 1 to Phase 4). 
• Gait study: Differential gait analysis of PD and atypical parkinsonism patients by using 2D-GAITrite electronic walkway. This technique enables us to objectively quantify various spatiotemporal gait parameters. We are in the process of setting up our 3D gait lab very soon for in-depth study of gait kinematics in patients with Movement Disorders.  
• Human electrophysiology: The laboratory is equipped to assess various reflexes (blink reflex, prepulse inhibition of blink reflex, startle reflex) and other motor responses based on surface EMG recordings. We are also able to estimate readiness potentials of various movements and other ‘movement related potentials’ through concurrent EEG and EMG recordings.
• Neurostimulation: We have experience in conducting TMS based assessments like – motor evoked potential and its modulation induced by peripheral nerve stimulation and paired transcranial magnetic pulses. Therapeutic application of peripheral nerves and cranial nerve stimulations are another area of interest of the lab.   
• Quantitative structural neuroimaging: We have ongoing projects using cutting edge technology for analyzing brain-morphometric changes in patients with atypical Parkinsonism and correlation of brain pathology with symptoms and disease prognosis
• Questionnaire-based study for evaluation of various motor and non-motor features of movement disorders. We have expertise to develop and validate clinical rating scales useful forassessment of movement-disorder patients.  
• Genetic polymorphism study on Indian population for exploring risk of adverse drug reactions and efficacy of PD medications.   
• Basic science research elucidating the relationship of pathogenic proteins like alpha-synuclein with neuroinflammation, mitochondrial dynamics and impaired clearance pathways in PD employing cell culture models and advanced molecular biology techniques.
• Biomarker assessment in patient serum, peripheral blood mononuclear cells and saliva samples of PD patients. correlation analysis of peripheral markers with clinical severity, symptom onset, disease progressionand therapeutic monitoring.
• In addition to the above tailored research activities at I-NK, we offer a dedicated curriculum of biostatistics, bioethics, data management, clinical trial design, manuscript writing and grant writing. Research duties include participation in weekly journal club to discuss current research articles and consultation with immediate supervisor for work progress on weekly basis. Fellows will have the opportunity to present their work in both national and international movement disorder conferences. Besides this, the research fellow will be encouraged to author original/review articles, book chapters or case series for their career development

Institute of Neurosciences Kolkata (I-NK) is a 195-bedded Super Specialty Neuro Care hospital with a public private partnership (PPP) project of Kolkata Municipal Corporation, Govt. of West Bengal and Neurosciences Foundation Bengal (registered society). 

There are more than 10000 outpatient visits (new and follow-up) by movement disorders patients to I-NK each year, providing an excellent clinical and research base for trainees. An electronic medical records system is available for access to clinical records. The institution conducts bench-to-bedside research to bridge the translational gap in movement-neurosciences.

Number of positions: 1
Estimated monthly costs: $1,000 USD
Support available from host site: N/A
Administrative requirements: Will need student Visas

Educational activities

• Movement Disorder Clinical training
• Deep brain stimulation

Number of positions: 1
Estimated monthly costs:  Mumbai's average student rental can cost up to $1,000 USD per month. The institution charges Rs. 30000/- (USD $400) per month as observer fees.
Support available from host site: Stipend is only for movement disorder fellowship trainees. There is no accommodation for observers or fellowship trainees.
Administrative requirements: Indian visa will be required. Licensing regulations may also apply.

Educational activities

• Approach to the diagnosis and management of movement disorders
• Training in the indicaitons, usage of botulinum toxin in movement disorders
• Training in patient selection, intraoperative management and post op DBS programming.

Number of positions: 1
Estimated monthly costs: From $750 USD upward
Support available from host site: N/A
Administrative requirements: As per the guidelines of the Indian visa requirements website.

Educational activities

• Clinical training
• Botulinum toxin training
• Surgical assessments (Deep brain stimulation and lesioning)
• Apomorphine pump therapies
• Research and publications (based on interest a short term rotational posting to basic sciences)

Number of positions: 40
Estimated costs: $1,000 USD living, $500 monthly institutional feed. The institution can also provide web-based education. 
Support available from host site: N/A
Administrative requirements: N/A

Educational activities: include research method, cunducting clinical trials, and prescribing exercise for patients with movement disorders.

Number of positions: 2
Estimated costs: $2000-$3000 USD.
Support available from host site: N/A
Administrative requirements: N/A

Educational activities

• Direct mentorship
• Tuesday morning weekly scientific conferences
• Video rounds
• Monthly unique cases presentation

Number of positions: 2 per year
Estimated monthly costs: The average monthly rent for a one-room short-term accommodation, not including utilities, is around 50,000 yen ($400 USD; USD$1=130 yen). Utilities, such as electricity, gas, and water, cost around 10,000 Yen ($80 USD). Restaurants offer meals for between $5 and $10.
Support available from host site: N/A
Administrative requirements: Except for visa waiver countries, Japan requires a visa on entering Japan.

Educational activities

• Clinical management of Parkinson’s disease and other movement disorders
• Pathology of Parkinsonism
• Device-aided therapy for Parkinson’s disease, including Deep brain stimulation and LCIG
• Botulinum toxin treatment

Number of positions: 2
Estimated monthly costs: 150,000 Japanese yen
Support available from host site: Stipend dependent on carrier, housing
Administrative requirements: National board qualification of neurology preferred

Educational activities

• Clinical round
• Case teaching
• Weekly radiological conference
• Monthly pathological conference

Number of positions: 2
Estimated monthly costs: 250,000 - 300,000 Japanese yen (JPY) as the standard living costs. An additional fee is required to apply as a research student (i.e. 9,800 JPY for the examination fees, 84,600 JPY for the admission fee and 29,700 JPY/month for the tuition fee and a small amount of commission fee).
Support available from host site: N/A
Administrative requirements: A visa is required to enter Japan. For a research student, an examination is necessary.

Educational activities

• Clinical practice of Parkinson's disease including device-aided therapies for Parkinson’s disease (i.e.Deep brain stimulation and LCIG) , clinical rounds and clinical case conferences for parkinson's disease and related disorders.

Number of positions: 6
Specialty: Speech Pathology, Physical Therapy, Occupational Therapy
Estimated monthly costs:  $300 living costs, $200 accomodation, $250 institution fees.
Support available from host site: N/A
Administrative requirements: Most countries are visa exempted. Visa can be issued on arrival at the airport for countries that visa is needed.

Educational activities

• Designing therapy plans
• Writing reports
• Biweekly seminars
• Case discussion

Number of positions: 3
Estimated monthly costs:  $1 USD = 4 MYR. Accommodation, $500 USD. Living expenses, $500 USD. Bench fees, $2,000 USD. Chemicals and ZF, $2,000 USD.
Support available from host site: N/A
Administrative requirements: Visa processing through university immigration

Educational activities

• Induction and validation of Zebra Fish model of PD
• Behavioral testing of ZF PD
• Genetics study of ZF PD Model

Number of positions: 5
Estimated costs: 500 EUR living, 300 EUR institution fee
Support available from host site: N/A
Administrative requirements: N/A

Educational activities: Basic courses about DNA, population genetics, Neurogenetics, Molecular Genetics, molecular biology, research techniques, Genomics etc.

Number of positions: 2-3
Estimated monthly costs: Living expenses SG $2,500 to $3500. Registration/application fees, approximately SG $2,000 (one time).
Support available from host site: N/A
Administrative requirements: Work pass applications are needed. Registration to Singapore Medical Council for medical registration is needed to be able to practice and have direct clinical patient contact. At least 6 months time needs to be provided for Medical registration and other administrative procedures to be completed.

Educational activities

• Specialists PD and MD clinics
• Botulinum Toxin clinics
• Care of inpatients with movement disorders
• Hands-on attachment in motor control laboratory
• DBS surgery: pre, intra, and post-operative management
• Movement Disorders and multi-disciplinary rounds
• Participation in research projects, presentations and publications
• Attendance at scientific meetings and rounds
• Visits to PD exercise class/physiotherapy session, occupational therapy, voice class/speech therapy and growth groups/medical social worker counseling sessions
• Introduction to PD patient support groups at NNI the work of the PD Society (Singapore)
• Other attachments at the specific request of the fellow, will be incorporated where possible

Start time: 1-year program: August 1 to July 31. 
3-6 months program: August 1 to January 31 (applications due March 15), or February 1 to July 31 (applications due September 15).
Number of positions: 1
Estimated monthly costs: Food: $450 USD. Accommodation: $700 USD. Traffic: $100 USD.Other expenses: $200 USD. Total: $1450 USD. 
Support available from host site: Housing options, but need a rent: Taita Jin-Fu Foundation affiliated with National Taiwan University Hospital Dormitory of National Taiwan University campus
Administrative requirements:

• Approval from the Department of Medical Education at National Taiwan University Hospital
• A recommendation letter from your academic supervisor or the director of your residency training program.
• Photocopy of diplomas for your degree in medicine (M.D., M.B.) or any other related medical fields, which should be translated into English.
• Photocopy of qualified licenses related to medical fields.
• Proof of residency training (at least 3 full years of post-graduate clinical training)
• Certificate of Health (including Chest X-ray for Pulmonary Tuberculosis, Hepatitis B status, Serological Test for Syphilis, Proof of Positive Measles and Rubella Antibody or Measles and Rubella Vaccination Certificates
• Proof of travel and health insurance.
• For visa information, please refer to the official website of Ministry of Consular Affair, Taiwan. 

Educational activities
Clinical training:

• Regular weekly morning meeting of movement disorders, including real case demonstration, video analysis and journal reading to learn the diagnosis and differential diagnosis of typical and parkinsonism-plus syndrome and unusual movement disorders.
• To learn the pharmacological treatment and complications in PD and atypical parkinsonism at Movement disorder special clinic (3 sessions per week) and Neurology ward. 
• To learn the deep brain stimulation (DBS) in Parkinson’s disease and dystonia, including pre-surgical evaluation in Neurology ward, intraoperative electrophysiology recording in operation room, and post-operative programming at DBS special clinic (one session per week). 
• To learn the Botox injection in special clinic for dystonia and post-stroke spasticity two session per month. 
•  To learn the phenotype and genotype in monogenic Parkinson’s disease and other rare movement disorders at clinic or Neurology ward.
• To learn the various clinical rating scale of PD, including MDS UPRRS and dyskinesia, PDQ39 and ICD rating scale.
• To learn the MMSE, MoCA and complete neuropsychological test in Parkinson’s disease with mild cognitive impairment and PD dementia.

Research course:

• DNA and RNA extraction from Patients whole blood.
• Reading and interpretation of genotyping from Sanger sequence and NGS.  
• Small animal models of parkinsonism such as intracranial injection of 6-OHDA or MTPT neurotoxin, and transgenic mice model of LRRK2 or alpha synuclein A53T mutation. 
• Histology and behavior tests in small animal models of parkinsonism. 
• In vivo electrophysiological study of deep brain stimulation and essential tremor

Number of positions: 2-3
Estimated monthly costs: At least US$750 per month for housing; University registration fee is approximately US$ 750 per trimester (6 months per trimester)
Support available from host site: If trainees apply for a 2-year program with a Master’s degree, trainees can apply for University funding, which will cover the registration fee and some stipend.
Administrative requirements: Curriculum vitae, neurology training certificate or nurse training certificate, 2 letters of recommendation

Educational activities

Trainees will get updated on the advanced knowledge and clinical findings through weekly seminars on selected topics of movement disorders. Clinical practice will be conducted at both out-patient clinics and in-patient care units which include the followings:

• Botulinum toxin clinic
• Parkinson’s disease clinic
• Hyperkinetic movement disorders clinic
• Advanced care clinic
• Gait clinic
• Home adaptation clinic
• Neuropsychiatry for movement disorders clinic
• Neurophysiology for movement disorders clinic
• Sleep-related movement disorder clinic