Advanced Training in a Complex, Multisystem Disorder
The TSC Fellowship offers a one-year, clinically focused training experience—with the option to extend into a second year of research—for trainees who want to expand their expertise in a complex, multisystem disorder.
While designed primarily for pediatric and adult neurology trainees, the program also welcomes specialists in genetics, pulmonology, nephrology, psychiatry, and other fields involved in TSC care.
In addition to focused TSC training, fellows gain meaningful exposure to a broad range of neurocutaneous disorders and neurodevelopmental disabilities, supporting a well-rounded and highly adaptable clinical skill set.
Why Train at Cincinnati Children’s?
A National Destination for TSC Care
The TSC Clinic, based in the Division of Neurology, is a designated TSC Alliance Center of Excellence and one of the largest, most comprehensive programs of its kind.
- 1,000+ annual patient visits
- Patients representing more than 35 states and multiple countries
- Comprehensive care spanning from fetal consultation through end-of-life support
A Multidisciplinary, High-Volume Learning Environment
The clinic brings together experts from eight specialties across Cincinnati Children’s and the University of Cincinnati. Fellows gain hands-on experience managing the full spectrum of TSC, from mild presentations to complex multisystem disease, within a collaborative, team-based setting.
Training and Curriculum
Building Expertise in TSC Diagnosis and Management
Fellows develop the skills needed to:
- Apply TSC Consensus Guidelines for diagnosis
- Monitor and manage TSC-related complications, including refractory seizures, behavioral and psychiatric symptoms, SEGAs, and angiomyolipomas
- Use TSC-directed medicines such as vigabatrin and mTOR inhibitors
- Provide counseling for families regarding expectations, risks, and long-term care considerations
Experience in Multispecialty Coordination
Because TSC affects multiple organ systems, fellows learn practical strategies for:
- Leading multidisciplinary discussions
- Communicating across specialties and providers
- Managing the ongoing needs of patients with complex, chronic conditions
Career Readiness and Professional Development
Upon completion of training, fellows are equipped to:
- Establish or contribute to a dedicated TSC clinic
- Integrate TSC care into a subspecialty practice
- Engage in clinical or translational research focused on neurocutaneous disorders



