Shape the future of headache medicine and science

OHSU’s one-year Headache Fellowship will prepare you for a career in clinical headache care or academic headache medicine.

You will work alongside leaders in headache and facial pain disorders who use the latest therapies to treat hundreds of adult and pediatric patients a year. You will also take part in research, clinical rotations, case presentations and other activities. 

Our program is accredited by the United Council for Neurologic Subspecialties and will prepare you for UCNS headache medicine certification. 

Fellowship objectives

Your training will focus on evaluation, diagnosis and management of patients with primary and secondary headache disorders, and patients with facial pain disorders. 

You will build hands-on skills in complex care in a variety of clinical settings. You will also gain experience in leading-edge treatments that include:

• Botox administration
• Trigger point injection
• Occipital and sphenopalatine ganglion nerve blocks to reduce migraine and other headache pain
• Ultrasound techniques to monitor intracranial pressure 

Research

At OHSU, your training will include time for clinical research and in-depth reading to give you a full bench-to-bed understanding of headache medicine. You’ll work under the leadership of OHSU scientists at Oregon’s only academic health center. 

OHSU is proud of our groundbreaking research innovations, network of clinical trials and hundreds of millions of dollars in annual research awards.

Fellowship curriculum

Your headache fellowship will include clinical rotations as well as weekly didactics, case presentations and a monthly journal club. 

You can expect to work closely with faculty to sharpen your understanding of the latest literature and treatments. Faculty mentors will guide you in building skills in evidence-based, multidisciplinary care. 

Elective clinical rotations will deepen your training in subspecialties and expose you to a holistic, multidisciplinary view of headache medicine. You’ll be able to choose among rotations in: 

• Autonomic disorders
• Neuro-ophthalmology
• Sleep medicine
• Pediatric headache
• Concussion
• Orofacial pain clinics 

How to apply

Apply through the OHSU applicant portal. To qualify, you must:

• Be a graduate of a neurology residency program accredited by the ACGME or the Royal College of Physicians and Surgeons of Canada (RCPSC)
• Be board-certified or eligible for certification in a primary American Board of Medical Specialties (ABMS) or RCPSC specialty
• Have a current Oregon medical license before the fellowship starts

What to include with your application

• OHSU application
• Curriculum Vitae (CV)
• Personal statement
• USMLE/COMLEX score report
• Medical Student Performance Evaluation (MSPE)
• Medical school diploma
• Letter of recommendation from current or most recent program director
• Three additional letters of recommendation
• Explanation of gaps in training

International medical graduates must also submit:

• Educational Commission for Foreign Medical Graduates (ECFMG) certification
• Documentation of U.S. Clinical Experience

Important dates

• Deadline to apply is June 1.
• Interview offers will be made no earlier than March 1, 2026.
• Fellowship offers will be made no earlier than Aug. 1, 2026.

Fellowship leader

Juliette Preston, M.D., leads the Headache Fellowship program. She is also chief of the Section of Headache Medicine and director of the OHSU Headache Center, which treats hundreds of patients a year. Dr. Preston holds certifications from the American Board of Psychiatry and Neurology, and from the United Council for Neurologic Subspecialties. She is a member of the American Academy of Neurology and the American Headache Society.