Multiple Sclerosis and Neuroimmunology Fellowship

Dr. Rebecca Spain confers with a colleague. She is seated at a desk and points to brain images on a monitor while looking at her colleague.
Rebecca Spain, M.D., M.S.P.H., is the co-director of the VA Multiple Sclerosis Center of Excellence – West, OHSU’s fellowship partner since 2003. She is also an associate professor in OHSU’s Department of Neurology and an MS clinician and researcher.

Join the next generation of multiple sclerosis clinicians and scientists

OHSU’s Multiple Sclerosis and Neuroimmunology Fellowship offers you multidisciplinary training with national experts in MS care and research. Our comprehensive program includes your choice of a one-year or two-year adult clinical fellowship.

All tracks offer the opportunity to treat patients alongside specialists in top centers at OHSU and at the Portland VA Medical Center. Your fellowship will also include weekly seminars in MS and neuroimmunology, as well as opportunities to collaborate with faculty mentors.

Many of our fellows have attracted national-level research funding and have gone on to join our staff. Our robust funding includes a prestigious National Multiple Sclerosis Society Institutional Clinician Training Award granted in 2019.

Fellowship objectives

Our goal is for you to develop hands-on expertise in complex MS care, with a deep understanding of multiple sclerosis and neuroimmunology. You’ll join OHSU’s Multiple Sclerosis Center, a designated National MS Society Center for Comprehensive MS Care.

The fellowship follows the American Academy of Neurology consensus curriculum. We offer training tracks you can tailor to your interests and career goals:

  • One or two-year clinical and research adult fellowship

Our fellowship is in collaboration with the Portland VA Medical Center, which is part of the VA’s Multiple Sclerosis Centers of Excellence. The VA has been our fellowship partner since 2003.

Dr. Rebecca Spain points at a brain scan on a computer monitor.
Dr. Rebecca Spain was the lead author of a study published in 2025 showing mixed results for multiple sclerosis patients who took over-the-counter lipoic acid. The clinical trial could lead to new lines of inquiry.

Fellowship curriculum

Clinical training

You will be the primary neurologist for patients as part of a team caring for about 1,500 OHSU patients and 400 veterans. You will have your own clinics, patient panels and staff supported by an interdisciplinary team of neurologists and others. You will work in both inpatient and outpatient settings.

Adult-track fellows will gain experience at the VA. Patients will include veterans with complex health needs. VA patients may live in rural areas and may have limited insurance or income. The VA also comes with exposure to national public health care policy.

You will treat patients alongside leaders in the latest therapies and research: 

Your training will cover the latest:

  • Disease-modifying therapies
  • Rehabilitation interventions
  • Evidence-based wellness approaches

You will also help patients manage complex symptoms and comorbidities under the mentorship of experts in subspecialties such as:

  • Urology
  • Mental health
  • Gastroenterology
  • Neuro-ophthalmology

Research

Fellows in our adult care and research track start or join projects and take classes through our Human Investigations Program. National-level funding can include Career Development Awards and support from the Race to Erase MS Center Without Walls program. Research areas include:

Wellness in MS

  • Vascular disease in MS: 7T and retinal microvasculature studies
  • Diet and exercise in MS 

Pathogenesis of MS

  • Antioxidants and lipoic acid as treatments for progressive MS
  • Advanced imaging studies of MS pathogenesis

Novel therapies in MS

  • Multi-center clinical trials on cutting edge treatments for MS
  • New therapeutic development for addressing progressive MS
  • Basic neuroscience and neuroimmunology research

Academic training

Your academic training will include opportunities to teach and collaborate with faculty and peers, including as part of:

  • Opportunities to develop and disseminate educational material to support our learners and patients
  • Weekly local MS didactics
  • National bimonthly educational series
  • National webinars, newsletters and podcasts

National connections

Our memberships will give you access to a national network of MS centers, experts, resources and conferences through:

How to apply

Apply through SF Match. To qualify, you must be a graduate of an accredited training program in neurology, and a U.S. citizen or permanent resident.

What to include with your application

  • SF Match application (including CV)
  • Personal statement
  • Medical school transcript
  • Medical Student Performance Evaluation
  • Certified USMLE scores
  • A letter of recommendation from your residency program director
  • Three additional letters of recommendation

Contact us to learn more.

Important dates

  • Applications open in the fall. Check ACTRIMS for details.
  • Interviews are held in the winter and early spring, two years before the fellowship starts.
  • Fellowships typically begin in July, though the start date is negotiable. Onboarding begins in January or February the year before the fellowship starts. The VA has its own onboarding and credentialing processes.

Fellowship leaders

Elizabeth Silbermann, M.D., is director of the MS and Neuroimmunology Fellowship. She is also the assistant director of clinical care at the VA Multiple Sclerosis Center of Excellence – West and assistant professor in OHSU’s Department of Neurology. Dr. Silbermann focuses her research on finding risk factors for disability in people with MS.

    • Appointments and titles

      • Assistant Professor of Neurology, School of Medicine
    • Areas of interest

      • Neuroimmunology
      • Multiple sclersosis

Vijayshree Yadav, M.B.B.S., M.C.R., M.B.B.S., FANA, FAAN, is co-director of the MS and Neuroimmunology Fellowship and director of the OHSU Multiple Sclerosis Center. She also heads OHSU’s Division of Multiple Sclerosis and Neuroimmunology. Dr. Yadav is a physician-scientist who has presented research at national and international conferences. Her research interests include complementary treatments for MS. 

    • Appointments and titles

      • Professor of Neurology, School of Medicine
    • Areas of interest

      • wellness in MS
      • dietary factors and its role in MS
      • anti oxidants in MS
      • vascular risk factors in MS
      • provider education
      • patient education

Meet our MS and neuroimmunology fellows

Avinash “Avi” Kolli, M.D.

Dr. Avinash Kolli, in a suit jacket and tie, smiles at the camera in a portrait.
Avinash Kolli, M.D.
  • Birthplace:  Peoria, Illinois
  • Medical school and residency: University of Iowa and the Stritch School of Medicine; University of South Florida neurology residency
  • Clinical interests: Acute and chronic autoimmune and paraneoplastic encephalitis, and research of demyelinating conditions
  • Interests outside OHSU: Basketball, the outdoors, trying new food and spending time with his dog, Buddy
  • Why OHSU? Dr. Kolli chose our fellowship for exposure to inpatient and outpatient care. He loves the long-term relationships physicians and MS patients build.

Mehreen Shahid, D.O.

Dr. Mehren Shahid, in a suit jacket and blouse, smiles at the camera in a portrait.
Mehreen Shahid, D.O.
  • Grew up: Northern Virginia
  • Medical school and residency: Edward Via College of Osteopathic Medicine; Virginia Commonwealth University child neurology residency
  • Clinical interests: Pathophysiology of neuroimmunologic diseases, brain development and child neurology
  • Interests outside OHSU: The outdoors, hiking, and trying new coffee shops and restaurants
  • Why OHSU? Dr. Shahid chose this OHSU fellowship to build confidence in diagnosing and managing common and complex neuroimmunology disorders.

Michelle Tsai, M.D.

Dr. Michelle Tsai, in a suit jacket and blouse, smiles at the camera in a portrait.
Michelle Tsai, M.D.
  • Grew up: Dallas-Fort Worth area
  • Medical school and residency: University of Texas Southwestern Medical School; Ochsner Clinic Foundation neurology residency
  • Clinical interests: Multiple sclerosis and neuroimmunology
  • Interests outside OHSU: Pilates and reading a mix of fiction and nonfiction
  • Why OHSU? Dr. Tsai hopes to gain experience in treating patients with MS and other conditions and to take part in clinical trials.

Recent fellowship alumni

Since 2000, more than 15 fellows have completed the OHSU Multiple Sclerosis and Neuroimmunology Fellowship. Recent graduates include:

  • Laurel Kelley, M.D., M.S.S., 2025
  • Benjamin Bird, M.D., 2025
  • Richa Thakkar, D.O., 2025
  • Helen Wu, M.D., 2024
  • Jacob Perlman, M.D., 2024
  • Carolina Garcia Garcia, D.O., M.S., 2024
  • Cole Crowson, M.D., 2024
  • Daniel Chapman, M.D., 2023
  • Vicky Chen, M.D., 2023
  • Kayla Martin, M.D., 2023
  • Derek McFaul, D.O., 2022
  • Christopher Hollen, M.D., 2022
  • Xinran Maria Xiang, M.D., 2021
  • Tyrell Simkins, D.O., Ph.D., 2021
  • Jessica Rice, M.D., 2021
  • Elizabeth Silbermann, M.D., 2020
  • Lindsey Wooliscroft, M.D., M.S., 2020

Apply now

Apply through SF Match.

Questions?

Email:

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